Clinics in perinatology
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Clinics in perinatology · Jun 2011
Nonclinical factors affecting women's access to trial of labor after cesarean delivery.
The use of trial of labor after cesarean (TOLAC) has declined in the last decade, and the clinical risks of TOLAC remain low. Nonclinical factors continue to affect women's access to TOLAC. ⋯ An evidence base and strategies to provide guidance to create a safe environment for vaginal birth after cesarean are needed. Obstetric information systems are critical to this effort.