Care for Women Desiring Vaginal Birth After Cesarean

doi:10.1111/j.1542-2011.2011.00112.x

Cited by 9 publications

(1 citation statement)

References 59 publications

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“…45 In addition, implementation of evidence-based labor care practices in hospital settings will further support women who undergo a trial of labor after cesarean (TOLAC) to have a successful VBAC. 46…”

Section: Newborn Indicationsmentioning

confidence: 99%

Midwifery Provision of Home Birth Services

2015

J Midwife Womens Health

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The number of women in the United States choosing to give birth at home has risen substantially in the past decade, creating an increased need for understanding of the evidence regarding the provision of midwifery care to women and families considering this option. The safety of home birth has been evaluated in observational studies in several industrialized nations, including the United States. Most studies find that women who are essentially healthy at term with a singleton fetus and give birth at home have positive outcomes and a lower rate of interventions during labor. Although some studies have found increased neonatal morbidity and mortality in newborns born at home when compared to newborns born in a hospital, the absolute numbers reported in both birth sites are very low. The purpose of this clinical bulletin is to review the evidence on provision of care to women and families who plan to give birth at home, including roles and responsibilities, shared decision making, informed consent, and ongoing assessment for birth site selection.

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Section: Newborn Indicationsmentioning

confidence: 99%

Midwifery Provision of Home Birth Services

2015

J Midwife Womens Health

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Consumer Information on Fetal Heart Rate Monitoring During Labor

Torres

Vries

Low

2014

Journal of Perinatal &Amp; Neonatal Nursing

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Electronic fetal monitoring (EFM) is used for the majority of births that occur in the United States. While there are indications for use of EFM for women with high-risk pregnancies, its use in low-risk pregnancies is less evidence-based. In low-risk women, the use of EFM is associated with an increased risk for cesarean birth compared with the use of intermittent auscultation of the fetal heart rate. The purpose of this investigation was to evaluate the existence of evidence-based information on fetal heart rate monitoring in popular consumer-focused maternity books and Web sites. Content analysis of information in consumer-oriented Web sites and books was completed using the NVivo software (QRSinternational, Melbourne, Australia). Themes identified included lack of clear terminology when discussing fetal monitoring, use of broad categories such as low risk and high risk, limited presentation of information about intermittent auscultation, and presentation of EFM as the standard of care, particularly upon admission into the labor unit. More than one-third of the sources did not mention auscultation, and conflicting information about monitoring methods was presented. The availability of accurate, publically accessible information offers consumers the opportunity to translate knowledge into the power to seek evidence-based care practices during their maternity care experience.

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