Trial of Labor After One Cesarean Section a Cross-sectional Study After Protocol Introduction
TOLAC
Trial of Labor After Cesarean
2 other identifiers
observational
1,200
0 countries
N/A
Brief Summary
in 2015 a protocol for trail of labor after a single cesarean delivery was approved by medical committee of Pescara Hospital. A database from outpatient clinic evaluated all women after 34 weeks' gestation with a previous cesarean delivery. Patients with a specific medical indication for cesarean delivery were skipped, whilst the others were recruited within repetitive elective cesarean delivery or trial of labor based on maternal request. Patients were couselled on the opportunity of having a mechanical induction/ rupture of membranes and subsequent oxytocin infusion if needed due to prolonged gestation (above 41 weeks plus 3 days) or medical indication to delivery (i.e. gestational diabetes, hypertension, SGA, etc.)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2015
Longer than P75 for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2026
CompletedFirst Submitted
Initial submission to the registry
April 17, 2026
CompletedFirst Posted
Study publicly available on registry
April 24, 2026
CompletedApril 24, 2026
April 1, 2026
11 years
April 17, 2026
April 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
incidence of maternal request for trial of labor
incidence of women with request of trial of labor through the time
11 years
incidence of VBAC
number of vaginal birth through the time
11 years
Secondary Outcomes (2)
maternal adverse outcome
11 years
neonatal adverse outcome
11 years
Interventions
maternal and neonatal outcomes
Eligibility Criteria
All prengnat women attending labor ward of Santo Spirito Hospital of Pescara (Italy)
You may qualify if:
- pregnant women
- previous CD
You may not qualify if:
- below 34 weeks' gestation
- medical indication to CD
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Benetti CMS, Muhandule CJLS, Fogulin LB, Machado HDC, Amaral E. Cesarean delivery on maternal request and Robson classification. Int J Gynaecol Obstet. 2026 Feb 2. doi: 10.1002/ijgo.70841. Online ahead of print.
PMID: 41626770RESULT
Study Officials
- PRINCIPAL INVESTIGATOR
Claudio Celentano, MD
University of Chieti Pescara School of Medicine
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
April 17, 2026
First Posted
April 24, 2026
Study Start
January 1, 2015
Primary Completion
December 31, 2025
Study Completion
January 1, 2026
Last Updated
April 24, 2026
Record last verified: 2026-04