Abstract
Patients with a history of cesarean delivery (CD) do not always attempt trial of labor after cesarean (TOLAC) due to risk of adverse outcomes. A recent meta-analysis demonstrated the efficacy of using ultrasound to screen for lower uterine segment thickness (LUS) at a threshold of 3.65 mm to stratify risk of individuals with a prior CD. Individuals < 3.65 mm are advised to undergo CD, while those above ≥3.65 mm may attempt TOLAC. This study evaluated the cost-effectiveness of LUS screening for patients who wish to TOLAC.
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