Trial of labor after cesarean

Counseling women on attempting a TOLAC versus undergoing a repeat cesarean requires both an understanding of predictors of vaginal birth after cesarean (VBAC) as well as recognition of risk factors for uterine rupture. Consequences of either choice, both on the index pregnancy and throughout the reproductive lifespan, influence the decision to undergo a TOLAC. Because of the unique management concerns for a woman with a prior cesarean, obstetric providers should be familiar with the particulars of antenatal and intrapartum care of a woman undergoing a trial of labor.