Trial of Labor After Cesarean Delivery for Pregnancies Complicated by Gestational Diabetes Mellitus

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(Int J Gynaecol Obstet. 2017;138(1):84–88)

Trial of labor after cesarean (TOLAC) is often discouraged because of increased risk of adverse maternal and perinatal outcomes. However, few studies have focused on TOLAC with a subgroup of women with gestational diabetes mellitus (GDM), which is known to complicate pregnancies, for example increased risk of neonatal respiratory distress syndrome. In the present study, authors assess rates of TOLAC and subsequent vaginal birth after cesarean (VBAC) among women with GDM and identify associated factors.

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