The researchers say the discovery could be important to a debate about Cesarean-section deliveries.
VOA: special.2009.11.24
It's one thing to have a national vaccination campaign--easily enough done--but quite another to rebuild public infrastructure, offer care for maladies ranging from AIDS to obstructed labor (which requires, of course, aCesareansection, which in turn requires electricity and an operating room and someone who can perform the procedure), and to recruit and train that army of community health workers.
As new data have become available, more patients are eligible for the possibility of an attempted VBAC, including patients with two previous cesareans and those with a previous cesareansection who are currently pregnant with twins.
In the past, the dictum was "once acesarean, always acesarean, " and the cesareansection rate increased for this and other reasons during the 1970s and '80s.