American Academy of Family Physicians
Updating its 1995 policy, the AAFP convened a panel to systematically review the available evidence on trial of labor after cesarean delivery (TOLAC) using the Agency for Healthcare Research and Quality’s Evidence Report on Vaginal Birth After Cesarean (VBAC). The panel developed a comprehensive, evidence-based guideline for Trial of Labor After Cesarean (TOLAC), formerly Trial of Labor Versus Elective Repeat Cesarean Section for the Woman With a Previous Cesarean Section. This evidence-based clinical practice guideline is for pregnant women and their families, maternity care professionals, facilities, and policy-makers who care about trial of labor and maternity care for a woman with one previous cesarean.
The AAFP Board Chair approved this guideline as AAFP clinical policy March 2005.
Trial of Labor After Cesarean (TOLAC) -- A review of the evidence and recommendations from the American Academy of Family Physicians. (PDF file: 20 pages/201 KB. More information on using PDF files.)
TOLAC Shared Patient-Physician Decision Tool -- A tool used to facilitate a conversation between a family physician and a patient who is eligible for TOLAC.
