1. Trial of Labor After Previous Cesarean Delivery “TOLAC” The term trial of labor refers to a trial of labor in women who have had a previous cesarean delivery, regardless of the outcome. TOLAC MAY LEAD TO SUCCESFUL VBAC September 2010
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11. VAGINAL BIRTH AFTER CESAREAN Height & weight optional; enter them to automatically calculate BMI Maternal age Height (range 54-80 in.) Weight (range 80-310 lb.) Body mass index (BMI, range 15-75) African-American? Hispanic? Any previous vaginal delivery? Any vaginal delivery since last cesarean? Indication for prior cesarean of arrest of dilation or descent?
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30. Maternal Risks ERCD (%) TOLAC (%) One CD Two CDs Endometritis 1.5–2.1 2.9 3.1 Operative injury 0.42–.6 0.4 0.4 Blood transfusion 1–1.4 0.7–1.7 3.2 Hysterectomy 0–0.4 0.2–0.5 0.6 Uterine rupture 0.4–0.5 0.7–0.9 0.9–1.8 Maternal death 0.02–0.04 0.02 0 ACOG Number 115, August 2010