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American guidelines recommend that elective, repeat caesarean section should not be performed before 39 weeks’ gestation. In the USA caesarean section rates rose from 21% to 31% between 1996 and 2006 and about 40% of caesarean sections are repeat procedures. Now a multicentre US trial (Alan TN Tita and colleagues. New England Journal of Medicine 2009;360:111–20; see also editorial, ibid: 183–4) …
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