Management of vaginal trial delivery for recurrent pregnancy of scarred uterus after cesarean section

doi:10.3877/cma.j.issn.2095-3259.2025.01.006

Abstract

Abstract:

Trial of labor after cesarean （TOLAC） refers to the attempt of vaginal delivery in a woman who has previously undergone a cesarean section. This concept is both a focus and a challenge in the field of obstetrics. With the increasing rate of cesarean deliveries， TOLAC has gained significant attention as an important method for reducing cesarean rates. The medical team must conduct rigorous assessments and monitoring， including selecting appropriate candidates， evaluating the risk of uterine scar rupture， and managing interventions and potential complications during labor to ensure the safety of both mother and baby. Additionally， patient and family education and psychological support are crucial components for the successful implementation of TOLAC.

Key words: Vaginal birth after cesarean, Trial of labor, Health impact assessment, Patient care

Manling Luo, Liping Huang. Management of vaginal trial delivery for recurrent pregnancy of scarred uterus after cesarean section[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2025, 14(01): 26-30.

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