دورية أكاديمية
أعرض في EDS

Continuity obstetric care demonstrates greater vaginal birth after caesarean success.

التفاصيل البيبلوغرافية
العنوان: Continuity obstetric care demonstrates greater vaginal birth after caesarean success.
المؤلفون: Facchetti G; Department of Obstetrics and Gynaecology, Coffs Harbour Hospital, Mid North Coast Local Health District, Coffs Harbour, New South Wales, Australia.; Department of Obstetrics and Gynaecology, Nepean Hospital, Nepean Blue Mountains Local Health District, Penrith, New South Wales, Australia., Teo Z; Department of Obstetrics and Gynaecology, Nepean Hospital, Nepean Blue Mountains Local Health District, Penrith, New South Wales, Australia., Sharma M; Department of Obstetrics and Gynaecology, Coffs Harbour Hospital, Mid North Coast Local Health District, Coffs Harbour, New South Wales, Australia.; School of Women's and Children's Health, University of New South Wales, Coffs Harbour, New South Wales, Australia., Budden A; Department of Obstetrics and Gynaecology, Coffs Harbour Hospital, Mid North Coast Local Health District, Coffs Harbour, New South Wales, Australia.; Gynaecology Research and Clinical Excellence (GRACE), Royal Hospital for Women, Sydney, New South Wales, Australia.
المصدر: The Australian & New Zealand journal of obstetrics & gynaecology [Aust N Z J Obstet Gynaecol] 2024 Jun; Vol. 64 (3), pp. 264-268. Date of Electronic Publication: 2024 Jan 05.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: Australia NLM ID: 0001027 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1479-828X (Electronic) Linking ISSN: 00048666 NLM ISO Abbreviation: Aust N Z J Obstet Gynaecol Subsets: MEDLINE
أسماء مطبوعة: Publication: Melbourne : Wiley-Blackwell
Original Publication: Melbourne : Royal Australian and New Zealand College of Obstetricians and Gynaecologists
مواضيع طبية MeSH: Vaginal Birth after Cesarean*/statistics & numerical data , Continuity of Patient Care* , Midwifery*, Humans ; Female ; Pregnancy ; Retrospective Studies ; Adult ; Australia ; Cesarean Section, Repeat/statistics & numerical data
مستخلص: Background: Australia's caesarean rate is higher than Organisation for Economic Co-operation and Development (OECD) average, and is rising. Vaginal birth after caesarean (VBAC) is safe for selected women. Midwifery continuity of care (CoC) is associated with higher rates of vaginal birth compared to other models; however, impacts on VBAC attempts and success are unknown.
Aims: The primary aim was to determine if there is a difference in achieving VBAC between CoC and non-CoC (NCoC) models. The secondary aim was to determine if there is a difference in the proportion of women attempting VBAC between these models.
Materials and Methods: Retrospective review of antenatal records and birthing data of all women who birthed in 2021 with one or more previous caesareans. Women were included if they had two or fewer caesareans. Women were excluded if contraindications to VBAC existed.
Results: There were 142/1109 (12.8%) women who had previous caesareans and were eligible to attempt VBAC. There were 47/109 (43.1%) women who attempted vaginal birth after one caesarean with 78.7% success. After one caesarean, women in CoC were more likely to achieve VBAC than NCoC (45.2% vs 26.1%; relative risk (RR) 1.76, 95% CI 1.04-3.00), although when stratified by private and midwifery CoC models, women in midwifery CoC models were more likely to be successful (private RR 0.69, 95% CI 0.23-2.07 vs midwifery RR 2.48, 95% CI 1.50-4.11). Women in CoC were more likely to attempt VBAC (54.7% vs 34.8%; RR 1.57, 95% CI 1.02-2.41), and receive counselling about VBAC (92.5% vs 62%; RR 1.48, 95% CI 1.41-3.11).
Conclusion: CoC improves the rate of attempted and successful VBAC through several factors, including increased counselling and greater provision of birth choices.
(© 2024 Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)
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فهرسة مساهمة: Keywords: caesarean section; complications; continuity of patient care; uterine rupture; vaginal birth after caesarean
تواريخ الأحداث: Date Created: 20240105 Date Completed: 20240715 Latest Revision: 20240715
رمز التحديث: 20240715
DOI: 10.1111/ajo.13790
PMID: 38180231
قاعدة البيانات: MEDLINE
الوصف
تدمد:1479-828X
DOI:10.1111/ajo.13790