Educational Video, Anxiety, and Mode of Delivery After Previous Cesarean
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorWolfson Medical Center
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
This trial does not accept healthy volunteersQualifiers
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
Design model
Parallel
Treatments tested in this trial
Video-Based Educational Intervention
BehavioralA structured educational video providing information on benefits, risks, and expectations of trial of labor after cesarean.
Standard Verbal Counseling
Other interventionRoutine verbal counseling provided by the treating clinician regarding trial of labor after cesarean.
Treatment groups
90 Participants
are divided into 2 treatment groupsGroup A: Experimental: Video-Based Patient EducationExperimental treatment 1 intervention
Group B: Active Comparator: Standard Verbal CounselingActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Maternal Anxiety Level
Assessment of maternal anxiety using the State-Trait Anxiety Inventory (STAI) questionnaire.
Time frame
Immediately after completion of counseling.Secondary outcomes
1
Patient Knowledge Regarding Trial of Labor After Cesarean
Assessment of patient knowledge regarding trial of labor after cesarean, based on a structured questionnaire developed for the study.
Time frame
Immediately after completion of counseling.2
Rate of Successful Trial of Labor After Cesarean (TOLAC)
Proportion of participants who achieved a successful vaginal birth following a trial of labor after cesarean.
Time frame
From delivery.3
Patient Satisfaction With Counseling Method
Patient-reported satisfaction with the counseling method received (video-based education or standard verbal counseling), assessed using a Likert-scale questionnaire.
Time frame
Immediately after completion of counseling.4
Maternal Preference for Trial of Labor After Cesarean Versus Elective Repeat Cesarean Delivery
Participant-reported preference for mode of delivery (trial of labor after cesarean versus elective repeat cesarean delivery) following counseling.
Time frame
Immediately after completion of counseling.Locations
Sponsors and contacts
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Source ClinicalTrials.gov
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