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VBAC safety

Shu-Wen Chen, Alison M Hutchinson, Cate Nagle, Tracey K Bucknall
BACKGROUND: Vaginal birth after caesarean (VBAC) is an alternative option for women who have had a previous caesarean section (CS); however, uptake is limited because of concern about the risks of uterine rupture. The aim of this study was to explore women's decision-making processes and the influences on their mode of birth following a previous CS. METHODS: A qualitative approach was used. The research comprised three stages. Stage I consisted of naturalistic observation at 33-34 weeks' gestation...
January 17, 2018: BMC Pregnancy and Childbirth
Elizabeth Soliday, Gillian Grant, Jillian James, Bailey Noell, Joel Samaduroff
BACKGROUND: Nearly twice as many women report preferring vaginal birth after cesarean (VBAC) than actually undergo it. It is unknown whether the preference pattern would hold in childbearing-aged individuals who had not yet been directly influenced by care experiences. We therefore examined postcesarean birth preferences in nulliparous university women and men to provide additional evidence to help advance related policy and practice. METHODS: An online study of 558 university women and 164 men who read a hypothetical postcesarean birth scenario was conducted...
July 5, 2017: Birth
Hsiu-Ting Tsai, Chia-Hsun Wu
OBJECTIVE: The trend of increasing cesarean section rates had evoked worldwide attention. Many approaches were introduced to diminish cesarean section rates. Vaginal birth after cesarean section (VBAC) is a route of delivery with diverse agreements. In this study, we try to reveal the world trend in VBAC and our experience of a 10-year period in a medical center in northern Taiwan. MATERIALS AND METHODS: This is a retrospective study of all women who underwent elective repeat cesarean delivery or trial of labor after cesarean (TOLAC) following primary cesarean delivery by a general obstetrician-gynecologist in the Tamshui Branch of MacKay Memorial Hospital (Taipei, Taiwan) between 2006 and 2015...
February 2017: Taiwanese Journal of Obstetrics & Gynecology
Sarah Munro, Jude Kornelsen, Kitty Corbett, Elizabeth Wilcox, Nick Bansback, Patricia Janssen
BACKGROUND: Repeat cesarean delivery is the single largest contributor to the escalating cesarean rate worldwide. Approximately 80 percent of women with a past cesarean are candidates for vaginal birth after a cesarean (VBAC), but in Canada less than one-third plan VBAC. Emerging evidence suggests that these trends may be due in part to nonclinical factors, including care provider practice patterns and delays in access to surgical and anesthesia services. This study sought to explore maternity care providers' and decision makers' attitudes toward and experiences with providing and planning services for women with a previous cesarean...
June 2017: Birth
Maralyn Foureur, Sabera Turkmani, Danielle C Clack, Deborah L Davis, Lyndall Mollart, Bernadette Leiser, Caroline S E Homer
PROBLEM: One of the greatest contributors to the overall caesarean section rate is elective repeat caesarean section. BACKGROUND: Decisions around mode of birth are often complex for women and influenced by the views of the doctors and midwives who care for and counsel women. Women may be more likely to choose a repeat elective caesarean section (CS) if their health care providers lack skills and confidence in supporting vaginal birth after caesarean section (VBAC)...
February 2017: Women and Birth: Journal of the Australian College of Midwives
Helen K White, Andrée le May, Elizabeth R Cluett
BACKGROUND: Research is yet to identify effective and safe interventions to increase the vaginal birth after cesarean (VBAC) rate. This research aimed to compare intended and actual VBAC rates before and after implementation of midwife-led antenatal care for women with one previous cesarean birth and no other risk factors in a large, tertiary maternity hospital in England. METHODS: This was a retrospective, comparative cohort study. Data were collected from the medical records of women with one previous lower segment cesarean delivery and no other obstetric, medical, or psychological complications who gave birth at the hospital before (2008) and after (2011) the implementation of midwife-led antenatal care...
September 2016: Birth
Corina Christmann-Schmid, Luigi Raio, Katrin Scheibner, Martin Müller, Daniel Surbek
PURPOSE: Caesarean sections (CS) have significantly increased worldwide and a previous CS is nowadays an important and increasingly reported indication to perform a repeat CS. There is a paucity of information in Switzerland on the incidence of repeat CS after previous CS and relationship between the rates of vaginal birth after CS (VBAC). The aim of this study was to analyse the actual trend in VBAC in Switzerland. METHODS: We performed a retrospective cohort study to analyse the proportion of VBAC among all pregnant women with previous sections which give birth during two time periods (group 1:1998/1999 vs...
November 2016: Archives of Gynecology and Obstetrics
Hazel Keedle, Virginia Schmied, Elaine Burns, Hannah G Dahlen
BACKGROUND: Caesarean section is rising in the developed world and vaginal birth after caesarean (VBAC) is declining. There are increased reports of women seeking a homebirth following a caesarean section (HBAC) in Australia but little is known about the reasons for this study aimed to explore women's reasons for and experiences of choosing a HBAC. METHODS: Twelve women participated in a semi-structured one-to-one interview. The interviews were digitally recorded, then transcribed verbatim...
2015: BMC Pregnancy and Childbirth
Valerie L Peddie, Natalie Whitelaw, Grant P Cumming, Siladitya Bhattacharya, Mairead Black
BACKGROUND: The United Kingdom (UK) caesarean section (CS) rate is largely determined by reluctance to augment trial of labour and vaginal birth. Choice between repeat CS and attempting vaginal birth after CS (VBAC) in the next pregnancy is challenging, with neither offering clear safety advantages. Women may access online information during the decision-making process. Such information is known to vary in its support for either mode of birth when assessed quantitatively. Therefore, we sought to explore qualitatively, the content and presentation of web-based health care information on birth after caesarean section (CS) in order to identify the dominant messages being conveyed...
August 19, 2015: BMC Pregnancy and Childbirth
Queenie K Y Cheuk, T K Lo, C P Lee, Anita P C Yeung
OBJECTIVES: To evaluate the efficacy and safety of double balloon catheter for induction of labour in Chinese women with one previous caesarean section and unfavourable cervix at term. DESIGN: Retrospective cohort study. SETTING: A regional hospital in Hong Kong. PATIENTS: Women with previous caesarean delivery requiring induction of labour at term and with an unfavourable cervix from May 2013 to April 2014. MAJOR OUTCOME MEASURES: Primary outcome was to assess rate of successful vaginal delivery (spontaneous or instrument-assisted) using double balloon catheter...
June 2015: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Lizellen La Follette, Alyssa Lo, Jenna Koblentz, Elliott Kingwill Main
INTRODUCTION: As a community hospital committed to vaginal birth after cesarean delivery (VBAC), we reviewed our experience from 2000 to 2013 to identify contributors to successful VBAC. Our health care providers were both midwives and physicians. METHODS: Using an electronic clinical database that served as a partial electronic medical record, we reviewed records from 2000 to 2013 for all women who had a prior cesarean delivery. We collected patient demographics, insurance, epidural use, and health care provider type...
May 2015: Obstetrics and Gynecology
Tetine Sentell, Ann Chang, Yongjun Cheng, Jill Miyamura
BACKGROUND: Empirical evidence regarding maternal quality and safety outcomes across heterogeneous Asian and Pacific Islanders subgroups in the United States is limited, despite the importance of this topic to health disparities research and quality improvement efforts. METHODS: Detailed discharge data from all Hawai'i childbirth hospitalizations (n = 75,725) from 2008 to 2012 were considered. Validated measures of maternal quality and safety were compared in descriptive and multivariable models across seven racial/ethnic groups: Filipino, Native Hawaiian, other Pacific Islander (e...
2014: BMC Pregnancy and Childbirth
Eugene Declercq
BACKGROUND: Changes in policies and practices related to repeat cesareans and home birth in the U.S. have been influenced by different interpretations of the risk of poor outcomes. METHODS: This article examines two cases-vaginal birth after cesarean (VBAC) and home birth to illustrate how an emphasis on relative over absolute risk has been used to characterize outcomes associated with these practices. The case studies will rely on reviews of the research literature and examination of data on birth trends and outcomes...
2013: Journal of Clinical Ethics
S Z Wanyonyi, S K Ngichabe
No abstract text is available yet for this article.
January 2014: BJOG: An International Journal of Obstetrics and Gynaecology
S C Dexter, S Windsor, S J Watkinson
No abstract text is available yet for this article.
January 2014: BJOG: An International Journal of Obstetrics and Gynaecology
Vidyadhar B Bangal, Purushottam A Giri, Kunaal K Shinde, Satyajit P Gavhane
BACKGROUND: The rate of primary cesarean section (CS) is on the rise. More and more women report with a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS. AIMS: The study was conducted to assess the safety and success rate of vaginal birth after CS (VBAC) in selected cases of one previous lower segment CS (LSCS). MATERIALS AND METHODS: The prospective observational study was carried out in a tertiary care teaching hospital over a period of two years...
February 2013: North American Journal of Medical Sciences
S Z Wanyonyi, A M Mukaindo, W Stones
BACKGROUND: The increasing Caesarean section rates being observed in most facilities will ultimately result in a larger proportion of women with previous scar. Choices need to be made by both the patient and the health worker between attempted Vaginal Birth after Caesarean section (VBAC) and Elective Repeat Caesarean section (ERCS). Both practices are associated with perinatal risks and benefits that call for certain objectivity and prudence in decision making especially where resources are scarce...
August 2010: East African Medical Journal
(no author information available yet)
Women with a history of a prior cesarean birth may receive conflicting information regarding options in future pregnancies related to the choice of a trial of labor after a cesarean (TOLAC) or having an elective repeat cesarean delivery (ERCD). The National Institutes of Health Consensus Development Conference on Vaginal Birth After Cesarean (VBAC) addressed questions related to safety and outcomes of having a VBAC compared to ERCD. Summary recommendations included increasing access to health care providers and facilities that care for women who desire a TOLAC yet factors were raised in determining what constitutes best practices...
September 2011: Journal of Midwifery & Women's Health
Michele R Lauria, Victoria Flanagan, Eleanor Capeless
Under the strong leadership of Maternal-Fetal Medicine specialists and the support of the tertiary care centers serving the region, Northern New England (NNE) initiated a collaborative project to improve the availability and safety of trial of labor after cesarean delivery. The project involved over 250 individuals from over 30 organizations and resulted in a strong regional guideline that has been implemented by institutions across the nation. The availability of trial of labor after cesarean in NNE has increased...
December 2012: Clinical Obstetrics and Gynecology
Caroline Signore
Declining rates of vaginal birth after cesarean (VBAC) are contributing to rising total cesarean delivery rates. The reasons behind the decreased utilization of VBAC are complex, but concerns about the safety of a trial of labor after cesarean are often cited. This manuscript will present a summary of existing evidence on maternal and fetal/neonatal outcomes associated with trial of labor after cesarean/VBAC, and highlight findings from recent contributions to this literature.
December 2012: Clinical Obstetrics and Gynecology
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