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Between 0.74 and 0.76, trial of labor was cost-effective.
The following three cohorts were established: (1) repeat cesarean without trial of labor (n = 269), (2) spontaneous trial of labor (n = 179), and (3) induced trial of labor (n = 57).
The uterine rupture rate with induced trial of labor (8/575; 1.4%) was significantly higher than with a spontaneous trial of labor (7/1544; 0.45%; P =.0004).
Results: The rate of vaginal birth following trial of labor was 65.6%.
This study was undertaken to assess the safety of trial of labor after previous cesarean delivery.
Uterine rupture is a potential life-threatening complication during a trial of labor after cesarean delivery.
Conclusion: Trial of labor following two previous cesarean sections is acceptable in the majority of cases.
Previous studies of induction of labor in the setting of trial of labor after cesarean have compared women undergoing trial of labor after cesarean to those undergoing spontaneous labor.
The major risk that is associated with trial of labor after cesarean delivery is uterine rupture that requires emergency laparotomy.
We sought to describe labor patterns in women with a trial of labor after cesarean (TOLAC) with normal neonatal outcomes.
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Results: The rate of serious perinatal morbidity in the trial-of-labor and cesarean delivery groups was 2.3% and 0.5%, respectively (P =.12).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com