Related Experiment Video
Updated: Jun 1, 2026

Working with Human Tissues for Translational Cancer Research
Published on: November 26, 2015
An ethical framework for the informed consent process for trial of labor after cesarean delivery
Frank A Chervenak1, Laurence B McCullough
1Department of Obstetrics and Gynecology, New York-Presbyterian Hospital - Weill Cornell Medical College, New York, NY 10065, USA. fac2001@med.cornell.edu
Abstract:
In 2010, a National Institutes of Health Consensus Panel and the American College of Obstetricians and Gynecologists issued updated statements on trial of labor after cesarean delivery (TOLAC). This article presents an ethical framework for the informed consent process for TOLAC. Three conclusions are reached. For women with one previous low transverse incision, TOLAC and elective repeat cesarean delivery should be offered. Obstetricians should recommend against TOLAC when a pregnant woman has had a previous classical incision. TOLAC after two previous low transverse incisions may be offered provided that the informed consent process presents the uncertainties of the evidence.
Related Concept Videos
Ethics in Research
Nurses' Legal Responsibilities I
The legal responsibilities of a nurse regarding informed consent include the following:
Ethical Issues
Ethical Concerns in Healthcare:
Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Nursing Ethical Principles I
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...
Ethical Standards I
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
