Conclusion
Mode of labour onset, cervical dilatation, station of the vertex, and
Bishop’s score at admission significantly influenced the TOLAC outcome
in the study population. TOLAC can be considered a safe option for women
with a previous caesarean when combined with vigilant and stringent
labour monitoring, despite the use of IOL agents. These results can help
obstetricians make better decisions regarding the mode of delivery in
women with previous caesareans, keeping in mind the demographics of
Indian women. None of the previously done studies on outcomes following
TOLAC assessed cervical effacement, station of vertex and Bishop’s score
at admission as potential influencing variables for TOLAC success.