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https://www.readbyqxmd.com/read/28207498/an-analysis-of-variations-of-indications-and-maternal-fetal-prognosis-for-caesarean-section-in-a-tertiary-hospital-of-beijing-a-population-based-retrospective-cohort-study
#1
Yajun Liu, Xin Wang, Liying Zou, Yan Ruan, Weiyuan Zhang
In recent decades, we have observed a remarkable increase in the rate of caesarean section (CS) in both developed and developing countries, especially in China. According to the World Health Organization (WHO) systematic review, if the increase in CS rate was between 10% and 15%, the maternal and neonatal mortality was decreased. However, above this level, increasing the rate of CS is no longer associated with reduced mortality. To date, no consensus has been reached on the main factors driving the cesarean epidemic...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28167965/the-ten-group-robson-classification-a-single-centre-approach-identifying-strategies-to-optimise-caesarean-section-rates
#2
Keisuke Tanaka, Kassam Mahomed
Caesarean section (CS) rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates. 2625 women who birthed over a 12-month period were analysed using this classification. Women with previous CS (group 5) comprised 10.9% of the overall 23.5% CS rate. Women with one previous CS who did not attempt VBAC contributed 5.3% of the overall 23.5% CS rate...
2017: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28139951/cervical-length-measured-before-delivery-and-the-success-rate-of-vaginal-birth-after-cesarean-vbac
#3
Ron Beloosesky, Nizar Khatib, Nadir Ganem, Emad Matanis, Yuval Ginsberg, Mike Divon, Zeev Weiner
OBJECTIVE: To test the hypothesis that measuring CL close to the time of delivery is a predictor of successful vaginal birth following a cesarean. METHODS: A prospective longitudinal study included women with singleton pregnancies at 38-41 weeks, who previously underwent a cesarean, and who were interested in trial of labor. Patients who did not have a spontaneous onset of labor were induced at 41 weeks gestation. CL measurements were performed prior to labor by transvaginal ultrasound, recorded, and blinded from the caring physicians...
January 31, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28104545/trial-of-labour-and-vaginal-birth-after-previous-caesarean-section-a-population-based-study-of-eastern-african-immigrants-in-victoria-australia
#4
Fetene B Belihu, Rhonda Small, Mary-Ann Davey
OBJECTIVES: Variations in caesarean section (CS) between some immigrant groups and receiving country populations have been widely reported. Often, African immigrant women are at higher risk of CS than the receiving population in developed countries. However, evidence about subsequent mode of birth following CS for African women post-migration is lacking. The objective of this study was to examine differences in attempted and successful vaginal birth after previous caesarean (VBAC) for Eastern African immigrants (Eritrea, Ethiopia, Somalia and Sudan) compared with Australian-born women...
January 3, 2017: Midwifery
https://www.readbyqxmd.com/read/28029609/seeking-control-in-the-midst-of-uncertainty-women-s-experiences-of-choosing-mode-of-birth-after-caesarean
#5
Sarah Munro, Patricia Janssen, Kitty Corbett, Elizabeth Wilcox, Nick Bansback, Jude Kornelsen
PROBLEM: Clinical practice guidelines indicate that over 80% of women with a previous caesarean should be offered a planned vaginal birth after caesarean (VBAC), however only one third of eligible women choose to plan a VBAC. To support informed choices for birth after caesarean, it is necessary to understand the factors that influence women's decision-making. AIM: The goal of this study was to explore attitudes towards and experiences with decision-making for mode of delivery after caesarean from the perspectives of Canadian women...
October 28, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28029269/vaginal-birth-after-caesarean-delivery-in-chinese-women-and-western-immigrants-in-shanghai
#6
Anne-Frederique Minsart, Hau Liu, Shannon Moffett, Crystal Chen, Ninni Ji
Recent studies show a steep rise in caesarean sections in China. Most couples are now eligible to apply for a second child. This retrospective cohort study compares the prevalence of trial of labour and vaginal birth after caesarean section among Chinese and foreign women in Shanghai. In total, 135 of 368 women underwent trial of labour (36.68%), and of those, 77 (57.04%) had a vaginal birth. After inclusion in a multivariate model, factors associated with trial of labour were maternal age <35 years with an adjusted odds ratio of 2...
December 28, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28017971/labour-and-childbirth-after-previous-caesarean-section-recommendations-of-the-austrian-society-of-obstetrics-and-gynaecology-oeggg
#7
P Reif, C Brezinka, T Fischer, P Husslein, U Lang, A Ramoni, H Zeisler, P Klaritsch
The new expert recommendation from the Austrian Society of Obstetrics and Gynaecology (OEGGG) comprises an interpretation and summary of guidelines from the leading specialist organisations worldwide (RCOG, ACOG, SOGC, CNGOF, WHO, NIH, NICE, UpToDate). In essence it outlines alternatives to the direct pathway to elective repeat caesarean section (ERCS). In so doing it aligns with international trends, according to which a differentiated, individualised clinical approach is recommended that considers benefits and risks to both mother and child, provides detailed counselling and takes the patient's wishes into account...
December 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27956202/vaginal-birth-after-cesarean-neonatal-outcomes-and-united%C3%A2-states-birth%C3%A2-setting
#8
Ellen L Tilden, Melissa Cheyney, Jeanne-Marie Guise, Cathy Emeis, Jodi Lapidus, Frances M Biel, Jack Wiedrick, Jonathan M Snowden
BACKGROUND: Women who seek vaginal birth after cesarean delivery may find limited in-hospital options. Increasing numbers of women in the United States are delivering by vaginal birth after cesarean delivery out-of-hospital. Little is known about neonatal outcomes among those who deliver by vaginal birth after cesarean delivery in- vs out-of-hospital. OBJECTIVE: The purpose of this study was to compare neonatal outcomes between women who deliver via vaginal birth after cesarean delivery in-hospital vs out-of-hospital (home and freestanding birth center)...
December 9, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27936993/validation-of-the-prediction-model-for-success-of-vaginal-birth-after-cesarean-delivery-at-the-university-hospital-in-barcelona
#9
Anton Baranov, Eduard Gratacós, Olga Vikhareva, Francesc Figueras
OBJECTIVE: To validate the prediction model for successful vaginal birth after cesarean delivery (VBAC) based on variables easily obtainable at the first antenatal visit, in a Spanish population. METHODS: Retrospective observational study. Women with a single live fetus in cephalic presentation with one previous low-transverse CD who underwent trial of labor after cesarean delivery (TOLAC) at ≥37 gestational weeks between January 2011 and December 2015 were identified in the hospital's information system...
January 4, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27917532/do-women-have-a-choice-care-providers-and-decision-makers-perspectives-on-barriers-to-access-of-health-services-for-birth-after-a-previous-cesarean
#10
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...
December 5, 2016: Birth
https://www.readbyqxmd.com/read/27869984/cesarean-delivery-rates-and-obstetric-culture-an-italian-register-based-study
#11
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
#12
MULTICENTER STUDY
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, Marko J 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, 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 among 17 Dutch hospitals in 2010. Women with one prior cesarean section without a contraindication for a trial of labor were included...
February 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27846361/early-elective-delivery-and-vaginal-birth-after-cesarean-in-rural-us-maternity-hospitals
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
Robert M Silver
No abstract text is available yet for this article.
September 2016: BJOG: An International Journal of Obstetrics and Gynaecology
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