In Scotland, where wide
variations in surgical deliveries have been found between units, four evidence based recommendations have been prioritised: clinicians and women should regard trial
of labour as the norm after a previous caesarean; offering external cephalic version to women at term if their
baby is breech;
monitoring and regularly reviewing caesarean data with support for staff; and one to one midwifery care for all women in labour.20 The National Childbirth Trust — a UK parents organisation — is concerned about medicalisation and erosion
of midwifery skills and confidence.