All subscribers to ACOG UPDATE audio CDs will also have free access and ability to download the same program in MP3 format. They can also download a PDF file of the complete transcript with Pre- and Post-test Questions and a List of Supplementary Reading Materials.
Volume 37, Issue 3
Publication date: September 1, 2011
Expiration date: September 1, 2014
Trial of Labor After Cesarean Delivery
Jeffrey L. Ecker, MD (Moderator)
Associate Professor of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Harvard Medical School; Massachusetts General Hospital, Boston, Massachusetts
Sabrina D. Craigo, MD
Professor of Obstetrics and Gynecology; Director, Division of Maternal-Fetal Medicine, Tufts University School of Medicine; Tufts Medical Center, Boston, Massachusetts
Michael F. Greene, MD
Professor of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Harvard Medical School; Massachusetts General Hospital, Boston, Massachusetts
After completing this activity, the physician should be better able to:
Describe factors associated with a vaginal birth after cesarean delivery (VBAC) in women undergoing a trial of labor after cesarean delivery (TOLAC).
Describe factors associated with complications among women undergoing TOLAC.
Provide appropriate counseling regarding delivery options for women who have had a past cesarean delivery.
List agents appropriate to use for induction or augmentation of labor in women undergoing TOLAC.
Discuss how having more than one prior cesarean scar affects counseling, decision-making, and planning for women considering TOLAC
Identify appropriate timing of delivery for women planning repeat cesarean delivery.