[Primary Cesarean section--what happens next time...?]

The aim of this study was to examine how often information about the best way of giving birth after a primary caesarean section was given and to describe the frequency of repeated caesarean section.

Notifications of 108 women with primary caesarean section in the three-year period 1994-1996.

Documentated information was given to 41%. A total of 43% had a repeated caesarean section, most frequently seen in the dystocia group (80%) as compared to the breech group (15%), which shows a significant difference, p < 0.01.

This study shows that less than half of the women had been informed about future delivery following a primary caesarean section. The rate of repeated caesarean sections varies with the indication of the primary caesarean. Improved information is suggested in order to avoid that women desist from further pregnancies because of uncertainty.