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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)   
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
  1. *Nurses could choose more than one reason. Denominator is hospitals where the nurses gave at least one reason.