Risk and Safety Issues in Obstetrics XVI explores the risk management issues related to a trial of labor after cesarean (TOLAC). Vaginal births are generally considered safer than cesarean deliveries, resulting in a focus on increasing the number of women having a vaginal birth after a cesarean delivery. This course addresses risk stratification when identifying appropriate candidates for a TOLAC, the importance of documenting shared decision making as part of the informed consent process for a TOLAC, and effective communication strategies for healthcare professionals to use when a TOLAC is unsuccessful and cesarean delivery becomes the best option.