Review decision date: July 2014

Review decision: 

This guideline will shortly be checked to see if it needs updating, please register as a stakeholder to be informed about the decision.

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Next review date: September 2016

This clinical guideline updates and replaces NICE guideline CG13 (published April 2004). It offers evidence-based advice on the care of women who:

  • have had a caesarean section in the past and are now pregnant again
  • have a clinical indication for a caesarean section or
  • are considering a caesarean section when there is no other indication.

New and updated recommendations have been included on:

  • the risks and benefits of planned caesarean section compared with planned vaginal birth
  • care of women considered at risk of a morbidly adherent placenta
  • appropriate care and choices for women who are HIV positive
  • care of women requesting a caesarean section without a clinical indication
  • decision-to-delivery intervals to be used as audit standards
  • timing of the administration of antibiotics for caesarean section
  • appropriate care and choices for women who have previously had a caesarean section.

August 2012: Recommendations and have been removed from this guideline. See changes after publication for further details.

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