title: [Information and facilities recommendations concerning trial of labour in the context of scarred womb].
abstract: OBJECTIVE
  To precise key elements concerning facilities and patient information prior to trial of labour in the context of scarred womb.
  
  
  METHODS
  Bibliographic search restricted to French and English languages using Medline database and recommendations of medical societies.
  
  
  RESULTS
  Only expert's opinions are available. Patient information should present both trial of labour and elective cesarean section. Counselling should be influenced by individual risk of failed vaginal birth and uterine rupture. Mode of delivery should be planned the latest at 8 months of gestation. Patient should be aware of obstetrical and anesthetic facilities. Trial of labour should be presented as the first option for patients with no additional risk factors. Immediate presence of obstetrician and anesthesiologist is not required except in the context of increased risk for failed trial of labour or uterine rupture. Elective cesarean section on maternal request is acceptable after extensive counselling and delay of reflexion.
  
  
  CONCLUSIONS
  Individual patient information should be initiated early and mode of delivery should be planned at 8 months of gestation. Resources and facilities recommendations aim to facilitate prompt cesarean section.
authors.affiliation: Pôle gynécologie-obstétrique-reproduction humaine, CHU Estaing, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand cedex 1, France. dgallot@chu-clermontferrand.fr
authors.forename: D
authors.initials: D
authors.lastname: Gallot
authors.forename: A
authors.initials: A
authors.lastname: Delabaere
authors.forename: F
authors.initials: F
authors.lastname: Desvignes
authors.forename: C
authors.initials: C
authors.lastname: Vago
authors.forename: M
authors.initials: M
authors.lastname: Accoceberry
authors.forename: D
authors.initials: D
authors.lastname: Lémery
mesh_terms: D017604:Cesarean Section, Repeat / Q000009:adverse effects; D002921:Cicatrix / Q000150:complications*; D003376:Counseling; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D016239:MEDLINE; D011247:Pregnancy; D012307:Risk Factors; D014219:Trial of Labor; D014591:Uterine Diseases / Q000150:complications*; D014597:Uterine Rupture; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects