| Vaginal birth after caesarean section in a population with a low overall caesarean section rate. | |
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MedLine Citation:
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PMID: 11384799 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Comparative Study; Journal Article |
Journal Detail:
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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:
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Created Date: 2001-05-31 Completed Date: 2001-09-06 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
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Languages: eng Pagination: 158-62 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Breech Presentation Cesarean Section / statistics & numerical data* Cohort Studies Dystocia / epidemiology Female Fetal Distress / epidemiology Humans Infant Mortality Infant, Newborn Netherlands Obstetric Labor Complications Postpartum Hemorrhage / epidemiology Pregnancy Pregnancy Outcome Prospective Studies Shoulder Treatment Outcome Trial of Labor Uterine Rupture / complications Vaginal Birth after Cesarean* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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