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).
Trial of labor after cesarean (TOLAC) is a complex clinical decision that may be associated with significant maternal anxiety. Adequate counseling is essential to support informed decision-making; however, the optimal method for delivering information remains unclear. This randomized interventional study aims to assess whether video-based patient education can reduce anxiety levels compared with standard verbal counseling. Eligible pregnant women planning delivery after a previous cesarean section will be randomly assigned to one of two study arms: video-based educational counseling or standard verbal counseling. Anxiety will be measured using the validated State-Trait Anxiety Inventory (STAI) questionnaire after counseling. The results of this study may inform future strategies for patient counseling and shared decision-making in women considering TOLAC.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
90
A structured educational video providing information on benefits, risks, and expectations of trial of labor after cesarean.
Routine verbal counseling provided by the treating clinician regarding trial of labor after cesarean.
Maternal Anxiety Level
Assessment of maternal anxiety using the State-Trait Anxiety Inventory (STAI) questionnaire.
Time frame: Immediately after completion of counseling.
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.
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.
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.
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.
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