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https://www.readbyqxmd.com/read/27861697/practice-variation-of-vaginal-birth-after-cesarean-and-the-influence-of-risk-factors-at-patient-level-a-retrospective-cohort-study
#1
Emy Vankan, Ellen N Schoorel, Sander M van Kuijk, Ben-Willem J Mol, Jan G Nijhuis, Robert Aardenburg, Marleen Alink, Karin de Boer, Friso M C Delemarre, Carmen D Dirksen, Ivo M van Dooren, Maureen T M Franssen, Mesrure Kaplan, Gunilla Kleiverda, Simone M I Kuppens, Anneke Kwee, Josje Langenveld, Frans T Lim, Sonja Melman, J M Sikkema, Luc J Smits, Harry Visser, Mallory Woiski, Hubertina C Scheepers, Rosella P Hermens
INTRODUCTION: Large practice variation exists in mode of delivery after cesarean section (CS), suggesting variation in implementation of contemporary guidelines. We aim to evaluate this practice variation and to what extent this can be explained by risk factors at patient level. MATERIAL AND METHODS: This retrospective cohort study was performed amongst 17 Dutch hospitals in 2010. Women with one prior CS without a contraindication for an trial of labor (TOL) were included...
November 16, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27832743/clinicians-views-of-factors-of-importance-for-improving-the-rate-of-vbac-vaginal-birth-after-caesarean-section-a-study-from-countries-with-low-vbac-rates
#2
Ingela Lundgren, Patricia Healy, Margaret Carroll, Cecily Begley, Andrea Matterne, Mechthild M Gross, Susanne Grylka-Baeschlin, Jane Nicoletti, Sandra Morano, Christina Nilsson, Joan Lalor
BACKGROUND: Caesarean section (CS) rates are increasing worldwide and the most common reason is repeat CS following previous CS. For most women a vaginal birth after a previous CS (VBAC) is a safe option. However, the rate of VBAC differs in an international perspective. Obtaining deeper knowledge of clinicians' views on VBAC can help in understanding the factors of importance for increasing VBAC rates. Focus group interviews with clinicians and women in three countries with high VBAC rates (Finland, Sweden and the Netherlands) and three countries with low VBAC rates (Ireland, Italy and Germany) are part of "OptiBIRTH", an ongoing research project...
November 10, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27818106/influences-on-vaginal-birth-after-caesarean-section-a-qualitative-study-of-taiwanese-women
#3
Mei-Man Chen, Lois McKellar, Jan Pincombe
BACKGROUND: Vaginal birth is a safe mode of birth for most women who have had a prior caesarean with a transverse incision. Despite the evidence, most Taiwanese women who have had a previous caesarean are rarely offered the opportunity to consider any possibility other than a repeat caesarean. AIM: This study explored factors affecting Taiwanese women's decisionmaking regarding vaginal birth after cesarean. METHODS: Ajzen's Theory of Planned Behaviour provided the theoretical framework to underpin the study, which adopted an interpretive descriptive methodology...
November 3, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27799572/utility-of-multiparametric-mri-in-caesarean-section-scar-characterization-and-preoperative-prediction-of-scar-dehiscence-a-prospective-study
#4
Ishan Kumar, Ashish Verma, Manjari Matah, Gayatri Satpathy
BACKGROUND: Post-Caesarean uterine scar rupture during vaginal birth after Caesarean section (VBAC) is a potentially life-threatening complication. Prediction of scar dehiscence and scar rupture is vital in treatment planning and selecting candidates of trial of labor after a Caesarean section (CS). PURPOSE: To assess the accuracy of magnetic resonance imaging (MRI) for evaluation of post-Caesarean uterine scar and to predict scar dehiscence during repeat CS. MATERIAL AND METHODS: Thirty patients with a history of at least one previous CS underwent pelvic MRI for assessment of uterine scar during a subsequent gestation, all of whom underwent lower segment Caesarean section (LSCS) subsequently due to one of the established indications of CSs...
October 31, 2016: Acta Radiologica
https://www.readbyqxmd.com/read/27788742/-the-outcome-of-trial-of-labor-after-cesarean-section
#5
Z Q Qu, R M Ma, H Xiao, Y Q Tian, B L Li, K Liang, M Y Du, Z Chen, L Geng, M H Yang, Y P Tao, B Zhu
Objective: To explore the outcome of trial of labor after cesarean section(TOLAC). Methods: Totally 614 TOLAC were conducted in the First Affiliated Hospital of Kunming Medical University from July 2013 to June 2016. Among them, 586 cases of singleton pregnancy with one prior cesarean section(gestational age≥28 weeks)were studied retrospectively. The maternal and neonatal outcomes among the vaginal birth after cesarean(VBAC)group(481 cases), failed TOLAC group(105 cases)and the elective repeat cesarean section(ERCS)group(1 145 cases)were compared...
October 25, 2016: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/27561937/-clinical-study-on-vaginal-birth-after-cesarean
#6
L He, M Chen, G L He, X X Liu
OBJECTIVE: To investigate the incidence and pregnant outcome on vaginal birth after cesarean (VBAC). METHODS: From January 2005 to December 2015, clinical data of 507 cases with VBAC in West China Second Hospital were studied retrospectively. There were 370 cases of VBAC from January 2013 to December 2015 as study group (VBAC group), in contrast, 740 cases of elective repeat cesarean section (ERCS group) and 740 primiparas of vaginal delivery without history of cesarean section as control groups, the pregnancy outcome were analyzed between the study group and control groups respectively...
August 25, 2016: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/27491276/simplified-and-standardized-intrapartum-management-can-yield-high-rates-of-successful-vbac-in-spontaneous-labor
#7
Mark P Hehir, Adam Mackie, Michael S Robson
OBJECTIVE: To examine the outcomes of vaginal birth after cesarean (VBAC) in women, in spontaneous labor, delivering after 37 weeks' gestation at an institution where trial of labor after a previous cesarean delivery (TOLAC) is encouraged and management of labor is standardized. METHODS: This retrospective cohort study included 3071 women with one previous cesarean only and no vaginal delivery who underwent a trial of labor from 2001 to 2011. Women were managed using the standardized "active management of labor" intrapartum protocol...
August 23, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27318563/caring-for-women-wanting-a-vaginal-birth-after-previous-caesarean-section-a-qualitative-study-of-the-experiences-of-midwives-and-obstetricians
#8
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)...
June 15, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27308098/patient-counseling-and-preferences-for-elective-repeat-cesarean-delivery
#9
Susan Folsom, M Sean Esplin, Sean Edmunds, Torri D Metz, G Marc Jackson, T Flint Porter, Michael W Varner
Objective We sought to identify factors influencing a woman's decision to have an elective repeat cesarean delivery (ERCD) versus vaginal birth after cesarean (VBAC). Methods and Materials A prospective study at two academic medical centers of women with one prior cesarean, and no contraindication to a trial of labor, delivered by ERCD from October 2013 to June 2014. Participants completed anonymous surveys during their delivery hospitalization. Counseling was considered adequate if women reported being counseled, recalled being quoted a VBAC success probability, and this probability was within 20% of that derived from an established VBAC success prediction model...
April 2016: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/27217237/trends-in-birth-choices-after-caesarean-section-in-japan-a-national-survey-examining-information-and-access-to-vaginal-birth-after-caesarean
#10
Ikuyo Torigoe, Brett Shorten, Shizuka Yoshida, Allison Shorten
OBJECTIVES: in the context of a rising caesarean section (CS) rate in Japan, the objectives of this study were; to investigate the national situation for women's birth options after primary CS; to explore characteristics of institutions accepting planned vaginal birth after caesarean (VBAC); to identify the timing and type of information given to women about their birth options by health professionals. DESIGN: a national census study using a self-administered postal survey of nursing managers within obstetric departments in Japanese hospitals and clinics was conducted...
June 2016: Midwifery
https://www.readbyqxmd.com/read/26980229/back-to-once-a-caesarean-always-a-caesarean-a-trend-analysis-in-switzerland
#11
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...
March 15, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/26978456/planned-repeat-cesarean-section-at-term-and-adverse-childhood-health-outcomes-a-record-linkage-study
#12
Mairead Black, Siladitya Bhattacharya, Sam Philip, Jane E Norman, David J McLernon
BACKGROUND: Global cesarean section (CS) rates range from 1% to 52%, with a previous CS being the commonest indication. Labour following a previous CS carries risk of scar rupture, with potential for offspring hypoxic brain injury, leading to high rates of repeat elective CS. However, the effect of delivery by CS on long-term outcomes in children is unclear. Increasing evidence suggests that in avoiding exposure to maternal bowel flora during labour or vaginal birth, offspring delivered by CS may be adversely affected in terms of energy uptake from the gut and immune development, increasing obesity and asthma risks, respectively...
March 2016: PLoS Medicine
https://www.readbyqxmd.com/read/26699791/variation-in-vaginal-birth-after-cesarean-by-maternal-race-and-detailed-ethnicity
#13
Joyce K Edmonds, Summer Sherburne Hawkins, Bruce B Cohen
Objective Our objective was to examine the likelihood of vaginal birth after cesarean (VBAC) for women in Massachusetts. Methods We used birth certificate data among term, singleton, vertex presentation births by repeat cesarean or VBAC to conduct logistic regression models to examine the likelihood of VBAC for women categorized into standard classifications of race and ethnicity and into 31 detailed ethnicities. Data were analyzed for the entire study period (1996-2010, N = 119,752) and for the last 5 years (2006-2010, N = 46,081)...
June 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/26606710/vaginal-birth-after-caesarean-section-in-low-resource-settings-the-clinical-and-ethical-dilemma
#14
Sikolia Wanyonyi, Francis G Muriithi
Vaginal birth after Caesarean section (VBAC) has long been practised in low resource settings using unconventional methods. This not only poses danger to the woman and her baby, but could also have serious legal and ethical implications. The adoption of this practice has been informed by observational studies with many deficiencies; this is so despite other studies from settings in which the standard of care is much better that show that elective repeat Caesarean section (ERCS) may actually be safer than VBAC...
October 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26531882/vaginal-birth-after-cesarean-views-of-women-from-countries-with-high-vbac-rates
#15
Christina Nilsson, Evelien van Limbeek, Katri Vehvilainen-Julkunen, Ingela Lundgren
Despite the consequences for women's health, a repeat cesarean section (CS) birth after a previous CS is common in Western countries. Vaginal Birth After Cesarean (VBAC) is recommended for most women, yet VBAC rates are decreasing and vary across maternity organizations and countries. We investigated women's views on factors of importance for improving the rate of VBAC in countries where VBAC rates are high. We interviewed 22 women who had experienced VBAC in Finland, the Netherlands, and Sweden. We used content analysis, which revealed five categories: receiving information from supportive clinicians, receiving professional support from a calm and confident midwife/obstetrician during childbirth, knowing the advantages of VBAC, letting go of the previous childbirth in preparation for the new birth, and viewing VBAC as the first alternative for all involved when no complications are present...
November 3, 2015: Qualitative Health Research
https://www.readbyqxmd.com/read/26374554/maternal-and-perinatal-outcomes-associated-with-a-trial-of-labour-after-previous-caesarean-section-in-sub-saharan-countries
#16
C Kaboré, N Chaillet, S Kouanda, E Bujold, M Traoré, A Dumont
OBJECTIVE: To assess the risks of uterine rupture, maternal and perinatal outcomes associated with a trial of labour (TOL) after one previous caesarean were compared with having an elective repeated caesarean section (ERCS) without labour in low-resource settings. DESIGN: A prospective 4-year observational study. SETTING: Senegal and Mali. SAMPLE: A cohort of 9712 women with one previous caesarean delivery. METHODS: Maternal and perinatal outcomes were compared between 8083 women who underwent a TOL and 1629 women who had an ERCS...
September 16, 2015: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/26285816/qualitative-website-analysis-of-information-on-birth-after-caesarean-section
#17
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
https://www.readbyqxmd.com/read/26285692/variation-in-hospital-caesarean-section-rates-for-women-with-at-least-one-previous-caesarean-section-a-population-based-cohort-study
#18
Kathrin Schemann, Jillian A Patterson, Tanya A Nippita, Jane B Ford, Christine L Roberts
BACKGROUND: Internationally, repeat caesarean sections make the largest contribution to overall caesarean section rates and inter-hospital variation has been reported. The aim of this study was to determine if casemix and hospital factors explain variation in hospital rates of repeat caesarean sections and whether these rates are associated with maternal and neonatal morbidity. METHODS: This population-based record linkage study utilised data from New South Wales, Australia between 2007 and 2011...
2015: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26135778/increased-postpartum-maternal-complications-after-cesarean-section-compared-with-vaginal-delivery-in-225%C3%A2-304-taiwanese-women
#19
Hsin-Wen Hung, Pei-Yin Yang, Yuan-Horng Yan, Hei-Jen Jou, Mei-Chun Lu, Shiao-Chi Wu
OBJECTIVE: To compare the short-term maternal postpartum complications associated with cesarean section (CS), vaginal delivery (VD), repeated CS and vaginal birth after cesarean section (VBAC) in a large national sample. METHODS: This was a population-based study of the Taiwan National Health Insurance Research Database (NHIRD). Outcomes include post-discharge (2 weeks) urinary tract infection (p-UTI), complications of obstetrical surgical wounds (p-wound) and postpartum hemorrhage (p-hemorrhage)...
2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26053256/concordance-of-maternal-and-paternal-decision-making-and-its-effect-on-choice-for-vaginal-birth-after-caesarean-section
#20
Stephen Robson, Beth Campbell, Gabrielle Pell, Anne Wilson, Kate Tyson, Caroline de Costa, Michael Permezel, Cindy Woods
BACKGROUND: The proportion of women who plan for a repeat elective caesarean section (CS) is one of the major determinants of the overall rate of CS, and programs aiming to reduce the rate of CS have not been greatly successful. To date, there appear to have been no large studies directly addressing paternal influences on decision-making regarding vaginal birth after caesarean (VBAC). This study aimed to compare the reactions of fathers and mothers to the prospect of VBAC. METHODS: Couples were recruited from three Australian hospitals and were eligible with a singleton pregnancy, a normal morphology ultrasound, and where there was no condition in the new pregnancy that would preclude a vaginal birth...
June 2015: Australian & New Zealand Journal of Obstetrics & Gynaecology
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