Harrison MS, Garces A, Figueroa L, et al. - Researchers aimed at determining if maternal and perinatal/neonatal outcomes of birth differ by timing of repeat cesarean among women with a history of one prior cesarean birth in a Guatemalan cohort. Via this secondary analysis, which was performed using data from a prospective study conducted in communities in Chimaltenango, Guatemala through the Global Network for Women’s and Children’s Health Research, they assessed 26,465 women delivered between January 2017 and April 2020. Of these women, 3,143 (11.9%) had a singleton gestation and a history of prior cesarean delivery. Data were available on mode of delivery for 2,210 (79.9%) women who had history of prior cesarean birth and gave birth by repeat cesarean; 1,312 (59.4%) were pre-labor cesareans while 896 (40.5%) were intrapartum cesarean births. Findings suggest no impact on outcomes of cesarean birth by timing of repeat cesarean birth, with hypertensive disease increasing the chances of pre-labor cesarean. In light of this information, women could be counselled that outcomes after failed trial of labor do not seem worse than those after pre labor cesarean birth.