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Research Article

Planned Vaginal Birth or Elective Repeat Caesarean: Patient Preference Restricted Cohort with Nested Randomised Trial

  • Caroline A. Crowther mail,

    caroline.crowther@adelaide.edu.au

    Affiliation: Australian Research Centre for Health of Women and Babies (ARCH), The Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia

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  • Jodie M. Dodd,

    Affiliation: Australian Research Centre for Health of Women and Babies (ARCH), The Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia

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  • Janet E. Hiller,

    Affiliation: Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia

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  • Ross R. Haslam,

    Affiliation: Department of Neonatal Medicine, The Women's and Children's Hospital, Adelaide, South Australia, Australia

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  • Jeffrey S. Robinson,

    Affiliation: Australian Research Centre for Health of Women and Babies (ARCH), The Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia

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  • on behalf of the Birth After Caesarean Study Group
  • Published: March 13, 2012
  • DOI: 10.1371/journal.pmed.1001192

Reader Comments (6)

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VBAC as safe as 1st vaginal birth!

Posted by mjacobs on 21 Mar 2012 at 19:33 GMT

These data demonstrate that for the elements of composite morbidity related to labor (low 5-APGAR, cord pH, seizures) VBAC is as safe as published data for vaginal delivery in nulliparas. This is good news for women choosing VBAC. Elective CS is somewhat safer, no surprise. A logical extension of these data would be to section all women to avoid the irreducibly small risk of birth asphyxia associated with labor.

No competing interests declared.