The risk of the death of the mother (maternal mortality
) associated with uterine rupture is low.
Women attempting a TOLAC, regardless of the final route of delivery, are at decreased risk of maternal mortality compared to elective repeat cesarean section.
In fact, when factoring out the risk of maternal death associated with pregnancy itself and with ERCS, the risk of death from a TOLAC is approximately half that of ERCS (4:100,000 vs. 13:100,000).
Further, the NIH Consensus study failed to report any maternal deaths specifically associated with uterine rupture.