Trial of labor after cesarean delivery
(TOLAC) results in a successful birth in 60%-80% of cases, sparing mothers from major abdominal surgery and reducing the risk of hemorrhage, thromboses, and infection, the authors of the practice bulletin wrote.
How risky is a trial of labor after cesarean delivery
for uterine rupture and other patient-oriented outcomes?
A prospective, 4-year observational study conducted at 19 academic medical centers under the auspices of the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network compared the outcomes of 17,898 women undergoing a trial of labor after cesarean delivery
with those of 15,801 women having elective repeat cesarean.