947: Failed vacuum does not increase the risk for long-term pediatric neurological morbidity Academic Article uri icon


  • Jourdan E. Triebwasser, Marjorie C. Treadwell, Kenneth Piehl, Cosmas Van De Ven, Roger D. Smith University of Michigan, Ann Arbor, MI OBJECTIVE: Offering trial of labor after cesarean (TOLAC) can reduce individual morbidity and population-level cesarean delivery rates. Our objective was to assess trends in TOLAC and incidence of uterine rupture in a contemporary cohort. STUDY DESIGN: Retrospective observational study from April 2012- March 2016 at a single, academic medical center. Numbers of uterine rupture, vaginal birth after cesarean (VBAC), TOLAC, and total deliveries were obtained from a quality improvement database. TOLAC was defined by having a history of cesarean delivery with documentation of spontaneous, induced, or augmented labor. VBAC rate was calculated as the number of VBAC deliveries divided by the number of women admitted who had a …

publication date

  • January 1, 2017