![tolac vs vbag tolac vs vbag](https://www.abclawcenters.com/wp-content/uploads/2019/04/VBAC-560x445.jpg)
![tolac vs vbag tolac vs vbag](http://www.scielo.org.co/img/revistas/cm/v50n1//1657-9534-cm-50-01-00013-gf1.jpg)
Women with prior VBAC and prior VD showed significantly higher rates of successful VBAC compared to those with no prior VD or prior VBAC (96 % and 86 % vs 76 % p < 0.01).
TOLAC VS VBAG TRIAL
In general, 50 to 60 percent of women who are considered candidates for a trial of labor after cesarean (TOLAC) to attempt vaginal birth after cesarean (VBAC) will have a successful vaginal birth (VBAC).Overall, 9,038 women met the inclusion criteria. If problems occur during labor, a caesarean delivery will likely be recommended. Medications to induce labor or improve contractions (eg, oxytocin) are used cautiously since they can increase the risk of uterine rupture. A fetal monitor may be used to observe the baby’s heart rate and monitor for early signs of fetal distress. In many ways, a woman who attempts VBAC is managed similarly to other women anticipating a vaginal delivery. TOLAC with anticipated VBAC should be attempted only in those facilities capable of performing emergency cesarean deliveries.A woman with two prior low transverse uterine incisions or a woman who requires induction of labor may also be considered candidates for VBAC with appropriate counselling.A trial of labor after caesarean (TOLAC) to attempt a vaginal birth after caesarean (VBAC) is an acceptable option for a woman who has undergone one prior caesarean delivery with a low transverse uterine incision, assuming there are no other conditions that would normally require a caesarean delivery (as an example, placenta previa).Maternal death is very rare with either type of delivery The risk of fetal death is very low with both VBAC and elective repeat caesarean delivery, but the likelihood of fetal death is higher with VBAC than with elective repeat caesarean delivery.While women who attempt TOLAC and VBAC have a low risk of uterine rupture, the risk of uterine rupture is higher with VBAC than with RCD.
![tolac vs vbag tolac vs vbag](https://www.redalyc.org/journal/283/28359605002/1657-9534-cm-50-01-00013-gf1.jpg)
TOLAC VS VBAG SKIN
It is important to remember that the direction of the skin incision does not indicate the type or direction of the uterine incision a woman with a transversal (bikini) skin incision may have a vertical uterine incision. Vertical or T-shaped uterine incisions have a higher risk of uterine rupture (4 to 9 percent risk). A previous transverse uterine incision has the lowest risk of rupture (0.2 to 1.5 percent risk).
![tolac vs vbag tolac vs vbag](https://els-jbs-prod-cdn.jbs.elsevierhealth.com/cms/attachment/2088933661/2075159585/gr1.jpg)
The risk of uterine rupture may be related in part to the type of uterine incision made during the first caesarean delivery.