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M.L. is a gravida 2, para 1 being seen for an initial prenatal visit. She is requesting midwifery care and wants to have a vaginal birth after cesarean (VBAC). Her previous pregnancy was uncomplicated. She had a cesarean delivery for failure to progress at 8 cm with a fetus in a persistent occiput posterior (OP) position 3 years ago. Her son was born with Apgar scores of 8 and 9. He weighed 7 lb. 9 oz at birth. M.L. did not have any signs of infection during the postpartum period and she went home with her son on postpartum day 4.