Fillers POEM

Trial of labour carries small but real increase in risk

BMJ 2005; 330 doi: (Published 07 April 2005) Cite this as: BMJ 2005;330:0-f

Question What are the risks associated with trial of labour after caesarean delivery?

Synopsis This was an observational study in which women with a previous caesarean delivery and a current singleton pregnancy decided whether to pursue a trial of labour (they were not randomised). Among the 45 988 women at the 19 academic medical centres who qualified for the study, 9013 had clear indications for repeat caesarean and were excluded, as were 3276 who presented early in labour without a documented plan for trial of labour. Of the remainder, 17 898 underwent a trial of …

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