Question

A 33-year-old woman with a previous low transverse Caesarean section for breech presentation is now 38 weeks pregnant with a singleton cephalic fetus and no other risk factors. She is keen to attempt vaginal birth. According to SOGC guidance, what is the most appropriate counselling regarding trial of labour after Caesarean (TOLAC)?

Accepted Answer

She is an appropriate candidate for TOLAC in a facility capable of emergency Caesarean

Answer

TOLAC is contraindicated; all women with prior Caesarean require repeat Caesarean section

Answer

TOLAC is only allowed if she has had two prior vaginal births

Answer

Induction of labour is prohibited in all TOLAC cases

Answer

TOLAC can be attempted safely in any setting, including home birth

Practice question