Conclusion
This systematic review and meta-analysis summarises the results of 84
studies investigating outcomes in women who subsequently deliver after
OASI. Evidence is of low quality and does not support the routine
practice of elective cesarean to prevent new or worsening AI symptoms in
a mixed symptomatic and asymptomatic group of women. There are
significant limitations to existing published data, specifically
relating to counselling of asymptomatic women and regarding long-term AI
outcomes. Further research is required so that women can be provided
with personalised risk indicators for AI for birth after OASI.