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Vaginal birth after cesarean: issues and implications.

L K Resick, J A Erlen

    Journal of the American Academy of Nurse Practitioners
    |July 1, 1990
    PubMed
    Summary
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    Vaginal birth after cesarean (VBAC) remains uncommon in the US. This review explores factors influencing VBAC rates, including practice patterns, costs, and risks, with implications for nursing.

    Area of Science:

    • Reproductive Health
    • Obstetrics and Gynecology
    • Nursing Science

    Background:

    • Vaginal birth after cesarean (VBAC) is underutilized in the United States.
    • Despite decreasing contraindications, VBAC rates have not significantly increased.
    • Current practice patterns and associated factors warrant examination.

    Purpose of the Study:

    • To examine issues influencing cesarean section practice patterns.
    • To analyze the relationship between malpractice concerns and VBAC rates.
    • To discuss the implications of VBAC trends for nursing education, practice, and research.

    Main Methods:

    • Review of literature on cesarean section practice patterns.
    • Analysis of factors including malpractice, healthcare costs, and childbearing trends.

    Related Experiment Videos

  • Examination of risks and benefits of VBAC for mother and infant.

    • Main Results:

    • Cesarean section rates and VBAC practice are influenced by multiple complex factors.
    • Malpractice concerns and rising healthcare costs may deter VBAC.
    • Shifting childbearing patterns also impact delivery choices.

    Conclusions:

    • Addressing barriers to VBAC requires a multifaceted approach.
    • Nurses play a crucial role in patient education, advocacy, and research related to VBAC.
    • Further research and updated nursing education are needed to support informed decisions regarding VBAC.