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An ethical framework for the informed consent process for trial of labor after cesarean delivery.
MedLine Citation:
PMID:  21645791     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In 2010, a National Institutes of Health Consensus Panel and the American College of Obstetricians and Gynecologists issued updated statements on trial of labor after cesarean delivery (TOLAC). This article presents an ethical framework for the informed consent process for TOLAC. Three conclusions are reached. For women with one previous low transverse incision, TOLAC and elective repeat cesarean delivery should be offered. Obstetricians should recommend against TOLAC when a pregnant woman has had a previous classical incision. TOLAC after two previous low transverse incisions may be offered provided that the informed consent process presents the uncertainties of the evidence.
Authors:
Frank A Chervenak; Laurence B McCullough
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics in perinatology     Volume:  38     ISSN:  1557-9840     ISO Abbreviation:  Clin Perinatol     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-31     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, New York-Presbyterian Hospital - Weill Cornell Medical College, 525 East 68th Street, M-724, Box 122, New York, NY 10065, USA.
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