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Preferred and actual delivery mode after a cesarean in London, UK

Authors :
Selo-Ojeme, Dan
Abulhassan, Nashwa
Mandal, Ramna
Tirlapur, Seema
Selo-Ojeme, Uati
Source :
International Journal of Gynecology & Obstetrics; Aug2008, Vol. 102 Issue 2, p156-159, 4p
Publication Year :
2008

Abstract

<bold>Objective: </bold>To determine the delivery mode preferred by pregnant women with 1 previous cesarean delivery and to investigate the relationship between preferred and actual mode of delivery.<bold>Method: </bold>We reviewed the records of 215 women who were delivered in a London hospital with a history of 1 cesarean delivery. Women who planned an elective repeat cesarean section (ERCS) were compared with those who planned a vaginal birth after cesarean (VBAC).<bold>Results: </bold>Although 55.3% chose VBAC overall, only 37.8% of those who chose it were delivered by it, whereas 94.8% of those who chose ERCS were delivered by ERCS. Nonwhite women were more likely to choose VBAC than white women (odds ratio, 3.5; 95% confidence interval, 1.9-6.1) but less likely to be deliver by it (odds ratio, 0.31; 95% confidence interval, 0.14-0.68).<bold>Conclusion: </bold>In this study, VBAC was the method of delivery preferred by most women. Nonwhite women were more likely to choose VBAC over ERCS but less likely to be delivered by VBAC. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00207292
Volume :
102
Issue :
2
Database :
Complementary Index
Journal :
International Journal of Gynecology & Obstetrics
Publication Type :
Academic Journal
Accession number :
33137540
Full Text :
https://doi.org/10.1016/j.ijgo.2008.03.008