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Vaginal births after caesarean: what does Google think about it?
Nadia Bantan1, Haim Arie Abenhaim2
1Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Canada.
Women and Birth : Journal of the Australian College of Midwives
|December 3, 2014
Summary
Online information on vaginal birth after cesarean (VBAC) often uses complex language, making it difficult for expectant mothers to understand. Improving VBAC website readability is crucial for informed decision-making.
Area of Science:
- Obstetrics and Gynecology
- Digital Health Communication
- Patient Education
Background:
- Vaginal birth after cesarean (VBAC) is a viable alternative to repeat cesarean delivery.
- Informed maternal choice is paramount in deciding between elective cesarean or VBAC.
- The quality of online health information significantly impacts patient understanding and decisions.
Purpose of the Study:
- To evaluate the quality of online information regarding VBAC.
- To assess website accountability, presentation, and readability for the general population.
- To compare website content with established clinical guidelines.
Main Methods:
- Searched Google for "VBAC" and "Vaginal birth after caesarean" to identify top 10 websites.
- Assessed website quality using Silberg scale (accountability) and modified Abbott's criteria (presentation).
- Measured readability using the SMOG index and compared content to SOGC guidelines.
Main Results:
- 13 of 20 websites met accountability criteria; 85% listed authorship.
- Readability scores averaged 14.75 (SMOG index), indicating a high academic reading level.
- Only 50% of websites included recommendations aligned with SOGC guidelines.
Conclusions:
- Most VBAC websites are written at a level exceeding general population comprehension.
- Development of woman-friendly assessment tools is needed to support informed decision-making.
- Enhancing online VBAC information accessibility is vital for patient empowerment.
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