Trial of labor after caesarean (TOLAC) is the term for an attempted birth in a patient who has had a previous

caesarean section Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the Surgery, surgical procedure by which one or more babies are Childbirth, delivered through an incision in the mother's abdomen. It is often performed because va ...

. It may result in a successful VBAC (vaginal birth after caesarean) or a repeat caesarean section. In approximately 20-40% of TOLACs, a caesarean is performed. TOLAC is recommended when a patient has had one previous caesarean section using a low transverse uterine incision. The main risks of TOLAC are emergency caesarean section and

uterine rupture Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth. Symptoms, while classically including increased pain, vaginal bleeding, or a change in contractions, are not always present. Disability or death of the ...

References

{{Medicine, state=collapsed Obstetrics