[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100618986":3},{"organization":4,"outcomesModule":7,"designInfo":28,"detailedDescription":35,"studyPopulation":27,"armGroups":36,"interventions":49,"overallOfficials":60,"centralContacts":64,"locations":27,"responsibleParty":69,"collaborators":27,"id":71,"slug":27,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":75,"acronym":27,"eligibilityCriteria":76,"healthyVolunteers":72,"sex":77,"minAge":78,"maxAge":27,"enrollmentInfo":79,"targetDuration":27,"studyType":82,"phases":83,"briefSummary":85,"conditions":86,"keywords":27,"overallStatus":91,"whyStopped":27,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":27},{"fullName":5,"class":6},"Wolfson Medical Center","OTHER_GOV",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":27},[9],{"measure":10,"description":11,"timeFrame":12},"Maternal Anxiety Level","Assessment of maternal anxiety using the State-Trait Anxiety Inventory (STAI) questionnaire.","Immediately after completion of counseling.",[14,17,21,24],{"measure":15,"description":16,"timeFrame":12},"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.",{"measure":18,"description":19,"timeFrame":20},"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.","From delivery.",{"measure":22,"description":23,"timeFrame":12},"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.",{"measure":25,"description":26,"timeFrame":12},"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.",null,{"allocation":29,"interventionModel":30,"interventionModelDescription":31,"primaryPurpose":32,"observationalModel":27,"timePerspective":27,"maskingInfo":33},"RANDOMIZED","PARALLEL","Evaluation of the effect of video-based patient education on maternal anxiety levels prior to trial of labor after cesarean.","SUPPORTIVE_CARE",{"masking":34,"maskingDescription":27,"whoMasked":27},"NONE","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.\n\nThis 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.\n\nAnxiety 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.",[37,43],{"label":38,"type":39,"description":40,"interventionNames":41},"Experimental: Video-Based Patient Education","EXPERIMENTAL","Participants receive structured video-based education regarding trial of labor after cesarean.",[42],"Behavioral: Video-Based Educational Intervention",{"label":44,"type":45,"description":46,"interventionNames":47},"Active Comparator: Standard Verbal Counseling","ACTIVE_COMPARATOR","Participants receive standard verbal counseling regarding trial of labor after cesarean.",[48],"Other: Standard Verbal Counseling",[50,55],{"type":51,"name":52,"description":53,"armGroupLabels":54,"otherNames":27},"BEHAVIORAL","Video-Based Educational Intervention","A structured educational video providing information on benefits, risks, and expectations of trial of labor after cesarean.",[38],{"type":56,"name":57,"description":58,"armGroupLabels":59,"otherNames":27},"OTHER","Standard Verbal Counseling","Routine verbal counseling provided by the treating clinician regarding trial of labor after cesarean.",[44],[61],{"name":62,"affiliation":5,"role":63},"Shir Lev, MD","PRINCIPAL_INVESTIGATOR",[65],{"name":62,"role":66,"phone":67,"phoneExt":27,"email":68},"CONTACT","+972504598339","shirlevv@gmail.com",{"type":70,"investigatorFullName":27,"investigatorTitle":27,"investigatorAffiliation":27,"oldNameTitle":27,"oldOrganization":27},"SPONSOR","100618986",false,"NCT07338747","Educational Video, Anxiety, and Mode of Delivery After Previous Cesarean","Does an Educational Video Increase Trial of Labor After Cesarean and Reduce Anxiety Among Women With a Prior Cesarean? A Randomized Controlled Trial","Inclusion Criteria:\n\n* Pregnant women with a singleton pregnancy.\n* History of one previous cesarean delivery with a low transverse uterine incision.\n* Eligible for a trial of labor after cesarean (TOLAC) according to clinical assessment and Israeli national clinical guidelines.\n* Age 18 years or older.\n* Hebrew-speaking.\n* Ability and willingness to provide written informed consent.\n\nExclusion Criteria:\n\n* Medical or obstetric conditions contraindicating vaginal delivery, including but not limited to placenta previa or marginal placenta previa.\n* History of uterine surgery other than one prior low transverse cesarean section that precludes vaginal delivery.\n* History of two or more prior cesarean deliveries.\n* Non-vertex fetal presentation or any presentation unsuitable for a trial of labor.\n* Multiple gestation.\n* Diagnosed severe anxiety disorder or other significant psychiatric disorder that may interfere with participation in the study or completion of questionnaires.","FEMALE","18 Years",{"count":80,"type":81},90,"ESTIMATED","INTERVENTIONAL",[84],"NA","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).",[87,88,89,90],"Anxiety","TOLAC","Previous Cesarean Delivery","Trial of Labor After Cesarean","NOT_YET_RECRUITING","2026-01-01",{"date":94,"type":95},"2026-01-14","ACTUAL",{"date":97,"type":81},"2026-01",{"date":99,"type":81},"2027-12",{"name":5,"class":6}]