Variables in VBAC Success: A Retrospective Review of Trial of Labor After Cesarean (TOLAC) and Labor Support

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  • Jenna A. Koblentz
  • Jenna Alison Koblentz
چکیده

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Low primary cesarean rate and high VBAC rate with good outcomes in an Amish birthing center.

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Cesarean deliveries represent almost one third of US births. Given that repeat cesarean is the most common single indication for cesarean, trial of labor after cesarean (TOLAC) with subsequent vaginal birth after cesarean (VBAC) is an important mechanism to reduce the overall cesarean rate. The 2010 National Institutes of Health Conference found that one of the biggest barriers to VBAC is the l...

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BACKGROUND In 2010, the NIH and ACOG recommended increasing women's access to trial of labor after cesarean (TOLAC). This study explored access to TOLAC in California, change in access since 2007 and 2010, and characteristics of TOLAC and non-TOLAC hospitals. METHODS Between November 2011 and June 2012, charge nurses at all civilian California birth hospitals were surveyed about hospitals' TO...

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Vaginal birth after previous caesarean section (VBAC) should be encouraged to decrease the rising trend of cesarean section rate. The success rate of vaginal birth after caesarean section varies from institution to institution and is general around 60 to 70%. In recent years there has been a reported decline in the rate of VBAC all over the world. Offering VBAC becomes a challenging decision fo...

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تاریخ انتشار 2015