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Previous Volume 360:1570-1571 April 9, 2009 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Tita et al. (Jan. 8 issue) suggest that delaying elective repeat cesarean delivery until 39 weeks of gestation will decrease the incidence of neonatal morbidity.¹ However, delaying repeat cesarean delivery may have maternal and fetal consequences that are not addressed in their report. Between 38 and 39 weeks of gestation, approximately 10% of women go into spontaneous labor,² with the result that planned cesarean deliveries are converted to emergency ones. The incidence of severe maternal morbidity is significantly higher among women undergoing emergency cesarean delivery than among those undergoing elective cesarean delivery.³ Complications may be greater among . . . [Full Text of this Article]

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