Preferred and actual delivery mode after a cesarean in London, UK

Selo-Ojeme, Dan; Abulhassan, Nashwa; Mandal, Ramna; Tirlapur, S.; Selo-Ojeme, U

doi:10.1016/j.ijgo.2008.03.008

Cited by 14 publications

(17 citation statements)

References 12 publications

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“…Studies that evaluate these factors in concert, using regression analyses for example, provide a higher level of evidence on the independent influence of individual factors. Five prospective cohort studies, 10 -12,31,32 22 retrospective cohort studies, 13,16,19,22,[33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] and one case-control study 23 addressed predictive factors for VBAC using regression techniques. The key factors considered by these studies can be categorized into demographic, nonclinical, past obstetric, preexisting, neonatal, and intrapartum factors.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, nonwhite women were more likely to have trial of labor but less likely to have VBAC. 41 A retrospective multicenter study that explored possible confounders 47 noted that African-American women were younger and more likely to have premature neonates, gestational diabetes, hypertension, and to smoke than were other women in the study. AfricanAmerican women were less likely to deliver in a university hospital but had more personal delivery experience (previous vaginal or cesarean delivery) than did women of other races.…”

Section: Resultsmentioning

confidence: 99%

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New Insights on Vaginal Birth After Cesarean

Eden

McDonagh

Denman

et al. 2010

Obstetrics &Amp; Gynecology

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Current scored models provide reasonable predictability for VBAC, but none provides consistent ability to identify women at risk for failed trial of labor. A scoring model is needed that incorporates known antepartum factors and can be adjusted for current obstetric factors and labor patterns if induction or augmentation is needed. This would allow women and clinicians to better determine individuals most likely to require repeat cesarean delivery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

New Insights on Vaginal Birth After Cesarean

Eden

McDonagh

Denman

et al. 2010

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

“…In other studies, it is suggested that many women with a previous CS prefer a vaginal birth for the next birth. For example, an analysis of the records of more than 200 women at a London hospital demonstrated that, VBAC was the method of delivery preferred by most women although only 37.8% of those who chose it were delivered by it (Selo-Ojeme et al 2008). In Australia, a qualitative study showed that women held strong views about the importance of working with their bodies to achieve a vaginal birth after a prior caesarean section (Fenwick et al 2007).…”

Section: Discussionmentioning

confidence: 99%

Birth after caesarean section: changes over a nine-year period in one Australian state

2011

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Homer CSE, Johnson R, Foureur M. (2011). Next birth after caesarean section: Changes over a nine-year period in one Australian state. Midwifery 27 (2) 165-169. BIRTH AFTER CAESAREAN SECTION: CHANGES OVER A NINE-YEAR PERIOD IN ONE AUSTRALIAN STATE ABSTRACTObjectives: The aim of the study was to describe the outcomes related to birth after a caesarean section (CS) in one Australian state, New South Wales (NSW), over a nine year period. The objectives were to determine whether changes had occurred in the rates of attempted and successful vaginal birth after caesarean section (VBAC), induction of labour, place of birth, admission to special care or neonatal intensive care nursery and perinatal mortality. Design and setting: Cross-sectional analytic study of hospital births in New South Wales using population-based data from 1998-2006. Participants: Women experiencing the next birth after a CS where: the total number of previous CS was 1; the presentation at birth was vertex; it was a singleton pregnancy; and, the estimated gestational age was greater than or equal to 37 weeks. A total of 53,455 women met these criteria. Measurements: Data were obtained from NSW Health Department's Midwives Data Collection (MDC). The MDC includes all live births and stillbirths of at least 20 weeks gestation or 400 g birth weight in the state. Findings: Over the nine year period, the rate of vaginal birth after caesarean section (VBAC) declined significantly (31% to 19%). The proportion of women who 'attempted a vaginal birth' also declined (49% to 35%). Of those women who laboured, the vaginal birth rate declined from (64% to 53%). Babies whose mothers 'attempted' a VBAC were significantly less likely to require admission to a special care nursery (SCN) or neonatal intensive care. The perinatal mortality rate in babies whose mothers 'attempted' a VBAC was higher than those babies born after an elective caesarean section although the absolute numbers are very small. Key conclusions: Rates of VBAC have declined over this nine year period. Rates of neonatal mortality and proxy measures of morbidity (admission to a nursery) are generally in the low range for similar settings. Implications for practice: Decisions around the next birth after CS are complex. Efforts to keep the first birth normal and support women who have had a CS to have a normal birth need to be made. More research to predict which women are likely to achieve a successful VBAC and the most effective ways to facilitate a VBAC is essential. Midwives have a critical role to play in these endeavours.

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“…18 Many factors, including site of delivery (rural vs urban), type of hospital (teaching vs community), history of prior vaginal delivery (including prior VBAC), and race/ethnicity (black and other minorities vs white), had been identified to modify TOLAC rates. 18,21–25 The incidence of VBAC among people who had TOLAC is approximately 74% in the United States. 18 …”

Section: Practice Of Vbacmentioning

confidence: 99%