Trial of Labor for Vaginal Birth After Cesarean ( TOL/ VBAC)
Heather, a 28- year- old G2 P1 gave birth by cesarean during her last preg-nancy. During her routine prenatal visit at 32 weeks of gestation, Heather tells the nurse that she really wants to have a vaginal birth this time. Heather asks, " What do you think? Can I try for a VBAC?"
1. Evidence- Is there sufficient evidence to advise Heather about the safety and feasibility of a trial of labor (TOL) for vaginal birth after cesarean ( VBAC)?
2. Assumptions- Describe an underlying assumption about each of the following issues:
a. Risks that Heather faces if she chooses a TOL for VBAC
b. Criteria that must be met for Heather to attempt a TOL for VBAC
c. Labor management practices that facilitate a successful VBAC
3. What implications and priorities for nursing care can be drawn at this time?
4. Does the evidence objectively support your argument ( conclusion)?