Why the study?
Does a policy of routine elective repeat cesarean delivery improve outcomes or reduce costs compared to a trial of labor in pregnant women with one prior low transverse cesarean?
Population
Hypothetical cohort of 100,000 pregnant women whose only prior pregnancy was delivered through a low…
Comparison
Policy of routine elective repeat cesarean… vs Policy of allowing a trial of labor
Design
Other
Follow-up
reproductive life
Authors
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Increases maternal morbidity and costs without neonatal benefit; leaves open individualized trial-of-labor decisions pending higher-level evidence.
Does a policy of routine elective repeat cesarean delivery improve outcomes or reduce costs compared to a trial of labor in pregnant women with one prior low transverse cesarean?
Routine elective repeat cesarean delivery after a prior low transverse cesarean is not cost-effective and increases maternal morbidity compared to a trial of labor.
WA Grobman (2000) studied this question.
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