The New England journal of medicine
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Comment Historical Article
Transplantation 50 years later--progress, challenges, and promises.
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Multicenter Study Comparative Study
Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery.
The proportion of women who attempt vaginal delivery after prior cesarean delivery has decreased largely because of concern about safety. The absolute and relative risks associated with a trial of labor in women with a history of cesarean delivery, as compared with elective repeated cesarean delivery without labor, are uncertain. ⋯ A trial of labor after prior cesarean delivery is associated with a greater perinatal risk than is elective repeated cesarean delivery without labor, although absolute risks are low. This information is relevant for counseling women about their choices after a cesarean section.