The Question is from neet-zoology reproductive-health , and it was created by the author T SAILAJA

Question

A 28-year-old woman presents for an MTP at 13 weeks of gestation.  She has a history of two previous cesarean sections. Which of the following is the MOST significant risk factor to consider in her case?

T SAILAJA · Accepted Answer

## CORE INFORMATION
✓ **Answer**: C
## CONCEPT FRAMEWORK
 **Primary Concept**: Risks associated with medical termination of pregnancy (MTP) in women with prior cesarean sections.
 **Related Topics**: Uterine rupture, hemorrhage, infection, incomplete abortion, obstetric history.
 **Prerequisites**: Understanding of cesarean section procedures, uterine anatomy, and potential complications of MTP.
## SOLUTION PATHWAY
**Given Information**:
  * Patient age: 28 years
  * Gestational age: 13 weeks
  * History: Two previous cesarean sections
  * Procedure: Medical Termination of Pregnancy (MTP)
**Method & Steps**:
 1. Identify potential complications of MTP.
  Reasoning: MTP, even when performed correctly, carries inherent risks.  These are amplified in women with certain risk factors.
  Formula/Rule: None directly applicable, this is a clinical judgment question.
 2. Evaluate the impact of prior cesarean sections on MTP risk.
  Working:  A history of previous cesarean sections significantly increases the risk of uterine rupture during subsequent pregnancies and procedures like MTP. The uterine scar tissue from prior C-sections is weaker than the normal uterine wall and is more prone to tearing under stress.
  Key Point: The risk of uterine rupture is the most significant concern in this scenario.
 3. Compare the relative risks of the given options.
  Result: While hemorrhage, infection, and incomplete abortion are potential complications of MTP, the risk of uterine rupture is disproportionately increased due to the patient's history of multiple cesarean sections.  Uterine rupture is a life-threatening complication.
  Verification: This conclusion aligns with established medical knowledge and guidelines regarding MTP in women with prior cesarean sections.
 ## OPTION ANALYSIS
A :x: Hemorrhage is a potential complication of MTP, but it's not the MOST significant risk in this specific case.
B :x: Infection is a potential complication of any surgical procedure, including MTP, but again, not the most significant risk given the patient's history.
C ✓: Uterine rupture is the most significant risk factor due to the patient's history of two previous cesarean sections. This is a life-threatening complication.
D :x: Incomplete abortion is a potential complication but less significant compared to the risk of uterine rupture in this scenario.
 ## LEARNING AIDS
 **Common Mistakes**:
  1.Overlooking the significance of the patient's obstetric history: Failing to recognize the increased risk of uterine rupture due to prior cesarean sections is a common mistake.
  2.Equating all complications as equally significant:  Understanding the relative risks of different complications is crucial for proper clinical judgment.
 **Quick Tips**:
  1.Always consider the patient's complete medical history, especially obstetric history, when assessing risk factors.
  2.Remember that uterine rupture is a serious and potentially fatal complication associated with prior cesarean sections.

T SAILAJA · Answer

Hemorrhage

T SAILAJA · Answer

Infection

T SAILAJA · Answer

The correct Option is "Uterine rupture"

T SAILAJA · Answer

Incomplete abortion

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