Ideal timing for elective repeat LSCS (ERCS) for a patient of previous 1 LSCS, without any other complicating factor would be?: (A) 37 weeks, (B) 38 weeks, (C) 39 weeks, (D) At onset of labour
Answer is C. Risk of perinatal death with ERCS (Elective Repeat Caesarean section) is extremely low but there is a small increase in perinatal respiratory morbidity, when ERCS is performed before 39 weeks. This morbidity can be reduced with pre op steroids.