About this trial
This interventional study evaluates whether video-based patient education regarding Trial of Labor After Cesarean (TOLAC) reduces maternal anxiety compared with standard verbal counseling. Pregnant women eligible for TOLAC will be randomized to receive either a structured educational video or routine verbal counseling. Maternal anxiety levels will be assessed using the State-Trait Anxiety Inventory (STAI).
Eligibility criteria
Qualifiers
Pregnant women with a singleton pregnancy.
History of one previous cesarean delivery with a low transverse uterine incision.
Eligible for a trial of labor after cesarean (TOLAC) according to clinical assessment and Israeli national clinical guidelines.
Age 18 years or older.
Disqualifiers
Medical or obstetric conditions contraindicating vaginal delivery, including but not limited to placenta previa or marginal placenta previa.
History of uterine surgery other than one prior low transverse cesarean section that precludes vaginal delivery.
History of two or more prior cesarean deliveries.
Non-vertex fetal presentation or any presentation unsuitable for a trial of labor.
Trial design
Treatments tested in this trial
- Video-Based Educational Intervention
- Standard Verbal Counseling