Activity ID
10516Expires
September 12, 2026Format Type
EnduringCME Credit
0.5Fee
$75CME Provider: Louisiana Medical Mutual Insurance Company (LAMMICO)
Description of CME Course
TOLAC is defined as a trial of labor after one or more cesarean deliveries intended to result in a vaginal birth instead of a scheduled repeat Cesarean Section. Successful vaginal birth after Cesarean (VBAC) rates in TOLAC patients are reported to be 60% to 80%. The safety of TOLAC/VBAC is supported by very low uterine rupture rates of 0.5-0.9% in patients with one previous low transverse uterine incision and 0.9%-3.7% in patients with more than one cesarean delivery. Despite the safety and success rates in appropriate candidates, the rate of VBAC remains very low. Promotion of safe TOLAC is a key intervention in the efforts to reduce cesarean delivery rates and the associated increase in maternal morbidity and risk of litigation.
ABMS Member Board Approvals by Type
ABMS Lifelong Learning CME Activity
Family Medicine
Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
Learners will identify appropriate candidates and ensure facility readiness to safely care for woman who choose TOLAC/VBACs.
Keywords
TOLAC, Trial of labor, VBAC, uterine rupture
Competencies
Interpersonal & Communication Skills, Practice-based Learning & Improvement, Systems-based Practice
CME Credit Type
AMA PRA Category 1 Credit
Practice Setting
Academic Medicine, Inpatient, Rural, Urban, VA/Military
