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Cover of Caesarean Section

Caesarean Section

NICE Clinical Guidelines, No. 132


London: RCOG Press; .


This guidance is a partial update of NICE clinical guideline 13 (published April 2004) and will replace it.

New and updated recommendations have been included on the diagnosis and management of morbidly adherent placenta; the care of women with HIV; the appropriate decision-to-delivery interval for unplanned caesarean section (CS); the timing of antibiotic prophylaxis provision; the risks and benefits of CS and vaginal birth; the risks and benefits of vaginal birth following a previous CS; and the appropriate care pathway for women requesting a CS in the absence of an obstetric or medical indication.


2nd edition published 2011; 1st edition published in 2004.

August 2012: We have removed recommendations 40 and 41 from this guideline. The topic ‘place of birth’ will be addressed by the update of the clinical guideline ‘Intrapartum care’ which is currently in development. In the meantime, please see the current intrapartum care guideline ( for current guidance on place of birth.

October 2012: We have added a footnote to recommendation 113 to indicate that healthcare professionals should consult the guideline on surgical site infection ( for more recent recommendations on wound care.

While every effort has been made to ensure the accuracy of the information contained within this publication, the publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check current indications and accuracy by consulting other pharmaceutical literature and following the guidelines laid down by the manufacturers of specific products and the relevant authorities in the country in which they are practising.

This guideline has been fully funded by NICE. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient.

Implementation of this guidance is the responsibility of local commissioners and/or providers.

Copyright © 2011, National Collaborating Centre for Women's and Children's Health.

No part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK []. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

Bookshelf ID: NBK115309PMID: 23285498


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