Critical Care Obstetrics and Gynecology

2016 Survey on Counseling and Managing Patient for Trial of Labor after Cesarean Section

The Survey on Counseling and Managing Patient for Trial of Labor after Cesarean Section (TOLAC) on 2016, the survey conducted in multicenter. The questionnaire included segments on demographics data about physicians, also, elements in counselling sessions such as the success rate in case patients have previous vaginal delivery or not, the likelihood of rupture uterus, blood transfusion, endometritis maternal and fetal morbidity and mortality. Furthermore, physician preferred management in those patients if they came in spontaneous labor or need induction of labor and most frequent patient’s final decision with each physician. In total, 300 physicians working in Obstetricians and Gynecologists practice were surveyed. Data analyzed using Statistical Package for Social Sciences (SPSS) version 2; by using 95% confidence level states and a 5% margin of error.

We found that (84.91%) are including in their counseling session about successful rate of TOLAC in whom had one previous cesarean section and no previous vaginal birth (about 3 out of 4) and whom had one previous cesarean section and with at least one previous vaginal birth (almost 9 out of 10). Moreover, we discover that if patient came with spontaneous labor before an elective repeated cesarean delivery date, (81.37%) of physicians tend to prefer allowing TOLAC instead of preforming cesarean section.

Author(s):

Sali Talab, Haitham A

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