Letters

Internationally agreed strategy is needed on vaginal birth after caesarean

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7462.403-a (Published 12 August 2004) Cite this as: BMJ 2004;329:403
  1. Rajesh Varma (r.varma@bham.ac.uk), MRC fellow in obstetrics and gynaecology,
  2. Janesh K Gupta (j.k.gupta@bham.ac.uk), senior lecturer in obstetrics and gynaecology
  1. Birmingham Women's Hospital, Birmingham B15 2TG
  2. Birmingham Women's Hospital, Birmingham B15 2TG

    EDITOR—The review by Guise et al concurs with other studies in showing that vaginal birth after caesarean section is harmful for fetus and mother, and repeated elective caesarean is not completely protective.1 Systematically interrogating the 160 cases of uterine rupture reported may have not only identified important predictive factors for uterine …

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