This clinical guideline updates and replaces NICE clinical guideline 13 (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 220.127.116.11 and 18.104.22.168 have been removed from this guideline. See Changes after publication for further details.