Background: We examined whether or not the Japanese pregnant women with a history of a cesarean section have the knowledge about the benefits and harms of trial of labor after cesarean (TOLAC) and elective repeat cesarean delivery (ERCD).Methods: We reviewed the obstetric records of 121 Japanese women with a prior cesarean section who visited our hospital for reservation of their second delivery between January and December 2013.Results: Forty-five (37%) of them wanted to perform TOLAC at the first interview. Of these, 14 women (31%) with a history of an urgent cesarean chose TOLAC because of the insufficient anesthetic effect during cesarean, while 11 women (24%) with a history of an elective cesarean did not have the knowledge of the risks of TOLAC and urgent cesarean. Nineteen of those (76%) selected ERCD following the counseling.Conclusions: Some Japanese pregnant women with TOLAC hope seemed to have insufficient knowledge about the benefits and harms of TOLAC and ERCD. Therefore, the improvement of the process of counseling and decision making may be needed for pregnant women with a history of a cesarean section in Japan.J Clin Med Res. 2015;7(8):641-642doi: http://dx.doi.org/10.14740/jocmr2214w
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机译：背景：我们调查了有剖宫产史的日本孕妇是否了解剖宫产后剖宫产（TOLAC）和选择性重复剖宫产（ERCD）的利弊的方法。方法：我们回顾了产科2013年1月至2013年12月期间，有121名日本剖宫产前妇女曾去我们医院预约第二次分娩的记录。结果：其中有四十五（37％）人希望在第一次面试时进行TOLAC。其中有14例有紧急剖宫产史的妇女选择TOLAC是因为剖宫产过程中麻醉效果不足，而有11例有选择性剖宫产史的妇女不知道有剖宫产的风险。 TOLAC和紧急剖宫产。在这些咨询意见中，有19名（76％）选择了ERCD。结论：一些对TOLAC有希望的日本孕妇似乎对TOLAC和ERCD的利弊没有足够的了解。因此，对于日本有剖宫产史的孕妇，可能需要改善咨询和决策过程。JClin Med Res。 2015; 7（8）：641-642doi：http://dx.doi.org/10.14740/jocmr2214w
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