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.
References in periodicals archive ?
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.
In 99 women who experienced uterine rupture while attempting a trial of labor after cesarean section (TOLAC) and 309 controls who did not experience uterine rupture during TOLAC, the time to progress 1 cm of dilation - after adjustment for prior vaginal delivery - was similar until 7 cm of dilation.
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.