Letter

Deciding on caesarean section

Vaginal birth after a caesarean is not always beneficial

BMJ 2007; 335 doi: 10.1136/bmj.39262.430706.3A (Published 5 July 2007)
Cite this as: BMJ 2007;335:7.1

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  1. Paul T-Y Ayuk, obstetrician and gynaecologist
  1. John Radcliffe Hospital, Oxford OX3 9DU
  1. paul{at}busyspr.com

    The study by Montgomery et al and the accompanying editorial are based on the premise that vaginal delivery after one caesarean section is necessarily a beneficial and desirable objective or outcome.1 2 However, the risks and benefits as published in the recent RCOG (Royal College of Obstetricians and Gynaecologists) guidelines3 can be summarised as follows:

    Risks …

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