What Are the Signs of Uterine Rupture During TOLAC?

If you’ve had a C-section before, you may still be able to give birth vaginally with your next baby. Going into labor after a past C-section is called a trial of labor after cesarean, or TOLAC. Many women are good candidates, but it’s natural to worry about safety. The biggest concern is uterine rupture, which is when the old C-section scar on the uterus tears open during labor. 

Uterine rupture during TOLAC is rare, but warning signs include changes in your baby’s heart rate, sudden or severe pain, vaginal bleeding, contractions that slow or stop, and dizziness or faintness. Because these signs can appear quickly, careful monitoring during labor is important. 

At Essential Women’s Health Associates in Las Vegas, NV, and Henderson, NV, Dr. Samantha Schoenhaus, a board-certified osteopathic physician and OBGYN, helps women plan for a safe delivery after a C-section. Call today to schedule a women’s healthcare consultation. 

What is TOLAC? 

Many women ask, “What is TOLAC?” when they first hear the term. It means planning to go into labor and deliver vaginally instead of scheduling another C-section. When the trial of labor succeeds, it’s called a vaginal birth after cesarean, or VBAC. 

A successful VBAC can mean a shorter recovery, no abdominal surgery, and fewer risks in future pregnancies. Good candidates usually have one or two prior C-sections with a low, side-to-side incision. A vertical scar on the upper uterus usually rules out TOLAC because the risk of a ruptured uterine scar is much higher. Your doctor will review your surgical records to decide whether TOLAC is safe for you. 

Warning signs of a ruptured uterine scar 

While uterine rupture rarely occurs in women attempting TOLAC after one low, side-to-side incision, it can be considered a medical emergency. Watch for:  

• Baby’s heart rate changes: A sudden drop or irregular pattern in your baby’s heart rate is often the earliest sign. 
• Sudden or severe pain: Sharp abdominal pain, especially near the old scar or between contractions, should be reported right away. 
• Vaginal bleeding: Any new or unusual bleeding during labor can signal a problem with the uterus, 
• Contractions that slow or stop: Labor that suddenly weakens or stops after being strong may be a warning sign. 

If you notice any of these signs in the hospital, tell your women’s healthcare team immediately. If you’re in labor at home and have severe abdominal pain, call 911 or go to the hospital right away. 

How our team supports you through TOLAC 

Choosing TOLAC is a personal decision. Dr. Schoenhaus will talk with you about your goals, review your past delivery, and create a personalized birth plan. During labor, your baby’s heart rate is monitored closely so signs of a ruptured uterine scar can be caught early. 

If labor stalls or your baby is in distress, our team is ready to perform a C-section to keep you and your baby safe. Patients in Las Vegas, NV, or Henderson, NV can count on a team that supports them from pregnancy through delivery and beyond. Prenatal visits give you time to ask about abdominal pain, swelling, or other changes you notice. Between visits, call our office right away if you have vaginal bleeding or leaking fluid. 

Schedule a TOLAC consultation 

If you have questions such as, “What is TOLAC?” or “Am I a good candidate for VBAC?” we’re here to help. At Essential Women’s Health Associates, Dr. Samantha Schoenhaus, a board-certified osteopathic physician and OBGYN, provides personalized women’s healthcare in Las Vegas and Henderson, NV for each stage of life. Call today to book your appointment and plan a birth that feels right for you.