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. 2020 Dec;42(12):1550-1554.
doi: 10.1016/j.jogc.2020.05.017. Epub 2020 Oct 1.

Revisiting the Care Pathway for Trial of Labour After Cesarean: The Decision-to-Delivery Interval Is Key

R Douglas Wilson  1 , Jessica Dy  2 , Jon Barrett  3 , Ellen Giesbrecht  4 , Linda Stirk  3 , Michael R Bow  5 , Radha Chari  5 , Jennifer Blake  6 , B Anthony Armson  7
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Revisiting the Care Pathway for Trial of Labour After Cesarean: The Decision-to-Delivery Interval Is Key

R Douglas Wilson et al. J Obstet Gynaecol Can. 2020 Dec.

Abstract

Centres providing maternity care and offering a trial of labour after cesarean must develop and use maternal educational and consent processes that emphasize choice and autonomy related to options for and decisions surrounding vaginal birth after cesarean and elective repeat cesarean delivery. These centres should have administrative systems and processes that take into account local resources for cesarean delivery services, including team-based complex maternity risk support and an urgency consensus on the fetal, maternal, and maternal-fetal indications for a surgical delivery to ensure an appropriate decision-to-delivery interval.

Keywords: cesarean section, repeat; decision making, shared; decision support systems, clinical; informed consent; pregnancy outcome; vaginal birth after cesarean.

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