A woman may be considered for vaginal delivery after a cesarean if the prior incision was?

A woman may be considered for vaginal delivery after a cesarean if the prior incision was a low transverse incision due to the lower risk of uterine rupture associated with this type of incision. Low transverse incisions are made horizontally across the lower segment of the uterus and are the most common type of incision used in cesarean deliveries. This incision type allows for better healing and offers a greater likelihood of a successful trial of labor after cesarean (TOLAC).

In contrast, vertical incisions, T-incisions, and classical incisions pose a higher risk of complications such as uterine rupture during a subsequent labor, making vaginal delivery less advisable in those cases. Vertical incisions and classical incisions cut through the upper uterine segment, which is more muscular and has a higher chance of tearing during labor. Therefore, the low transverse incision is the safest and most suitable option for a subsequent vaginal delivery following a cesarean section.