TOLAC

Trial of Labor After Cesarean (TOLAC) is a term used in obstetrics to denote a planned attempt to deliver vaginally by a woman who has previously undergone a cesarean section. TOLAC carries various risks and benefits, and the decision to pursue this option should be made in consultation with a healthcare provider.

Definition

TOLAC stands for Trial of Labor After Cesarean. It is a planned attempt to labor and deliver vaginally after a previous cesarean section. If the trial of labor is successful, the result is a Vaginal Birth After Cesarean (VBAC).

Risks

There are several risks associated with TOLAC, including the risk of uterine rupture, which can be life-threatening for both the mother and the baby. Other risks include the need for an emergency cesarean section, and complications related to the type of uterine incision used in the previous cesarean section.

Benefits

The benefits of TOLAC include the potential for a vaginal delivery, which typically involves a shorter recovery period and less pain than a cesarean section. Women who successfully achieve a VBAC also avoid the risks associated with multiple cesarean sections.

Factors to Consider

Several factors can influence the likelihood of a successful TOLAC, including the type of uterine incision used in the previous cesarean section, the reason for the previous cesarean section, the woman's overall health and pregnancy history, and the facilities and personnel available at the birth location.

See Also

• Cesarean section
• Vaginal Birth After Cesarean
• Uterine rupture

TOLAC Resources
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References

External Links

• American College of Obstetricians and Gynecologists: Vaginal Birth After Cesarean Delivery

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