Recommendations Developed for Trial of Labor After C-Section

Share this content:
Recommendations Developed for Trial of Labor After C-Section
Recommendations Developed for Trial of Labor After C-Section

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Recommendations have been developed for trial of labor after cesarean delivery (TOLAC) for women who wish to achieve a vaginal birth after cesarean delivery (VBAC), according to a practice bulletin published online Oct. 24 in Obstetrics & Gynecology.

William Grobman, M.D., in collaboration with the American College of Obstetricians and Gynecologists' (ACOG's) Committee on Practice Bulletins -- Obstetrics, reviewed the risks and benefits of TOLAC in various clinical situations and provided guidelines for counseling and management of patients attempting VBAC.

Based on good and consistent scientific evidence, the authors write that most women with one previous cesarean delivery with a low-transverse incision are candidates for TOLAC and should be counseled accordingly. Several factors increase the likelihood of failed trial of labor, which is associated with increased maternal and perinatal morbidity versus VBAC and elective repeat cesarean delivery. Assessing the likelihood of VBAC and individual risks is important for determining who is an appropriate candidate for TOLAC. The decision to undergo TOLAC or repeat cesarean should be made by the patient in consultation with her obstetrician.

"The best circumstances for a woman to labor after having had a prior C -section is when the balance of risks and chances of success are acceptable to both the patient and the physician, and that will be different in every case," Mark Turrentine, M.D., chair of ACOG's Committee on Practice Bulletins-Obstetrics, said in a statement.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Gender Nonconformity Linked to Students' Mental Distress

Gender Nonconformity Linked to Students' Mental Distress

For male students, gender nonconformity strongly associated with substance use

Participation Up With Online Diabetes Prevention Program

Participation Up With Online Diabetes Prevention Program

But weight loss no different for online, in-person DPP for obese/overweight veterans with prediabetes

Net Benefit of Anticoagulants for A-Fib Varies With Stroke Rate

Net Benefit of Anticoagulants for A-Fib Varies With ...

Benefit of warfarin anticoagulation varies with varying published stroke rates

is free, fast, and customized just for you!




Already a member?

Sign In Now »