Abstract
There has been much recent debate regarding the optimal mode of delivery. In a clinical commentary in the New England Journal of Medicine, the risks and benefits of elective primary cesarean delivery to both the mother and neonate were discussed.1 While a small number of neonates may benefit from elective cesarean delivery, the woman undergoing cesarean incurs increased surgical risk. In addition, there are increased risks to both the mother and neonate in subsequent pregnancies. Trials of labor after cesarean and elective repeat cesareans both carry increased risks.2, 3 Further, the risk of intrauterine fetal demise may be higher in women with a prior cesarean delivery.4
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