Table 4 Reasons nurses cited for hospitals stopping or starting to offer TOLACs*
From: A survey of access to trial of labor in California hospitals in 2012
Reasons for stopping to offer TOLAC | Stopping (N=99) N(%) | Starting after 2007 (N= 10) N(%) | Reasons for starting to offer TOLAC |
|---|---|---|---|
Anesthesia not immediately available | 70 (70.7) | 3 (30.0) | Change in staffing: anesthesia available (2); adding hospitalist |
Obstetrician not immediately available | 54 (54.5) | Â | Â |
ACOG guidelines | 48 (48.5) | 2 (20.0) | ACOG Guideline change |
Hospital or corporate policy change | 44 (44.4) | 1 (10.0) | Hospital or corporate policy change |
Physician preference | 26 (26.2) | 10 (100.0) | Physician request |
Other | 17 (17.2) | 1 (10.0) | Other: initiated OB residency |
Liability or insurance | 11 (11.1) | 1 (10.0) | Insurance/liability changes |
Operating room availability | 18 (18.2) | 7 (70.0) | Consumer demand |