Investigating the implementation of a Trial of Labour After Caesarean (TOLAC) delivery bundle with respect to decreasing caesarean delivery rates: a multisite quality improvement initiative.

ABSTRACT:

Objectives

To study the effect of implementing a Trial of Labour After Caesarean (TOLAC) delivery bundle with respect to decreasing caesarean delivery rates across five hospitals.

Design

Prospective quality improvement study.

Setting

Five Canadian hospital sites participated, two academic centres and three community hospitals, with annual delivery rates ranging from 2500 to 7500 per site.

Participants

All obstetrical patients with a singleton gestation in cephalic presentation and only one previous caesarean delivery were included.

Interventions

A TOLAC bundle was introduced at each hospital site, consisting of three main interventions: (1) education for healthcare providers, (2) a TOLAC discussion sheet and (3) patient educational tools.

Primary and

SUBMITTER: Miazga E 

PROVIDER: S-EPMC11781111 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature