TOLAC Specialist

Seasons of Life Obstetrics & Gynecology, PC

Obstetrics & Gynecology located in Allentown, PA

According to the American College of Obstetricians and Gynecologists, vaginal birth after cesarean is a good possibility for many women today. If you’d like a vaginal birth following a cesarean, the expert OB/GYNs at Seasons of Life Obstetrics & Gynecology in Allentown, Pennsylvania, can help with a trial of labor after cesarean (TOLAC). As an all-female practice, the OB/GYN team has a unique understanding and appreciation of what you’re dealing with, and they’re dedicated to helping you every step of the way. Use the online scheduler or call the office to book an appointment today.


What is a TOLAC?

A TOLAC is an attempt to give birth vaginally when your last birth was a C-section. If your TOLAC is successful, it’s called a vaginal birth after cesarean (VBAC).

What are the benefits of vaginal delivery?

Many women consider TOLAC because vaginal delivery has some significant benefits, including that it:

  • Doesn't include abdominal surgery that C-section does
  • Promises faster recovery than a C-section
  • Causes less blood loss than a C-section
  • Presents less chance of infection than a C-section

There's also the personal feelings factor: Many women prefer to give birth vaginally for their own unique reasons. If you prefer a vaginal birth for any reason, a TOLAC could be a good choice for you.

Am I a good candidate for TOLAC?

It depends partly on what kind of C-section incision you had. If you had a high vertical C-section incision (up-and-down on your upper uterus), you have an increased risk of uterine rupture during a vaginal birth and may not be a good candidate for TOLAC.

A low transverse incision (horizontal incision on your lower uterus) has the lowest chance of rupturing during a vaginal birth, which could make you a good candidate for TOLAC.

The other type of incision, low vertical (an up-and-down incision in the lower uterus) is in the middle in terms of risk: It has a higher chance of uterine rupture than a low transverse incision, but lower than a high vertical incision.

Your C-section scar isn't related to the type of uterine incision you had. Your OB/GYN reviews your records to see the incision type and then considers other health factors to determine whether it's safe to attempt a TOLAC.

Can I have a TOLAC at home or in a birthing center?

A TOLAC happens in a hospital setting. When you attempt a vaginal birth after a C-section, your risk of complications is higher than it would be if your previous delivery was vaginal, even if you’re a great candidate. For the safety of you and your baby, it's best to be in a hospital setting where you've got immediate access to all emergency services just in case you need them.

A TOLAC can make your dream of a VBAC come true. Schedule your appointment using the online booking tool or by calling Seasons of Life Obstetrics & Gynecology today.