Decreasing caesarean delivery using a Trial of Labour After Caesarean (TOLAC) Bundle

Decreasing caesarean delivery using a Trial of Labour After Caesarean (TOLAC) Bundle

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    Patricia Trbovich 29 June 2021

    Impressive work, particularly since the study was carried out across 5 sites! It’s great that you were able to decrease your CD rates while increasing your TOLAC rates. Any insights as to why the VBAC rates were not significantly increased? Did the patient education target patients with previous CD? It would also be interesting to know whether the results varied across sites. Nice that the interventions targeted both providers and patients. Do you have any data to help discern which aspects of the bundle were most effective (e.g. patient education vs. provider audit and feedback)?

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