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Vaginal Birth after Cesarean

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1. Vaginal Birth After Cesarean Delivery

Vaginal Birth After Cesarean Delivery Sign In (ACOG) Sign in to your ACOG account Email is required. Please enter valid Email. was not found in our system. Would you like to associated with your account? Forgot your email address? JSOG Member? © 2019 - American College of Obstetricians and Gynecologists

2019 American College of Obstetricians and Gynecologists

2. Vaginal Birth After Cesarean Delivery

Vaginal Birth After Cesarean Delivery Sign In (ACOG) Sign in to your ACOG account Email is required. Please enter valid Email. was not found in our system. Would you like to associated with your account? Forgot your email address? JSOG Member? © 2019 - American College of Obstetricians and Gynecologists

2017 American College of Obstetricians and Gynecologists

3. Guidelines for Vaginal Birth After Previous Caesarean Birth

, 2004, using the key words “vaginal birth after Caesarean (Cesarean) section.” The quality of evidence is described using the Evaluation of Evidence criteria outlined in the Report of the Canadian Task Force on the Periodic Health Exam. Recommendations 1. Provided there are no contraindications, a woman with 1 previous transverse low-segment Caesarean section should be offered a trial of labour (TOL) with appropriate discussion of maternal and perinatal risks and benefits. The process of informed (...) Guidelines for Vaginal Birth After Previous Caesarean Birth No. 155-Guidelines for Vaginal Birth After Previous Caesarean Birth - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 40, Issue 3, Pages e195–e207 No. 155-Guidelines for Vaginal Birth After Previous Caesarean Birth x Marie-Jocelyne Martel , MD, FRCSC Saskatoon, SK x Catherine Jane MacKinnon , MD, FRCSC Brantford, ON No. 155 (Replaces guideline No 147), February

2018 Society of Obstetricians and Gynaecologists of Canada

4. Blood transfusion following intended vaginal birth after cesarean versus elective repeat cesarean section in women with a prior primary cesarean: A population-based record linkage study. (PubMed)

Blood transfusion following intended vaginal birth after cesarean versus elective repeat cesarean section in women with a prior primary cesarean: A population-based record linkage study. There is a lack of evidence around the risk of transfusion following vaginal birth after cesarean (VBAC) compared with elective repeat cesarean section (ERCS); this is important for decision-making about birth options. The aim of this study was to determine transfusion rates and risk of transfusion following (...) and vaginal birth, (2) intended VBAC and cesarean, (3) intended ERCS and (4) "intention uncertain".A total of 90 439 women were eligible for VBAC. Rates of transfusion were: 1.4% for intended VBAC and vaginal birth (n = 17 849); 1.2% for intended VBAC and cesarean (n = 7648); 0.3% for intended ERCS (n = 60 471); and 1.1% for "intention uncertain" (n = 4471). After adjusting for maternal and pregnancy characteristics, risk of transfusion was almost four times higher for women classified as intended VBAC

2018 Acta Obstetricia et Gynecologica Scandinavica

5. Are Prediction Models for Vaginal Birth After Cesarean Accurate? (PubMed)

Are Prediction Models for Vaginal Birth After Cesarean Accurate? The use of trial of labor after cesarean delivery calculators in the prediction of successful vaginal birth after cesarean delivery gives physicians an evidence-based tool to assist with patient counseling and risk stratification. Before deployment of prediction models for routine care at an institutional level, it is recommended to test their performance initially in the institution's target population. This allows (...) the institution to understand not only the overall accuracy of the model for the intended population but also to comprehend where the accuracy of the model is most limited when predicting across the range of predictions (calibration).The purpose of this study was to compare 3 models that predict successful vaginal birth after cesarean delivery with the use of a single tertiary referral cohort before continuous model deployment in the electronic medical record.All cesarean births for failed trial of labor

2019 American Journal of Obstetrics and Gynecology

6. ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. (PubMed)

ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC (...) , assessing the likelihood of VBAC as well as the individual risks is important when determining who is an appropriate candidate for TOLAC. Thus, the purpose of this document is to review the risks and benefits of TOLAC in various clinical situations and to provide practical guidelines for counseling and management of patients who will attempt to give birth vaginally after a previous cesarean delivery.

2019 Obstetrics and Gynecology

7. ACOG Practice Bulletin No. 205 Summary: Vaginal Birth After Cesarean Delivery. (PubMed)

ACOG Practice Bulletin No. 205 Summary: Vaginal Birth After Cesarean Delivery. Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC (...) , assessing the likelihood of VBAC as well as the individual risks is important when determining who is an appropriate candidate for TOLAC. Thus, the purpose of this document is to review the risks and benefits of TOLAC in various clinical situations and to provide practical guidelines for counseling and management of patients who will attempt to give birth vaginally after a previous cesarean delivery.

2019 Obstetrics and Gynecology

8. Vaginal Birth After Previous Cesarean Birth: A Comparison of 3 National Guidelines. (PubMed)

Vaginal Birth After Previous Cesarean Birth: A Comparison of 3 National Guidelines. Vaginal birth after previous cesarean birth (VBAC) is a reasonable option for many women with previous cesarean delivery.The aim of this study was to summarize evidence and compare recommendations from national guidelines regarding VBAC.A descriptive review of 3 national guidelines on VBAC was conducted: Royal College of Obstetricians and Gynaecologists on "Birth After Previous Caesarean Birth," American College (...) of Obstetricians and Gynecologists on "Vaginal Birth After Cesarean Delivery," and Society of Obstetricians and Gynaecologists of Canada on "Guidelines for Vaginal Birth After Previous Caesarean Birth." These guidelines were summarized and compared in terms of the recommended antenatal and intrapartum care of women. Recommendations and strength of evidence were also reviewed based on method of reporting.The variations mentioned on the different guidelines reflect the heterogeneity of the published data

2018 Obstetrical & Gynecological Survey

9. Vaginal Birth After Cesarean

Vaginal Birth After Cesarean Vaginal Birth After Cesarean -- Clinical Recommendation Welcome Search Search Specify your search AAFP.org Patient Care Clinical Practice Guideline Vaginal Birth After Cesarean Vaginal Birth After Cesarean (Developed by the AAFP, May 2014) The guideline, Labor After Cesarean/Planned Vaginal Birth After Cesarean , was developed by the American Academy of Family Physicians. It was approved by the Board of Directors in 2014 and an executive summary was published (...) in the Annals of Family Medicine on January 12, 2015. Key Recommendations Counseling, encouragement and facilitation for a planned vaginal birth after cesarean (PVBAC) should be provided so that women can make informed decisions. If PVBAC is not locally available, then women desiring it should be offered referral to a facility or clinician who can offer the service. Indications for and circumstances surrounding the prior cesarean birth(s) should be discussed. Induction of labor after cesarean is appropriate

2014 American Academy of Family Physicians

10. Postpartum quality of life in Indian women after vaginal birth and cesarean section: a pilot study using the EQ-5D-5L descriptive system. (PubMed)

Postpartum quality of life in Indian women after vaginal birth and cesarean section: a pilot study using the EQ-5D-5L descriptive system. There has been little evaluation of the postpartum quality of life (QOL) of women in India and its association with the mode of birth. This study piloted the use of the generic EQ-5D-5L questionnaire to assess postpartum QOL experienced by rural Indian women.A convenience sample of rural women who gave birth in a health facility in Gujarat or Madhya Pradesh (...) was recruited into this pilot study. QOL was measured during three interviews within 30 days of birth using the EQ-5D-5L questionnaire. Patient-level quality-adjusted life days (QALDs) were estimated. Multivariate regression was used to adjust for selected baseline characteristics.Forty-six women with cesarean section and 178 with vaginal birth from 17 public and private health facilities were studied. Postpartum QOL in both groups improved between interviews 1 and 3. Comparing between vaginal and cesarean

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2018 BMC Pregnancy and Childbirth

11. Severe perineal trauma among women undergoing vaginal birth after cesarean delivery: A population-based cohort study. (PubMed)

Severe perineal trauma among women undergoing vaginal birth after cesarean delivery: A population-based cohort study. To examine risk of severe perineal trauma among nulliparous women and those undergoing vaginal birth after cesarean delivery (VBAC).This is a population-based cohort study of all births to women with their two first consecutive singleton pregnancies in Stockholm-Gotland Sweden between 2008 and 2014. Risk of severe perineal trauma was compared between nulliparous women and those (...) undergoing VBAC with severe perineal trauma being the main outcome measure. Associations between indication and timing of primary cesarean delivery and risk of severe perineal trauma in subsequent vaginal birth were analyzed using Poisson regression analysis.The rate of severe perineal trauma among nulliparous women and those undergoing VBAC was 7.0% and 12.3%, respectively. Compared with nulliparous women, those undergoing VBAC were significantly older, had a shorter stature, and gave birth in a non

2018 Birth

12. Labor Onset, Oxytocin Use, and Epidural Anesthesia for Vaginal Birth after Cesarean Section and Associated Effects on Maternal and Neonatal Outcomes in a Tertiary Hospital in China: A Retrospective Study (PubMed)

Labor Onset, Oxytocin Use, and Epidural Anesthesia for Vaginal Birth after Cesarean Section and Associated Effects on Maternal and Neonatal Outcomes in a Tertiary Hospital in China: A Retrospective Study In the mainland of China, the trial of labor after cesarean section is still a relatively new technique. In this study, we aimed to investigate the effects of labor onset, oxytocin use, and epidural anesthesia on maternal and neonatal outcomes for vaginal birth after cesarean section (VBAC (...) ) in a tertiary hospital in China.This was a retrospective study carried out on 212 VBAC cases between January 2015 and June 2017 in Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Relevant data were acquired on a form, including maternal age, gravidity and parity, body mass index before pregnancy, weight gain during pregnancy, type of labor onset, gestational age, the use of oxytocin and epidural anesthesia, birth mode, the duration of labor, and neonatal weight. The factors affecting

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2018 Chinese medical journal

13. Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC)

Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC) Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached (...) the maximum number of saved studies (100). Please remove one or more studies before adding more. Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our

2018 Clinical Trials

14. Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women (PubMed)

Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC).We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial (...) of labor after cesarean delivery (TOLAC). All patients signed informed consent forms.We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8-3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5-3.0); age younger than 40 years (OR 2.1, 95% CI 1.3-3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3-2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1-2.0

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2018 Reproductive health

15. Women's preference for vaginal birth after a first delivery by cesarean. (PubMed)

Women's preference for vaginal birth after a first delivery by cesarean. Nearly 90% of United States pregnant women with a prior cesarean give birth by repeat cesarean. Public health goals encourage greater use of vaginal birth after cesarean (VBAC), but there is little prospective data on predictors of women's preference for VBAC. We characterized predictors of women's preferred mode of delivery after a first cesarean and thematically categorized reasons for their preference.Data were from (...) wanted to have their next delivery vaginally. Independent predictors of VBAC preference were Black race/ethnicity, nonrecurrent indication for the first cesarean, planning three or more additional children, and difficulty recovering from the first cesarean. The most common reason for preferring a vaginal birth was wanting the experience of vaginal birth; the most common reason for preferring cesarean birth was that the first birth was by cesarean.Nearly half of respondents preferred VBAC in future

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2018 Birth

16. Prediction of vaginal birth after cesarean delivery in Chinese parturients (PubMed)

Prediction of vaginal birth after cesarean delivery in Chinese parturients There is an urgent need in China to better predict vaginal birth after cesarean (VBAC) to face the challenge of the second child policy. We aimed to validate a widely used VBAC prediction model (Grobman's model) and a modified version of this model in a Chinese population. In this retrospective cohort study, 444 women with one cesarean delivery and at least one subsequent attempt for a trial of labor in Nanjing, China

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2018 Scientific reports

17. Adjunct clinical interventions that influence vaginal birth after cesarean rates: systematic review. (PubMed)

Adjunct clinical interventions that influence vaginal birth after cesarean rates: systematic review. Rates of cesarean deliveries have been increasing, and contributes to the rising number of elective cesarean deliveries in subsequent pregnancies with associated maternal and neonatal risks. Multiple guidelines recommend that women be offered a trial of labor after a cesarean (TOLAC). The objective of the study is to systematically review the literature on adjunct clinical interventions (...) that influence vaginal birth after cesarean (VBAC) rates.We searched Ovid Medline, Ovid Embase, Wiley Cochrane Library, CINAHL via EBSCOhost; and Ovid PsycINFO. Additional studies were identified by searching for clinical trial records, conference proceedings and dissertations. Limits were applied for language (English and French) and year of publication (1985 to present). Two reviewers independently screened comparative studies (randomized or non-randomized controlled trials, and observational designs

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2018 BMC Pregnancy and Childbirth

18. A prediction model of vaginal birth after cesarean in the preterm period (PubMed)

A prediction model of vaginal birth after cesarean in the preterm period A validated model exists that predicts the probability of vaginal birth after cesarean delivery in patients at term who are undergoing a trial of labor after cesarean delivery. However, a model that predicts the success of a vaginal birth after cesarean delivery in the preterm period has not been developed.We sought to develop and validate a predictive model for vaginal birth after cesarean delivery for women undergoing (...) a trial of labor after cesarean delivery during the preterm period.We performed a secondary analysis of a prospective cohort study designed to evaluate perinatal outcomes in women with a prior cesarean scar. We included women with 1 prior low transverse cesarean delivery undergoing a trial of labor after cesarean delivery with a vertex singleton pregnancy in the preterm period (26-36 weeks). Using multivariable logistic regression modeling, we constructed a predictive model for vaginal birth after

2016 EvidenceUpdates

19. Practice Bulletin No. 184 Summary: Vaginal Birth After Cesarean Delivery. (PubMed)

Practice Bulletin No. 184 Summary: Vaginal Birth After Cesarean Delivery. Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC (...) , assessing the likelihood of VBAC as well as the individual risks is important when determining who is an appropriate candidate for TOLAC. Thus, the purpose of this document is to review the risks and benefits of TOLAC in various clinical situations and to provide practical guidelines for counseling and management of patients who will attempt to give birth vaginally after a previous cesarean delivery.

2017 Obstetrics and Gynecology

20. Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery. (PubMed)

Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery. Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC is associated (...) the likelihood of VBAC as well as the individual risks is important when determining who is an appropriate candidate for TOLAC. Thus, the purpose of this document is to review the risks and benefits of TOLAC in various clinical situations and to provide practical guidelines for counseling and management of patients who will attempt to give birth vaginally after a previous cesarean delivery.

2017 Obstetrics and Gynecology

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