Abstract
A recent analysis of the caesarean birth epidemic concluded that the practice of elective repeat caesarean section for patients with a previous caesarean delivery has been the major contributor to the escalation of the total caesarean sectionrate [1]. The dictum “once a caesarean, always a caesarean”, originally enunciated by Cragin in the New York Medical Journal in 1916 is no longer valid today [1]. The statement was issued when the classical operation was generally the rule and the utilization of antibiotics and blood transfusions unknown. The Consensus Development Conference on Caesarean Child Birth in 1980 was convened at the National Institutes of Health and concluded that vaginal birth after a previouslow transverse caesarean delivery was a safe and acceptable option
Keywords: Caesarean, Women, Birth