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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Revisiting the Care Pathway for Trial of Labour After Cesarean: The Decision-to-Delivery Interval Is Key
R Douglas Wilson1, Jessica Dy2, Jon Barrett3
1Cumming School of Medicine, Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB.
Abstract:
Centres providing maternity care and offering a trial of labour after cesarean must develop and use maternal educational and consent processes that emphasize choice and autonomy related to options for and decisions surrounding vaginal birth after cesarean and elective repeat cesarean delivery. These centres should have administrative systems and processes that take into account local resources for cesarean delivery services, including team-based complex maternity risk support and an urgency consensus on the fetal, maternal, and maternal-fetal indications for a surgical delivery to ensure an appropriate decision-to-delivery interval.
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