Interpretation
When considering TOLAC, one should assess the risk for possible complications, even more so, when the fetus is estimated LGA. Most complications occur when TOLAC fails and emergent CD is needed (8, 9, 16). Thus, successful TOLAC is associated with less maternal morbidity than elective repeat CD, whereas failed attempt is associated with a higher risk for maternal morbidity (17). To the best of our knowledge, to date, no study has focused on complications as a result of TOLAC for estimated LGA fetuses. With regard to macrosomic fetuses (weights greater than 4000 g), studies are inconsistent with whether it is associated with increased risk for uterine rupture or not (18, 19). Our study revealed no difference amongst women in the study and control group, in scar dehiscence or uterine rupture rate as well as in the rate of 3rd /4th degree perineal tear, shoulder dystocia, and need for blood transfusion.