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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

Learning Objectives
After completing this activity, the physician should be better able to:
1. Describe factors associated with a vaginal birth after cesarean delivery (VBAC) in women undergoing a trial of labor after cesarean delivery (TOLAC).
2. Describe factors associated with complications among women undergoing TOLAC.
3. Provide appropriate counseling regarding delivery options for women who have had a past cesarean delivery.
4. List agents appropriate to use for induction or augmentation of labor in women undergoing TOLAC.
5. 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.


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