[Indications and contraindications for normal labor in patients who previously underwent cesarean section].

In line with previously published data from all over the world, the Authors are in favour of vaginal delivery as a valid and safe alternative in women who have had a previous cesarian section, provided they are selected following appropriate screening protocol, as described in this paper. A retrospective study was performed to analyse data over a 10-year period in the Department of Ostetrics and Gynecology of the University of Aquila: of 1253 selected patients, 674 (54%) had a normal vaginal delivery, whereas 577 (46%) had a repeat cesarian section following the onset of fetal distress; no case of uterine scar rupture was recorded.