827: Outcomes of hospital versus out-of-hospital birth in vaginal birth after cesarean

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Vaginal birth after cesarean in German out-of-hospital settings: maternal and neonatal outcomes of women with their second child.

BACKGROUND To offer vaginal birth after cesarean (VBAC) in a hospital setting is recommended in international guidelines, but offering VBAC in out-of-hospital settings is considered controversial. This study describes neonatal and maternal outcomes in mothers who started labor in German out-of-hospital settings. METHOD In a retrospective analysis of German out-of-hospital data from 2005 to 20...

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Planned Out-of-Hospital Birth and Birth Outcomes.

BACKGROUND The frequency of planned out-of-hospital birth in the United States has increased in recent years. The value of studies assessing the perinatal risks of planned out-of-hospital birth versus hospital birth has been limited by cases in which transfer to a hospital is required and a birth that was initially planned as an out-of-hospital birth is misclassified as a hospital birth. METH...

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Vaginal birth after cesarean delivery.

MANAGEMENT of labor after previous cesarean delivery continues to be a controversial area of obstetric practice. Neither repeat cesarean delivery nor a trial of labor are without risk. Currently, cesarean delivery is the most commonly performed operation, and repeat cesarean delivery is the most common indication. Although the prevalence of vaginal birth after cesarean delivery (VBAC) increased...

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Vaginal birth after cesarean revisited.

The U.S. total cesarean delivery rate has risen from 4 percent of deliveries in 1950 to 26 percent in 2002. 1 Concerned about the rising rate of cesarean deliveries, and noting that 98 percent of women with a prior cesarean section delivered by repeated cesarean section, a National Institutes of Health Consensus Development Task Force in 1980 recommended that “properly selected” women should be...

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Vaginal Birth After Cesarean (VBAC)

In 2000, 22.9 percent of all births in the United States occurred by CD. This rate is the highest total CD rate reported since data collection began in 1989. The vaginal birth after cesarean (VBAC) rate, defined as the proportion of women with a prior CD who delivered vaginally, steadily increased from 1989 to 1996. As allowing TOL became more common, practice variation became a larger concern,...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2017

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2016.11.736