Background

Babies to women eligible for trial of labor after a cesarean (TOLAC) are sometimes delivered by cesarean section (CS). To obtain clinicians’ attitudes and beliefs about TOLAC, this study was designed to investigate the views of clinicians when advising TOLAC-eligible pregnant women about TOLAC, and to explore their reasons in favor of or against TOLAC.

Methods

Interviews were carried out individually (face-to-face) with clinicians using a specially designed questionnaire to collect data from obstetricians in the Western Region of Saudi. Regression analysis was used as appropriate.

Results

Among the 183 obstetricians included in the current study, approximately 79.2% were against offering TOLAC. However, most of the physicians (89.1%) were in favor of offering TOLAC to patients who had had a successful vaginal birth after CS. significant associations were found between physicians’ opposition to TOLAC and medical and most non-medical factors.

Conclusion

Clinicians should recognize that the critical role they play in the delivery decision-making process and in boosting women’s confidence in TOLAC may be key to increasing the rate of TOLAC.

中文翻译：

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剖宫产在沙特阿拉伯西部地区的产科医生接受剖宫产（Tolac）后的分娩试验：一项横断面研究

背景

剖宫产（CS）有时会为剖宫产（TOLAC）后有资格分娩的妇女提供婴儿。为了获得临床医生对TOLAC的态度和信念，本研究旨在调查临床医生在为符合TOLAC资格的孕妇提供TOLAC建议时的观点，并探讨他们支持或反对TOLAC的原因。

方法

使用专门设计的调查表与临床医生分别进行了访谈（面对面），以从沙特西部地区的产科医生那里收集数据。适当地使用了回归分析。

结果

在本研究中包括的183名妇产科医生中，约有79.2％反对提供TOLAC。但是，大多数医生（89.1％）赞成为CS后成功阴道分娩的患者提供TOLAC。在医师对TOLAC的反对与医学和大多数非医学因素之间发现了显着的关联。

结论

临床医生应认识到，她们在分娩决策过程中以及在增强妇女对TOLAC的信心中所起的关键作用可能是提高TOLAC发病率的关键。