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https://www.readbyqxmd.com/read/27869984/cesarean-delivery-rates-and-obstetric-culture-an-italian-register-based-study
#1
Cristina Plevani, Maddalena Incerti, Davide Del Sorbo, Armando Pintucci, Patrizia Vergani, Luca Merlino, Anna Locatelli
INTRODUCTION: Cesarean delivery (CD) rates are rising due to multiple factors, including less use of operative vaginal delivery (OVD) and vaginal birth after cesarean delivery (VBAC), which often reflect local obstetric practices. Objectives of the study were to analyze the relations between CD, these practices and perinatal outcomes. MATERIAL AND METHODS: We included all deliveries in the 72 hospitals of Lombardia, a Region in Northern Italy, during the year 2013...
November 21, 2016: Acta Obstetricia et Gynecologica Scandinavica
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
#2
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/27846361/early-elective-delivery-and-vaginal-birth-after-cesarean-in-rural-us-maternity-hospitals
#3
Demetra Heinrich, Rachel I Vogel, Katy B Kozhimannil
INTRODUCTION: The purpose of this study was to describe policies on early elective delivery (EED) and vaginal birth after cesarean (VBAC) in rural US maternity hospitals and to measure whether hospital policies differ by staffing, facilities, or birth volume. METHODS: Data came from a telephone survey, conducted among all rural maternity hospitals in nine US states from November 2013 to March 2014, to report on EED and VBAC at the hospital level. The associations between EED and VBAC and hospital characteristics were analyzed using χ2 and Fisher's exact tests...
October 2016: Rural and Remote Health
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
#4
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
#5
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
#6
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
#7
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/27752158/-application-of-seven-prediction-models-of-vaginal-birth-after-cesarean-in-a-chinese-hospital
#8
T Mu, Y Wang, G L Liu, J L Wang
OBJECTIVE: To evaluate the seven existing vaginal birth after cesarean (VBAC) screening tools and to identify additional factors that may predict VBAC or failed trial of labor in China. METHODS: In the study, 53 patients with 1 previous cesarean delivery who then delivered between January 1, 2007 and Novenber 31, 2014 were recruited. The average age of the patients was (32.1±3.5) years,the average gestational age was (38.0±2.3) weeks. There was no significant difference of the successful group and the failed group in the maternal/neonatal mortality and morbidity, also in the incidence of the postpartum hemorrhage and the postpartum infection...
October 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27650923/evaluation-of-outcomes-associated-with-trial-of-labor-after-cesarean-delivery-after-a-change-in-clinical-practice-guidelines-in-an-academic-hospital
#9
Patricia Bellows, Utsavi Shah, Lauren Hawley, Kathleen Drexler, Manisha Gandhi, Haleh Sangi-Haghpeykar, Christina Davidson
OBJECTIVE: To evaluate maternal-neonatal morbidity for women undergoing trial of labor after cesarean (TOLAC) following clinical practice changes based upon ACOG's 2010 VBAC guideline. STUDY DESIGN: Four-year retrospective cohort analysis around implementation of a hospital guideline in women undergoing TOLAC with a live, cephalic, singleton without lethal anomaly ≥24 weeks and ≥1 prior cesarean. Maternal-neonatal outcomes pre- and post-guideline implementation were compared...
October 16, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27627590/vbac-should-be-encouraged-as-a-means-to-reduce-the-caesarean-section-rate-in-china-against-this-strategy-won-t-work
#10
Robert M Silver
No abstract text is available yet for this article.
September 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27627589/vbac-should-be-encouraged-as-a-means-to-reduce-the-caesarean-section-rate-in-china-for-vbac-reduces-not-only-the-caesarean-section-rate-but-also-other-associated-issues
#11
Run Mei Ma, Tao Duan, Terence Tzu Hsi Lao
No abstract text is available yet for this article.
September 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27589899/obstetrician-call-schedule-and-obstetric-outcomes-among-women-eligible-for-a-trial-of-labor-after-cesarean
#12
Lynn M Yee, Lilly Y Liu, William A Grobman
BACKGROUND: Reducing cesarean deliveries is a major public health goal. The low rate of vaginal birth after cesarean has been attributed largely to a decrease in the likelihood of choosing a trial of labor after cesarean, despite evidence suggesting a majority of women with 1 prior low transverse cesarean are trial of labor after cesarean candidates. Although a number of reasons for this decrease have been explored, it remains unclear how systems issues such as physician call schedules influence delivery approach and mode in this context...
August 30, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27561937/-clinical-study-on-vaginal-birth-after-cesarean
#13
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/27561935/-analysis-of-factors-affecting-vaginal-birth-after-cesarean
#14
S W Wu, Y Z Lu, S S Wang, X J Dong, J H Fang, D He, W Y Zhang
OBJECTIVE: To investigate the factors affecting the vaginal birth after cesarean (VBAC). METHODS: Totaly 298 women who underwent trial of labor after cesarean section (TOLAC) from Jan 2015 to Dec 2015 were recruited from Beijing Obstetrics and Gynecology Hospital, FuXing Hospital, Tongzhou Maternal and Child Health Hospital of Beijing, the Second Affiliated Hospital of Chongqing Medical University and the People's Hospital of Chengyang District of Qingdao. The maternal age, the interval from the last cesarean section, the body mass index (BMI) before pregnancy, the weight gain during pregnancy, the way into labor, the Bishop score before labor, the gestational age and the birth weight of the neonate were recorded in a self-made form...
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
#15
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/27375719/comparison-between-continuing-midwifery-care-and-standard-maternity-care-in-vaginal-birth-after-cesarean
#16
Tieying Zhang, Chunna Liu
OBJECTIVE: To determine whether continuing midwifery care has more benefits than standard maternity care in vaginal birth after cesarean (VBAC). METHODS: This study was conducted on women in labour who had history of previous cesarean section and received vaginal birth in obstetrical department of our hospital from May 2013 to November 2014. The included patients were divided randomly into observation group and control group. The women in labour allocated to the observation group received continuing midwifery care, and those to control group received standard maternity care in all the stages of labour...
May 2016: Pakistan Journal of Medical Sciences Quarterly
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
#17
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
#18
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
#19
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/27176156/apgar-score-of-0-and-seizure-serious-neurologic-dysfunction-in-home-births-of-patients-with-prior-cesarean-delivery-2
#20
Amos Grunebaum, Frank A Chervenak
INTRODUCTION: There has been an increase of vaginal births after cesarean (VBAC) among planned home births. The objective of this study was to evaluate the risks of Apgar score of zero and seizure or serious neurologic dysfunction for newborns of patients delivering at home with a VBAC. METHODS: Retrospective cohort analysis of the 2007-2013 CDC birth certificate data for infants at term (37 weeks and over) with a birthweights over 2,499 grams, and mothers with a prior cesarean delivery (pCD)...
May 2016: Obstetrics and Gynecology
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