TOLACS-OB21
This document provides guidelines and recommendations for the management of Trial of Labour After Caesarean Delivery (TOLACS) in the Department of Obstetrics & Gynaecology at the University of Ruhuna. It discusses the increasing rates of Caesarean deliveries worldwide and the risks associated with repeat Caesarean deliveries. The document emphasizes the benefits of TOLACS, including decreased maternal morbidity and a lower overall Caesarean delivery rate. It also outlines the contraindications for TOLACS and factors that can affect its success. The document provides information on counseling women about TOLACS, antenatal care, and the management of TOLACS, including the use of continuous CTG monitoring and the administration of analgesia. It also addresses special circumstances such as twin pregnancies and preterm TOLACS. The document concludes with references to relevant guidelines.
