trial of labor after cesarean section

trial of labor after cesarean section (TOLAC),

the attempt to deliver vaginally after a cesarean section; carries some risk of rupture of the uterine scar.
Farlex Partner Medical Dictionary © Farlex 2012
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During labor in a subsequent pregnancy in patients with previous c/section, there is a small risk of a ruptured uterus (i.e., 0.47% chance among women having a trial of labor after cesarean section versus 0.03% among women scheduling repeat caesarean deliveries) If a uterine rupture does occur, the risk of perinatal death is approximately 6%.Mothers with a previous lower uterine segment caesarian are considered the best candidates, as that region of the uterus is under less physical stress during labor and delivery.
DALLAS - Slow progression of labor beyond 7 cm of dilation in women attempting a trial of labor after cesarean section may signal risk for uterine rupture, findings from a case-control study suggest.
A trial of labor after cesarean section should be offered to all appropriate candidates, and not restricted to those in facilities with surgical teams that are immediately available and present throughout labor, according to new clinical guidelines issued by the American Academy of Family Physicians.
Under those guidelines, a trial of labor after cesarean section should be offered to all appropriate candidates, and not restricted to those in facilities with surgical teams that are immediately available and present throughout labor.