ABSTRACT

INTRODUCTION In 1916 Craigin expressed the following axiom in a work eloquently titled “Conservatism in Obstetrics”: “once a cesarean, always a cesarean.” This was a warning to his colleagues of the danger of abusing cesarean deliveries, as once the surgical approach was adopted, repeat cesarean deliveries would became a necessity in later pregnancies (risk of uterine rupture at the time was 5%) [1].