Does the term “TOLAC” tweak you?

On the acronym TOLAC (trial of labor after cesarean)….

Some studies break out statistics in four ways.

1. ERCS/D (elective repeat cesarean section/ delivery)
2. VBAC (vaginal birth after cesarean)
3. CBAC (cesarean birth after cesarean aka cesarean after planned VBAC)
4. TOLAC (VBAC + CBAC stats)

Because we are unable to predict who will have a VBAC or CBAC, the TOLAC stat enables us to review outcomes from a variety of angles:

  • TOLAC vs. ERCS
  • VBAC vs. ERCS
  • CBAC vs. ERCS

Some women find the TOLAC acronym offensive, because it implies “trying,” so practitioners sensitive to this may way to use the phrase “planning a VBAC.”   Understanding that TOLAC isn’t a dig at moms, but just a straightforward, objective term that care providers use, can (hopefully) take the sting out of the word.

Remember, your care provider is not your girlfriend.  They use clinical terms because that is the language of their world. They speak like clinicians because they are clinicians. All that said, providers who are aware of how the term TOLAC is received by some women use the term “planned VBAC.”

So moms, you use the language that works for you! Just remember that TOLAC is really more of a clinical term and when your provider uses it, it doesn’t necessarily mean that they are a jerk.  They just may have forgotten to code switch from clinical to sensitive language.

Moms don’t typically say, “I’m so excited for my TOLAC!” However, if you do, you might make your provider laugh and connect with them on a human level.

Two points for the person who knows how this picture is relevant…


10 thoughts on “Does the term “TOLAC” tweak you?

  1. Ted Cantor

    Sherri, get a grip! No one cares that you are a midwife and are easily offended by a medical acronym! It is used because it is a specific term that tells REAL providers in exact terms what the plan is for a particular patient. A negative spin!? Who gives a crap? Do the parents care what medical words are used when they have a safe and sound baby? Probably not.

  2. Sherri Holley

    Yes, I find it offensive. As a Midwife of many years and attended many VBAC’s OOH,I do not say this to my clients.If we use those types of words it puts a very negative spin on her labor, as her body is not on trial to see if her labor or herself is adequate.She is simply in labor with the same expectations any other woman has for her upcoming birth. As I work with many women, I attempt to make every pregnancy, labor and birth as normal as possible, women attempting a VBAC need to be reminded she is as normal as any other woman giving birth. There is enough negative thoughts in many pregnant women in our society as it is.


Leave a Reply

Your email address will not be published. Required fields are marked *