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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Trial of labour after caesarean (TOLAC) is associated with increased risk for instrumental delivery
Rotem Inbar1,2, Shali Mazaaki1,2, Anat Kalter1,2
1a Department of Obstetrics and Gynecology , Sheba Medical Center, Tel-Hashomer , Israel.
Abstract:
We compared the rates of instrumental delivery in a cohort of nulliparous women at term (n = 19,416), to primiparous women who attempted labour after prior caesarean (TOLAC) (n = 1747). The rate of instrumental deliveries was higher in the TOLAC group compared to nulliparous gravidas (17.3 vs. 15% respectively, p = 0.001). The difference was more prominent for women who eventually had successful vaginal delivery (TOLAC: 23.9% vs.
Controls:
17.1%, p < 0.0001 respectively). Based on our results, previous caesarean whether urgent or elective was associated with an increased risk of instrumental delivery in the subsequent pregnancy.
