Vaginal birth after caesarean section in a population with a low overall caesarean section rate

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 parameter...

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Bibliographic Details
Published in:	European journal of obstetrics & gynecology and reproductive biology Vol. 96; no. 2; pp. 158 - 162
Main Authors:	Bais, Joke M.J., van der Borden, Diana M.R., Pel, Maria, Bonsel, Gouke J., Eskes, Martine, van der Slikke, Hans J.W., Bleker, Otto P.
Format:	Journal Article
Language:	English
Published:	Shannon Elsevier Ireland Ltd 01-06-2001 Elsevier
Subjects:	Biological and medical sciences Breech Presentation Caesarean section Cesarean Section - statistics & numerical data Cohort Studies Delivery. Postpartum. Lactation Dystocia - epidemiology Female Fetal Distress - epidemiology Gynecology. Andrology. Obstetrics Humans Infant Mortality Infant, Newborn Medical sciences Netherlands Obstetric Labor Complications Obstetrical techniques Postpartum Hemorrhage - epidemiology Pregnancy Pregnancy Outcome Prospective Studies Shoulder Treatment Outcome Trial of Labor Trial of labour (TOL) Uterine Rupture - complications Vaginal birth after caesarean section (VBAC) Vaginal Birth after Cesarean Netherlands Vaginal birth after caesarean section (VBAC) Trial of labour (TOL) Caesarean section Human Vaginal route Surgery Mortality Adult Complication Female Delivery Induced delivery Antecedent Cesarean section Morbidity
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0301-2115 1872-7654
DOI:	10.1016/S0301-2115(00)00416-4