Trial of labor after cesarean in adolescents – A multicenter study
Journal of Pediatric and Adolescent Gynecology Feb 27, 2020
Levin G, Meyer R, Mor N, et al. - Among adolescents who had never delivered vaginally, researchers evaluated the trial of labor after cesarean delivery (TOLAC) success rate and its related factors. The sample consisted of all adolescent women aged ≤ 21 years with a history of one previous cesarean delivery, who delivered in two tertiary medical centers during 2007-2019. Participants in the study were 167 women who had a previous caesarean delivery (117 had TOLAC and 50 had a repeat cesarean delivery with no trial of labor). In the repeat cesarean group, the neonatal birth weight and gestational age at delivery were lower than in those undergoing TOLAC. According to this multicenter retrospective cohort study, TOLAC is associated with a relatively high success rate in adolescent women who had never delivered vaginally.
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