INTRODUCTION The WHO has identified an ideal caesarean section rate for a nation of 10-15%, but much higher rates are seen in tertiary referral centres in resource-poor countries. Interventions by the author to improve care and reduced unnecessary caesareans were undertaken including staff education and production of clinical guidelines. This study aimed to identify indications for caesareans a...

AIMS Single center 10-years audit on the relation between labour ward management and caesarean section rate, with special emphasis on the impact of reduced induction rate and the use of strict criteria for the diagnosis of onset of spontaneous labour and the indication for induction of labour. METHODS Retrospective classification of all deliveries between 1st January 2001 and 31st December 20...

OBJECTIVE To compare the effectiveness of a hysteroscopic niche resection versus no treatment in women with postmenstrual spotting and a uterine caesarean scar defect. DESIGN Multicentre randomised controlled trial. SETTING Eleven hospitals collaborating in a consortium for women's health research in the Netherlands. POPULATION Women reporting postmenstrual spotting after a caesarean sect...