Absolute contraindicationsCaution required
  • Complete placenta previa

  • Previous transfundal uterine surgery

  • Transverse fetal lie

  • Umbilical cord prolapse

  • Vasa previa

  • Abnormal fetal heart rate patterns not requiring emergent delivery

  • Breech presentation

  • Maternal heart disease or severe hypertension

  • Multifetal pregnancy

  • Polyhydramnios

  • Presenting part above the pelvic inlet

  • One or more previous low-transverse cesarean deliveries