Document Detail

Vaginal birth after caesarean section in a population with a low overall caesarean section rate.
MedLine Citation:
PMID:  11384799     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the clinical outcome of vaginal birth after caesarean section (VBAC) in a Dutch population with a low overall caesarean section (CS) rate of 6.5%. STUDY DESIGN: Prospective population based cohort study of 252 patients with a previous caesarean section (CS). Outcome parameters were trial of labour (TOL), success rate and VBAC rate. RESULTS: The TOL rate in the study cohort was 73%, success rate 77%, VBAC rate 56%. The reason for the previous CS influenced success rate. Complications, morbidity and mortality were not different between elective, emergency CS and TOL group, except for a higher incidence of haemorrhage more than 500 ml in the elective CS compared to the TOL group (29% versus 17%, relative risk (RR) 1.74 (1.15--2.34)). CONCLUSIONS: In this Dutch study the success rate is comparable to rate in US study reports. Increase of the VBAC rate can mainly be achieved by increasing the number of women attempting TOL.
J M Bais; D M van der Borden; M Pel; G J Bonsel; M Eskes; H J van der Slikke; O P Bleker
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  96     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-05-31     Completed Date:  2001-09-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  158-62     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands.
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MeSH Terms
Breech Presentation
Cesarean Section / statistics & numerical data*
Cohort Studies
Dystocia / epidemiology
Fetal Distress / epidemiology
Infant Mortality
Infant, Newborn
Obstetric Labor Complications
Postpartum Hemorrhage / epidemiology
Pregnancy Outcome
Prospective Studies
Treatment Outcome
Trial of Labor
Uterine Rupture / complications
Vaginal Birth after Cesarean*

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