What is a significant risk associated with TOLAC?

The significant risk associated with Trial of Labor After Cesarean (TOLAC) is primarily related to the potential for uterine rupture, which can lead to severe complications for both the mother and the fetus. Infection can indeed be a risk, particularly if complications arise during labor that necessitate interventions or if the delivery leads to prolonged labor or manual interventions that can introduce bacteria.

In the context of TOLAC, infection risk may also increase if there are any associated procedures performed, such as membrane rupture or the implementation of internal monitoring methods. However, while infection is a legitimate concern, the higher risks are typically associated with uterine rupture and the need for a cesarean delivery due to failure of labor, which is why individualized risk assessments are critical.

The other options, such as reserved judgment, diabetes, and deep vein thrombosis, while they might add to the overall risk profile in some settings, are not primary risks directly associated with the decision-making surrounding TOLAC specifically. Thus, infection remains a key concern when considering the implications of a TOLAC situation.