Role of race and ethnicity in the choice of a vaginal trial of labor after cesarean: Clinical perspectives
Elliot M. Levine MD, Carlos M. Fernandez, M.D., and Rosally Starr, M.D. Role of Race and Ethnicity in the Choice of a Vaginal Trial of Labor After Cesarean: Clinical Perspectives. The Journal of Reproductive Medicine. 2021;66(5).
A clinical perspective is offered, suggesting that algorithms, which have become widely used, may have a questionable use of race and ethnicity for the prediction of a successful vaginal trial of labor after previous cesarean section birth. Data showing the inaccuracy of these algorithm predictions should be noted. Medical care should not include the use of race and ethnicity if inaccuracies are evident and harm to selected populations are shown to exist.
Department of Obstetrics and Gynecology, Advocate Illinois Masonic Medical Center