Results:
During the study period, 3141 eligible births were identified, of which 422 were excluded in accordance with our exclusion criteria. According to our study inclusion criteria, all parturients with previous 2 CD experienced a previous vaginal delivery. Of the remaining 2719 deliveries, 485 (17.8%) parturients attempted TOLAC and the remaining 2234 (82.2%) had a scheduled elective repeat CD. (Figure 1) . Among the 485 parturients attempting TOLAC, 418 achieved vaginal delivery (86.2%), with 26 (26/418, 6.2%) assisted by operative VD. The remaining 13.8% experienced failed TOLAC and required in labor CD.
Table 1 displays various demographic and obstetrical characteristics of the study groups. Parturients who had requested an elective repeat CD were significantly younger and of lower gravidity and parity order. In addition, they had higher rates of conception using advanced reproductive technology, diabetes (pre-gestational and gestational) and hypertensive disorders of pregnancy.