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)
TOLAC often includes VBAC and CBAC stats because as a post-cesarean mom, no one can predict if you will have a VBAC or a CBAC.
The TOLAC stat enables us to compare those risks against ERCS and then VBAC to ERCS and CBAC to ERCS so we can understand our options from various angles.
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.
You use the language that works for you! Just remember that TOLAC is really more of a clinical term. Moms don’t typically say, “I’m so excited for my TOLAC!”
Two points for the person who knows how this picture is relevant…