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No. 155-Guidelines for Vaginal Birth After Previous Caesarean Birth
Marie-Jocelyne Martel1, Catherine Jane MacKinnon2
1Saskatoon, SK.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|March 12, 2018
Summary
This study provides evidence-based guidelines for attempting vaginal birth after Caesarean (VBAC) section, evaluating risks for both mother and baby. The guidelines were approved by the Society of Obstetricians and Gynaecologists of Canada.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Vaginal birth after Caesarean (VBAC) is a debated topic in obstetrics.
- Understanding the risks and benefits of VBAC versus repeat Caesarean section is crucial for clinical decision-making.
Purpose of the Study:
- To establish evidence-based guidelines for offering a trial of labour (TOL) to women with a history of Caesarean section.
- To inform clinical practice regarding the safety and efficacy of VBAC.
Main Methods:
- A comprehensive literature search of the MEDLINE database was conducted for articles published between January 1, 1995, and February 28, 2004.
- Keywords used included "vaginal birth after Caesarean (Cesarean) section."
- Evidence quality was assessed using the Canadian Task Force on the Periodic Health Exam criteria.
Main Results:
- The study evaluated fetal and maternal morbidity and mortality associated with both VBAC and repeat Caesarean section.
- Key outcomes related to the safety of attempting vaginal birth after a prior Caesarean delivery were analyzed.
Conclusions:
- The developed guidelines offer a framework for the provision of a trial of labour after Caesarean section.
- These guidelines were formally approved by the Clinical Practice Obstetrics and Executive Committees of the Society of Obstetricians and Gynaecologists of Canada.
Keywords:
Vaginal birth after Caesareaninduced labourmisoprostoloxytocinprostaglandinstrial of labouruterine ruptureMore Related Videos
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