Decision-making during trial of labour after caesarean; a qualitative study with gynaecologists

Variation in clinical decision-making for induction of labour: a qualitative study

BACKGROUND Unexplained variation in induction of labour (IOL) rates exist between hospitals, even after accounting for casemix and hospital differences. We aimed to explore factors that influence clinical decision-making for IOL that may be contributing to the variation in IOL rates between hospitals. METHODS We undertook a qualitative study involving semi-structured, audio-recorded interview...

Trial of labour or elective repeat caesarean delivery:are women making an informed decision at Kenyatta national hospital?

BACKGROUND Trial of labour is a safe option for most women after one previous caesarean delivery. However, the proportion of women attempting trial of labour after previous caesarean delivery (TOLAC) has been declining in many countries. In addition, women with prior caesarean delivery appear to know little regarding their mode of delivery and healthcare providers' recommendations. The doctors'...

Trial of Labour after a Previous Caesarean Section Delivery: a Private Hospital Experience

Does continuity of care impact decision making in the next birth after a caesarean section (VBAC)? a randomised controlled trial

BACKGROUND Caesarean section (CS) has short and long-term health effects for both the woman and her baby. One of the greatest contributors to the CS rate is elective repeat CS. Vaginal birth after caesarean (VBAC) is an option for many women; despite this the proportion of women attempting VBAC remains low. Potentially the relationship that women have with their healthcare professional may have...

At What Price? A Cost-Effectiveness Analysis Comparing Trial of Labour after Previous Caesarean versus Elective Repeat Caesarean Delivery

BACKGROUND Elective repeat caesarean delivery (ERCD) rates have been increasing worldwide, thus prompting obstetric discourse on the risks and benefits for the mother and infant. Yet, these increasing rates also have major economic implications for the health care system. Given the dearth of information on the cost-effectiveness related to mode of delivery, the aim of this paper was to perform ...