TOLAC

{{Short description|Attempt at labor and delivery to see whether it results in VBAC}}

Trial of labor after caesarean (TOLAC) is the term for an attempted birth in a patient who has had a previous caesarean section. 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.{{Cite web|url=http://www.acog.org/Patients/FAQs/Vaginal-Birth-After-Cesarean-Delivery-Deciding-on-a-Trial-of-Labor-After-Cesarean-Delivery|title=Vaginal Birth After Cesarean Delivery - Deciding on a Trial of Labor After Cesarean Delivery - ACOG|website=www.acog.org|access-date=2016-05-29}}{{Cite web|url=http://www.uptodate.com/contents/vaginal-birth-after-cesarean-delivery-vbac-beyond-the-basics|title=Vaginal birth after cesarean delivery (VBAC)|website=www.uptodate.com|access-date=2016-05-29}}