Abramowitz L, Mandelbrot L, Moine AB, et al. - Via performing a randomized trial, researchers examined whether planned cesarean section (CS) for a second delivery has a protective effect against anal continence in women with obstetrical anal sphincter lesions. Among 434 enrolled women who were at high risk of sphincter lesions (first delivery with 3d degree laceration and/or forceps) but had no symptomatic anal incontinence, ultrasound revealed anal sphincter lesions in 264; 112 were randomized to planned vaginal delivery (VD) and 110 to planned CS. The 2 groups showed no significant difference in anal continence at 6‐8 weeks after delivery. Outcomes suggest no significant impact of planning a CS on anal continence 6 months after the second delivery among women with asymptomatic obstetrical anal sphincter lesions diagnosed by ultrasound. Hence, they yield no support to undertaking systematic CS for this indication.