Grzebielski, Bohrer and more publish on operative delivery during TOLAC

Tags: Academic Specialists in ObGyn, maternal-fetal medicine, research, publication, pgrzebielski, iiruretagoyena, jbohrer, kantony

A recent publication in American Perinatology Journal Reports compares outcomes of operative intervention in the second stage of labor during trial of labor after cesarean (TOLAC).

Operative vaginal delivery is a safe option in women undergoing a trial of labor after Cesarean,” led by principal investigator Justin Bohrer, MD, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, was a secondary analysis of the Maternal-Fetal Medicine Units Network cesarean section registry. UW Ob-Gyn residency alum and current Division of Academic Specialists in Ob-Gyn Patrice Grzebielski, MD was first author; other paper authors include MFM’s Igor Iruretagoyena, MD and Katie Antony, MD.

The study found that:

the success rate of operative vaginal delivery in the setting of TOLAC is high with similar neonatal and maternal outcomes to second-stage RCD suggesting this is a safe option. Operative vaginal delivery was associated with a lower incidence of surgical injury, wound complications, uterine rupture, and endometritis but with a higher incidence of anal sphincter laceration. Maternal composite morbidity was highest among forceps deliveries, with an increased risk of blood transfusion. There was no difference in the composite neonatal outcomes.

You can read the whole paper here.