they do specify that an individually constructed emergency management plan should be in place for each woman who attempts a trial of labor after cesarean (TOLAC).
Other recommendations in the AAFP Policy on Trial of Labor After Cesarean (TOLAC) include:
Today, many women want to pursue a trial of labor after cesarean
Outcomes of term induction in trial of labor after cesarean
delivery: analysis of a modern obstetric cohort.
Data source: Analysis of 369 women with two prior cesarean deliveries undergoing trial of labor after cesarean
Many clinical characteristics may increase the likelihood of success of a trial of labor after cesarean
Resistance to a trial of labor after cesarean
is complicated and multifactorial.
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.
Some institutions will not allow a trial of labor after cesarean
without an operative report showing a low transverse scar.
Indeed, pregnant women now have limited access to VBAC services, and many are not even offered the option of having a trial of labor after cesarean
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.