Vaginal birth after C-Section: is it as safe as a repeat C-Section?
NCT ID NCT05439733
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This study looks at women who have had one cesarean section and are now deciding how to give birth again: trying a vaginal delivery (TOLAC) or scheduling another C-section (ERCD). The goal is to compare the safety of both options for the baby and the mother. Researchers will follow a large group of women in France and collect information through questionnaires after delivery to see if TOLAC is as safe as ERCD.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Questionnaire completion
- What this could lead to
- If TOLAC is shown to be as safe as ERCD, more women might choose it, potentially reducing repeat surgeries and their long-term risks.
- What could go wrong
- This is an observational study, so it can't prove cause and effect. Results may be influenced by unmeasured factors, and individual risks vary.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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16,764 people
The number who actually took part.
- Started
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Jun 2023
- Finished
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Jan 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Pregnant women age of 18 years or older
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pregnant women age of 18 years or older * Women admitted to the labour ward at gestational age ≥ 34 weeks * Women with a singleton pregnancy * Women with one previous caesarean delivery * Computer savvy-women Exclusion Criteria: Exclusion criteria : * Women who oppose to participation in the study * Age \< 18 years * Women admitted to the labour ward at gestational age \< 34 weeks * Women with multiple pregnancy * Women with more than one previous caesarean or more than one uterine scar * Women who do not understand the French language * Women under judicial protection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Assistance Publique Hôpitaux Marseille
Marseille, Bouches-du-rhône, 13354, France
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