Abstract

( Lancet. 2024; 403:44–54. doi: 10.1016/ S0140-6736(23)01855-X) Pregnant women with a previous cesarean delivery (CD) face a difficult decision between attempting a trial of labor after a cesarean (TOLAC), hoping for a successful vaginal delivery (VD), or opting for a planned repeat CD. Recent studies suggest women need support in decision-making as both delivery modes have unique risks. TOLAC is associated with a risk of uterine rupture and perinatal complications, while repeat CD is associated with an increased risk of maternal complications.