OBJECTIVE To examine trends and characteristics of home vaginal birth after cesarean delivery (VBAC) in the United States and selected states from 1990-2008. METHODS Birth certificate data were used to track trends in home and hospital VBACs from 1990-2008. Data on planned home VBAC were analyzed by sociodemographic and medical characteristics for the 25 states reporting this information in 2...

BACKGROUND Research exists examining the challenges of delivering lifestyle behaviour change initiatives in practice. However, at present much of this research has been conducted with primary care health professionals, or in acute adult hospital settings. The purpose of this study was to identify barriers and facilitators associated with implementing routine lifestyle behaviour change brief adv...

BACKGROUND Breech is the commonest malpresentation. Vaginal breech delivery in a nulliparous lady carries higher risk than in multiparous ladies. Poor neonatal outcome following vaginal delivery has made the mode of delivery a matter of controversy. OBJECTIVE To evaluate the outcome of planned caesarean section among nullipara ladies with breech presentation. METHOD This is a prospective, a...

Differentials in child mortality are analyzed by parent's education, health care, and rural-urban residence with data on 7405 currently married women, obtained from the Pakistan Contraceptive Prevalence Survey, 1984-85. The assumption is that educated parents and fathers working in the formal sector have less risks of child mortality than illiterates and those working in the traditional sector...

OBJECTIVE To describe the rates of antenatal hospital admission during twin or higher order multifetal pregnancies, and the admission outcomes as discharge undelivered, transfer to higher care, or spontaneous or elective delivery. METHODS Cohort study using linked birth and hospital data. The cohort comprised women who gave birth to twins or higher order multiple infants of≥24 weeks gestation...