Vaginal birth after caesarean section: Current status and where to from here?

Ryan, Grace; Nicholson, Sarah M.

doi:10.1016/j.ejogrb.2018.02.011

Cited by 36 publications

(47 citation statements)

References 39 publications

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“…In recent years, vaginal birth after caesarean section (VBAC) has been supported to reduce increasing caesarean section (CS) rates (Ryan, Nicholson, & Morrison, ). The American College of Obstetricians and Gynecologists () has reported that VBAC is a safer alternative to repeated CS for many women and should be recommended.…”

Section: Introductionmentioning

confidence: 99%

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

Akgün

Boz

2019

Int J of Nursing Practice

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Aim:To discover, identify, and interpret the decision-making processes and experiences of women on vaginal birth after caesarean section.Methods: This Husserlian phenomenological qualitative study was conducted using semistructured individual interviews with 12 women who experienced vaginal birth after caesarean section between August and December 2017. Colaizzi's qualitative analysis method was used.Results: Four themes emerged: "finding a way to have vaginal birth after caesarean section," "healing by giving birth," "advantageous birth," and "being at the centre of the care," with 13 subthemes. Women defined vaginal birth after caesarean section as an important aspect of their femininity and a sense of motherhood. The women noted that traumatic experiences in caesarean section birth had been removed with vaginal birth and regarded this as an important spiritual experience and life event.The women reported that the important advantage of vaginal birth after caesarean section was not being in need of others in the post-partum period. However, women described negative experiences where health care professionals did not respect their birth preference or provide adequate information and support. Conclusions:Continuing professional development training is recommended in order to improve health care professionals' caring consciousness about the importance of shared decision making for women's birth type. KEYWORDScaesarean section, decision making, nurse, qualitative study, vaginal birth after caesarean SUMMARY STATEMENTWhat is already known about this topic?• Literature indicates that vaginal birth after caesarean section is an important phenomenon for the majority of women with a previous caesarean section experience.• Many health care professionals have negative attitudes towards vaginal birth after caesarean section, but women want to volunteer for this process.

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Section: Introductionmentioning

confidence: 99%

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

Akgün

Boz

2019

Int J of Nursing Practice

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“…A cesariana é um procedimento cirúrgico indicado em caso de complicações na gravidez ou durante o parto. Evidências científicas apontam que a cesariana está associada a riscos maternos e perinatais, havendo seis vezes mais chances de complicações graves para a mãe em comparação ao parto normal, especialmente quando realizadas sem indicação (COSTA-RAMÓN et al, 2018;RATTNER;MOURA, 2016;BETRÁN et al, 2016;RYAN;NICHOLSON;MORRISON, 2018;WHO, 2010).…”

Section: Introduçâounclassified

Proporção De Cesarianas Segundo Cor Da Pele E Escolaridade Materna Nas Diferentes Regiões Do Brasil: Tendência Temporal De 2007 a 2016

et al. 2019

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Este estudo ecológico de série temporal objetivou descrever a proporção de cesarianas segundo cor da pele e escolaridade maternas nas diferentes regiões do Brasil de 2007 a 2016. Os dados foram coletados no Sistema de Informação sobre Nascidos Vivos e a proporção de cesarianas segundo cor da pele e escolaridade materna foram observadas segundo as macrorregiões. Observou-se aumento na proporção de cesarianas até o ano de 2014 (57,07%), com discreta diminuição nos anos de 2015 (55,55%) e 2016 (55,44%). Em todas as regiões, quanto maior o nível de escolaridade, maior a proporção de cesarianas. Em relação à cor da pele, a branca correspondeu a maior proporção em todas as regiões, especialmente na Centro Oeste e Sul. A indígena correspondeu a menor proporção de cesarianas, apesar de haver aumento principalmente no Sul, apontando para uma determinação da região de residência da mãe superior às demais variáveis como cor da pele e escolaridade.

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“…The aim of this study was to examine a range of contractile parameters, all of which are related to strength and duration of contractions, in human myometrial tissue in vitro, and first, to investigate the possibility that a previous CD may affect contractility and second, to evaluate if the presence of a previous vaginal delivery, in addition to the CD, altered contractility. To this end, myometrial tissue samples were obtained at CD from the following three clinical groups: (1) women with no previous delivery; (2) women previously delivered by CD only; and (3) women with a previous history of both vaginal deliveries and CD.…”

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confidence: 99%

Spontaneous Human Myometrial Contractility in the Third Trimester of Pregnancy in Relation to Past Mode of Delivery

2019

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Objective It is well established that women with a previous vaginal delivery have higher success rates in relation to vaginal birth after cesarean than those without. The aim of this study was to examine the effect of past mode of delivery on contractile parameters of human myometrium in vitro. Study Design Myometrial strips were excised from 64 women at cesarean delivery (CD) and recordings of spontaneous contractile activity analyzed and compared across three clinical groups: (1) women with no previous delivery (Group 1); (2) women with CD only (Group 2); and (3) women with a history of vaginal delivery and CD (Group 3). Results Myometrial samples from women in Group 3, women who had a previous vaginal delivery, had a significantly greater maximum amplitude of contractions (p < 0.05), a greater force (mean contractile force) of contractions (p < 0.01), and a faster rate of rise (p < 0.01) and relaxation of contractions (p < 0.05) than those in Groups 1 and 2. Conclusion Many of the functional parameters of human uterine contractions are altered, or enhanced, in the women who have had a previous vaginal delivery, when compared with those without. This may partly explain the clinical differences observed in labor.

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Vaginal birth after caesarean section: Current status and where to from here?

Cited by 36 publications

References 39 publications

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

Proporção De Cesarianas Segundo Cor Da Pele E Escolaridade Materna Nas Diferentes Regiões Do Brasil: Tendência Temporal De 2007 a 2016

Spontaneous Human Myometrial Contractility in the Third Trimester of Pregnancy in Relation to Past Mode of Delivery

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