Interpretation
Current guidelines from the Royal College of Obstetricians and Gynaecologists and the Society of Obstetricians of Gynaecologists of Canada(45), advise that surgical technique should depend on the experience of, and be at the discretion of, the surgeon(46). The data presented in this study suggest that a well-constructed randomised control trial comparing surgical techniques is required. Until then, both surgical techniques should continue to be taught to training obstetricians. Individual circumstances will vary for each woman and the final decision should be left to the discretion of the obstetrician.