- (1) TOLAC is associated with the risk of uterine rupture. Uterine rupture can cause brain damage or death of the baby and result in serious hemorrhage or hysterectomy in the mother.
- (2) VBAC poses more medical risks to the baby than a scheduled repeat c-section.
- (3) Repeat c-section poses more medical risks to the mother than VBAC.
- (4) C-section after a failed TOLAC is associated with more risks than a c-section done before labor has begun.
- (5) If a complication occurs from a TOLAC outside of a hospital setting, the risk to mother and baby may be higher due to the inherent delay in obtaining access to hospital care.
- (6) Multiple c-sections are associated with increased risks due to abnormal placental implantation, hemorrhage requiring hysterectomy, and other surgical and postoperative complications.
- (7) The risks associated with TOLAC after two c-sections are greater than those after one c-section.
- (8) Risks associated with TOLAC when the type of uterine scar is unknown are greater than when the uterine scar is known to be low transverse.
- (9) The 2004 National Birth Center study revealed women who attempt TOLAC in a birth center setting have an overall transfer rate of 24%, and a vaginal delivery rate of 87%.
- (10) A woman with no previous vaginal birth and two previous c-sections for documented failure to progress, has a very low vaginal delivery success rate.
In addition to the standards for informed consent established in Subsection 58-77-601(1)(b), an informed consent for a client with a previous c-section, must include the following information about a VBAC:
KEY: licensing, midwife, direct-entry midwife
Date of Last Change: November 25, 2024
Notice of Continuation: March 2, 2026
Authorizing, and Implemented or Interpreted Law: 58-1-106(1)(a); 58-1-202(1)(a); 58-1-203(1); 58-1-203(1)(b); 58-1-203(1)(e); 58-1-301(3); 58-1-308(1); 58-77-102(7); 58-77-102(7)(f); 58-77-302; 58-77-302(5); 58-77-601(1)(b); 58-77-601(2); 58-77-601(3)(b)