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Clinical Notice:OpiCalc is not a substitute for professional clinical judgment. Always verify dosages and guidelines.

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VBAC Success Probability

Clinical Metrics

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Antenatal counseling for patients with one prior low-transverse cesarean section (LTCS) contemplating Trial of Labor After Cesarean (TOLAC).
Standardizing shared decision-making regarding mode of delivery at 37 0/7 to 41 6/7 weeks gestation.
Informing patients of their individualized probability of successful vaginal birth versus repeat cesarean.

Patient Selection

Single prior low-transverse uterine incision.
Singleton pregnancy.
Cephalic presentation.
Term gestation (≥37 weeks).

Absolute Contraindications to TOLAC

Do not use this calculator or attempt TOLAC if: Prior classical or T-shaped uterine incision, prior uterine rupture, extensive transfundal uterine surgery (e.g., myomectomy), or any standard contraindication to vaginal delivery (e.g., placenta previa).

Last Comprehensive Review: 2026