Trial of Labor after Cesarean (TOLAC) for Vaginal Birth after Previous Cesarean Section (VBAC) Versus Repeat Cesarean Section; A Review
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چکیده
Despite cesarean being a major abdominal surgery, the number of cesarean deliveries has been increasing in recent decades in the United States [1-3]. The World Health Organization has stated that national cesarean rates greater than 10-15% indicate unnecessary maternal risk. Nevertheless the current cesarean rate in the US is 32.2% (CDC). With this high rate of cesarean delivery the question of the route of delivery for subsequent pregnancies becomes ever more important.
منابع مشابه
Trial of labor after cesarean section.
Background The AAFP convened a panel to systematically review the available evidence on trial of labor after cesarean delivery (TOLAC) using the Agency for Healt Report on Vaginal Birth after Cesarean (VBAC) along with additional literature review. The panel developed a comprehensive, evidence-based guideline for Trial of Labor after Cesarean (TOLAC), formerly Trial of Labor Versus Elective Rep...
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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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In an appropriate clinical setting and properly selected group of women, VBAC offers distinct advantages over a repeat caesarean section, since the operative risks are completely eliminated, the hospital stay is much shorter and expenses involved are much less. Trial of labour after previous caesarean delivery (TOLAC) provides women who desire a vaginal delivery with the possibility of achievin...
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The increasing trend of LSCS is a public as well as health professionals concern, out of which repeat LSCS accounts for a major chunk . Our study was designed to evaluate the clinical factors as predictors in successful cases of VBAC after one LSCS done for non-recurrent indication. A prospective observational study comprising of 500 patients was performed. 50% of TOLAC cases had successful vag...
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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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