Natural birth after first caesarean likely to succeed

UK researchers reviewed the cases of 144,000 women whose first baby was delivered by caesarean, finding just more than half attempted natural birth the second time around, with two-thirds being successful.

Predictors of poorer outcomes included older age, non-white ethnicity, social deprivation and a history of failed induction of labour.

The findings should help define candidates for trial of vaginal birth after caesarean, the researchers said.

BJOG 2013; online 20 Nov

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