Table 3 Labor management policies when a woman was present attempting a TOLAC
From: A survey of access to trial of labor in California hospitals in 2012
TOLAC hospital (N=139) N (%) or Mean (SD) | |
|---|---|
Anesthesia | |
In-hospital | 129 (93.5) |
Within 30 minutes | 9 (6.5) |
Missing=1 | |
Physician | |
In-hospital | 117 (87.3) |
Within 20-30 minutes | 17 (12.7) |
Missing =5 | |
Operating room immediately available | 134 (96.4) |
Neonatal staff available | 136 (97.8) |
Day of the week restrictions | |
No restrictions | 135 (97.1) |
Day of the week | 2 (1.4) |
Time of day | 0 |
Patient Restrictions | |
Number of prior cesareans | 131 (94.2) |
One prior cesarean | 45 (32.4) |
No more than two prior cesareans | 86 (61.8) |
Singleton pregnancy | 83 (59.7) |
Time since last birth | 11 (7.9) |
Weight or body mass index | 2 (1.4) |
Spontaneous labor | 73 (52.5) |
Induction or labor management methods permitted | |
Prostaglandin gel/insert | 2 (1.4) |
Foley | 66 (48.9) |
Oxytocin | 128 (92.1) |
Amniotomy | 131 (94.2) |
Requirements of women with a TOLAC | |
Continuous fetal monitoring | 138 (99.2) |
Continuous IV | 138 (99.2) |
Epidural in active labor | 27 (19.4) |