title: What We Have Learned About Trial of Labor After Cesarean Delivery from the Maternal-Fetal Medicine Units Cesarean Registry.
abstract: The cesarean delivery rate in the United States has risen steadily over the past 5 decades such that approximately one in three women now undergo cesarean section. The rise in repeat operations and accompanying decline in trial of labor after cesarean (TOLAC) have been major contributors to this phenomenon. The appropriate use of TOLAC continues to be a topic of interest with the recognition that most women with a history of prior cesarean are candidates for trial of labor. The NICHD MFMU Network Cesarean Registry conducted from 1999 to 2002 provided contemporary data concerning the risks and benefits of TOLAC, which in turn have helped inform practitioners and women considering their options for childbirth following cesarean delivery.
authors.affiliation: Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH. Electronic address: Mark.Landon@osumc.edu.
authors.forename: Mark B
authors.initials: MB
authors.lastname: Landon
authors.affiliation: Department of Obstetrics and Gynecology, Fienberg School of Medicine, Northwestern University, Chicago, IL.
authors.forename: William A
authors.initials: WA
authors.lastname: Grobman
mesh_terms: D000328:Adult; D002585:Cesarean Section; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D011446:Prospective Studies; D012042:Registries / Q000706:statistics & numerical data*; D014219:Trial of Labor; D014481:United States / Q000453:epidemiology; D014597:Uterine Rupture / Q000453:epidemiology* / Q000209:etiology; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects / Q000706:statistics & numerical data
keywords: TOLAC; Uterine Rupture; VBAC