Short term outcomes lead to long term questions

EDITOR—Lavender et al add evidence to the debate about a randomised controlled trial comparing vaginal birth with caesarean surgery.1 However, we need to think even more widely, and more long term, about this possibility, as highlighted recently by the term breech trial. Researchers randomised breech babies to vaginal birth or caesarean and concluded, in the year 2000, that caesarean birth was safer. Virtually overnight, …