[Obstetrical management of women with previous caesarean section]

Abstract

The authors announce their own experience and data of the literature to clarify their policy in cases of pregnancy after a previous caesarean section. For obstetricians, the question is to accept a trial of labor for vaginal birth or to decide an elective caesarean section. We particularly explain our conclusions in cases of breech deliveries, twin pregnancies, fetal pelvic disproportion, maternal diabetes, and labor inductions. In cases of previous caesarean, a trial of labor can be successfully tempted in numerous situations. Nevertheless, there are some limits not to be crossed.