Evaluating the impact of a trial of labor after cesarean section on labor duration: a retrospective cohort study.

ABSTRACT:

Background

Cesarean section (C-section) rates are increasing globally, and repeated C-sections are associated with increased maternal morbidity. Trial of labor after C-section (TOLAC) is an approach to reduce the recurrence of C-sections. However, limited research exists on the impact of cesarean scars on labor duration in TOLAC, considering the termination of labor through C-section and selection bias. This study aimed to investigate the impact of cesarean scars on labor duration in TOLAC participants, accounting for potential confounding factors and biases.

Methods

This retrospective cohort study included 2,964 women who attempted vaginal birth at a single center in Japan from 2012 to 2021. The study categorized participants into TOLAC (n = 187) and non-TOLAC (n = 2,777) g

SUBMITTER: Ooba H 

PROVIDER: S-EPMC11325700 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature