Welcome to the Trial of Labour After Caesarean (TOLAC) site.

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Please explore this website to download and use the Trial of Labour After Caesarean (TOLAC) Bundle created in Toronto, Ontario, through the Department of Obstetrics and Gynaecology at the University of Toronto.
This project would not have been possible without research grants from the North York General Hospital Exploration Fund, Sinai Health Systems Quality Improvement Project Competition Grant and Maternal and Newborn Endowment Grant for Education and QI at North York General Hospital.

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RESOURCES: Healthcare Provider Education

Information and resources for healthcare provider education on TOLAC.

 
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RESOURCES: Discussion Sheet

View our provider-patient discussion sheet

 
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RESOURCES: Patient Handouts

View all of our educational handouts including a decision aid

 
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RESOURCES: Clinic Posters

View our clinic posters which can be hung in patient-facing areas

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RESOURCES: Videos

View our videos on Trial of Labour After Caesarean Section

 

This TOLAC bundle resulted in a 6% decrease in cesaerean delivery and a 4% increase in induction of labour in patients with a previous cesaerean.