What is a potential outcome of a failed TOLAC?

A failed trial of labor after cesarean (TOLAC) can lead to several potential outcomes, and one of the most significant concerns is the increased risk of uterine rupture. Uterine rupture is a critical and severe complication that can occur in women with a prior cesarean delivery, particularly during labor. During a TOLAC attempt, if the labor progresses poorly, it can put undue stress on a scarred uterus, leading to the risk of rupture. This serious event can have profound effects on both maternal and fetal outcomes, necessitating immediate medical intervention and potentially resulting in emergency cesarean delivery.

In contrast, other outcomes such as maternal satisfaction may not necessarily improve with a failed TOLAC, as many women may feel disappointed or dissatisfied if they were hoping for a vaginal delivery. Additionally, post-operative complications may not decrease with a failed TOLAC; in fact, the complications can be substantial due to the emergency nature often accompanying a failed attempt. Finally, higher delivery costs often arise from complications and emergency procedures, making this option less likely to be accurate for describing the outcome of a failed TOLAC. Thus, the most pertinent and concerning outcome remains the heightened risk of uterine rupture.