- Patient characteristics may affect willingness to undergo trial of labor after cesarean (TOLAC).
Why this matters
- Efforts to decrease the cesarean delivery (CD) rates have included counseling for TOLAC.
- Providers may discourage some women from pursuing TOLAC.
- The overall TOLAC rate was low (10.1%).
- There was 66.7% successful vaginal births after CD rate for women pursing TOLAC.
- Factors tied to attempting TOLAC: lower BMI (P<.001 higher gestational age at delivery previous vaginal prior indication for cd was breech>
- Factors associated with elective repeat CD: prior indication of failure to progress (P<.001 prior induction of labor attended classes>
- Retrospective case-control study of women using a computerized database of women delivering in St. John's, Newfoundland and Labrador between 2001 and 2014.
- Women who were potential candidates for TOLAC (n=1579) were identified.
- Women desiring elective repeat CD (n=1419) compared with TOLAC (n=160).
- Primary objective was to identify potential differences in demographic and clinical characteristics between women choosing elective repeat CD compared with those choosing TOLAC.
- Funding: None disclosed.
- Data on how women were counseled not available.
- Single institution with homogeneous population; therefore, results may not be generalizable.