Putting the letters together!
TOLAC—Trial of labor after a Cesarean. This refers to the process of attempting to have a vaginal delivery after having had a prior Cesarean delivery.
VBAC—Vaginal birth after Cesarean. This refers to a successful vaginal delivery after having had a Cesarean delivery.
RCD—Repeat Cesarean delivery. This refers to a CD done after having had a prior CD.
ERCD—Elective repeat cesarean delivery. This refers to a woman who has had a prior CD and desires to electively undergo a RCD prior to the onset of labor.
LTCD—Low transverse Cesarean delivery. This refers to the incision on the uterus. A low transverse uterine incision is made in the lower segment of the uterus and goes from side-to-side, much like the incision on the skin that goes from side-to-side. However, just because you have a side-to-side incision on your skin does not mean you had the same on your uterus. Some incisions on the uterus go up and down. It is important that you know how the incision on your uterus was made after a CD.
Provider—Or obstetrical care provider. In this blog, it refers to an OB/GYN.
How is a TOLAC different from a VBAC?
To read the entire article written by Dr. Shannon M. Clark for Houston Moms Blog, click here!
Shannon M. Clark, MD, MMS is a double board certified ObGyn and Maternal-Fetal Medicine Specialist, and founder of Babies After 35. In her roles as a clinician, educator and researcher at UTMB-Galveston, she focuses on the care of people with maternal and/or fetal complications of pregnancy. Dr. Clark has taken a special interest in pregnancy after the age of 35, which according to age alone, is considered a high-risk pregnancy. In her role as a physician caring for high-risk pregnancies, she has counseled and treated hundreds of women over the years in her very own situation, and has found a whole new respect for the challenges and complications a woman may experience when trying to have a baby later in life.
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