Table 4.
Reasons nurses cited for hospitals stopping or starting to offer TOLACs*
| Reasons for stopping to offer TOLAC | Stopping (N=99) N(%) | Starting after 2007 (N= 10) N(%) | Reasons for starting to offer TOLAC |
|---|---|---|---|
| Anesthesia not immediately available |
70 (70.7) |
3 (30.0) |
Change in staffing: anesthesia available (2); adding hospitalist |
| Obstetrician not immediately available |
54 (54.5) |
|
|
| ACOG guidelines |
48 (48.5) |
2 (20.0) |
ACOG Guideline change |
| Hospital or corporate policy change |
44 (44.4) |
1 (10.0) |
Hospital or corporate policy change |
| Physician preference |
26 (26.2) |
10 (100.0) |
Physician request |
| Other |
17 (17.2) |
1 (10.0) |
Other: initiated OB residency |
| Liability or insurance |
11 (11.1) |
1 (10.0) |
Insurance/liability changes |
| Operating room availability | 18 (18.2) | 7 (70.0) | Consumer demand |
*Nurses could choose more than one reason. Denominator is hospitals where the nurses gave at least one reason.