VAGINAL BIRTH AFTER CESAREAN-SECTION - CURRENT OPINION

Although the current literature attests to the merits of a trial of la bor in the patient with a prior cesarean section, some controversies r emain. For example, can women with two or more sections be allowed a t rial of labor and can patients who undergo a trial of labor receive ox ytocin or prostaglandins for induction? Also, do certain indications f or previous cesarean section such as relative cephalo-pelvic dispropor tion/failure to progress or the diagnosis of breech or twins in the pr esent pregnancy constitute an indication for elective repeat cesarean delivery? These questions along with some other controversies are disc ussed in the light of newly accumulated data in the English literature and our own experience over the last decade in a major university-bas ed tertiary medical center.