TOLAC


Also found in: Acronyms.

TOLAC

References in periodicals archive ?
Factors that reduce the chances of a successful TOLAC include advanced maternal age, high body mass index, high birth weight, gestational age of more than 40 weeks at delivery, and preeclampsia at the time of delivery, according to the practice bulletin.
Table-3: Logistic Regression Analysis for maternal and obstetrics factors for successful TOLAC (n=95).
6 million per 100,000 women, and that 1,703 quality-adjusted life-years could be gained if TOLAC as a mode of delivery were chosen over ERCD.
The consequences of ineffective or inadequate communication are particularly grave in maternity care, which in this case involved a TOLAC and complicated postpartum vaginal repair.
Second, because birth certificate data do not record how many women have TOLAC, it was not possible to assess whether fewer women are offered, accept, or attempt TOLAC or to calculate the VBAC success rate.
The reason for the low TOLAC rate is multifactorial, but a primary concern may be the safety risk of a TOLAC as it relates to uterine rupture, a rare but potentially catastrophic complication.
Too often, women who are TOLAC candidates are not receiving appropriate counseling--and too often, women are not even being presented the option of a trial of labor, even when staff are immediately available to provide emergency care if needed.
Patients not willing for TOLAC and not fulfilling the criteria of TOLAC like not willing for trial of labor after counseling, unfavorable cervix, placental abnormalities like placenta previa, cephalo pelvic disproportion, non-vertex presentation, were planned for elective repeat cesarean section after 38 weeks.
This comparison may be biased against induction, say Lappen and colleagues, who conducted this recent study with the goal of characterizing the likelihood of failed TOLAC with induction and assessing maternal and neonatal outcomes of induction, compared with expectant management, by week of gestation (between 37 and 40 completed weeks).
When compared with women who had a failed TOLAC, women with a successful TOLAC had a lower mean BMI, were more likely to have a history of vaginal delivery or VBAC, and were less likely to have a history of recurring indication for cesarean delivery or diabetes," wrote Dr.