TOLAC
Pronunciation: TOH-lack
Also written as: TOLAC — Trial of Labor After Cesarean
Trial of labor after cesarean section, the attempt at vaginal delivery following previous cesarean.
Full Definition
TOLAC (Trial of Labor After Cesarean) describes the process of attempting vaginal delivery in a woman with a history of cesarean section, regardless of whether the attempt ultimately results in vaginal birth (VBAC) or repeat cesarean delivery. From an anesthetic perspective, TOLAC requires careful monitoring and preparation for potential emergency conversion to cesarean section due to uterine rupture risk. Anesthetic management includes maintaining neuraxial access for rapid surgical conversion while providing effective labor analgesia. The success rate and safety profile of TOLAC influence anesthetic planning and informed consent discussions.
Usage
Usage note: TOLAC is the attempt; VBAC is the successful outcome. Use precisely in clinical documentation.
In Context
- "The patient consented to TOLAC with continuous epidural analgesia." — Anesthetic consent documentation
- "TOLAC management requires immediate availability of emergency cesarean anesthesia." — Clinical practice guideline