Key result
Among 249 women undergoing a trial of labor after a previous cesarean section, the successful vaginal birth rate was 67.9%, with spontaneous labor and a favorable Bishop score significantly increasing success rates.
Why the study?
The study was conducted to compare maternal and perinatal outcomes between trial of labor after cesarean and emergency repeat cesarean delivery.
Does trial of labor after cesarean (TOLAC) improve maternal and perinatal outcomes compared to emergency repeat cesarean delivery in pregnant women with a previous cesarean section?
Population
250 patients given trial for vaginal delivery at a tertiary care center
Comparison
Trial of labor after cesarean vs emergency repeat cesarean delivery
Design
Prospective observational study
Authors
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May aid TOLAC selection in favorable cases; leaves open randomized confirmation of net maternal-perinatal benefit versus repeat cesarean.
Observational (n=250)
No
Does trial of labor after cesarean (TOLAC) improve maternal and perinatal outcomes compared to emergency repeat cesarean delivery in pregnant women with a previous cesarean section?
Trial of labor after cesarean has a high success rate, especially in women with a favorable Bishop score and spontaneous labor, with comparable perinatal outcomes to repeat cesarean.
Prabhakarrao et al. (2020) conducted an observational in Previous lower segment caesarean section (n=250). Trial of labor after cesarean (TOLAC) was evaluated on Successful vaginal birth after cesarean (VBAC). Among 249 women undergoing a trial of labor after a previous cesarean section, the successful vaginal birth rate was 67.9%, with spontaneous labor and a favorable Bishop score significantly increasing success rates.
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