Related Experiment Video
Updated: May 17, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Contemporary management of VBAC.
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Utah, Salt Lake City, UT, USA. torri.metz@ucdenver.edu
Clinical Obstetrics and Gynecology
|October 24, 2012
Summary
Many women eligible for a trial of labor after cesarean (TOLAC) undergo elective repeat cesarean. Proper candidate selection and evidence-based intrapartum management optimize outcomes for mothers and fetuses during TOLAC.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Elective repeat cesarean delivery significantly increases the overall cesarean rate in the U.S.
- A substantial number of women undergoing repeat cesarean are suitable candidates for a trial of labor after cesarean (TOLAC).
Purpose of the Study:
- To highlight the importance of identifying suitable candidates for TOLAC.
- To emphasize the necessity of accurate patient counseling regarding TOLAC.
- To underscore the role of evidence-based intrapartum management in optimizing TOLAC outcomes.
Main Methods:
- Review of current evidence-based recommendations for intrapartum management.
- Focus on candidate selection criteria for TOLAC.
- Emphasis on patient counseling strategies.
Main Results:
- Many women are appropriate candidates for TOLAC.
- Proper selection and management are crucial for successful TOLAC.
- Well-equipped facilities and trained personnel are essential for safe intrapartum management.
Conclusions:
- Physicians must identify appropriate candidates for TOLAC.
- Accurate counseling is vital for women considering TOLAC.
- Adherence to evidence-based guidelines in suitable settings optimizes maternal and fetal outcomes for TOLAC.
Related Concept Videos
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
01:28Mitral Regurgitation IV: Nursing Management
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:27Mitral Stenosis IV: Nursing Management
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
01:17Aortic Regurgitation IV: Nursing Management
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...