Linked Research Articles
This Perspective discusses the following new studies published in PLoS Medicine:
Fitzpatrick K, Kurinczuk JJ, Alfirevic Z, Spark P, Brocklehurst P, et al. (2012) Uterine Rupture by Intended Mode of Delivery in the UK: A National Case-Control Study. PLoS Med 9(3): e1001184. doi:10.1371/journal.pmed.1001184
A case-control study using UK data estimates the risk of uterine rupture in subsequent deliveries amongst women who have had a previous caesarean section.
Crowther CA, Dodd JM, Hiller JE, Haslam RR, Robinson JS, et al. (2012) Planned Vaginal Birth or Elective Repeat Caesarean: Patient Preference Restricted Cohort with Nested Randomised Trial. PLoS Med 9(3): e1001192. doi:10.1371/journal.pmed.1001192
A study conducted in Australia provides new data on the outcomes for mother and baby associated with either planned vaginal birth, or elective repeat caesarean section following a previous caesarean section.
Pregnancy can be associated with significant risks for the mother and baby regardless of the presence of medical or obstetrical complications. In the presence of complications such as hypertension, multiple gestation, or prior cesarean delivery, the risks to the health of the mother and baby increase. Numerous studies, including two published in PLoS Medicine recently ,, have shown that risks such as uterine rupture are higher for women attempting a trial of labor following a previous cesarean delivery than those having an elective repeat cesarean delivery; however, the overall risks are low in both groups.