Navigation Links
Almost two-thirds of women who attempt natural delivery after a c-section are successful
Date:11/19/2013

Almost two-thirds of women who attempt a natural delivery after having a caesarean section for their first birth are successful, according to a new study published today (20 November) in BJOG: An International Journal of Obstetrics and Gynaecology.

The study, conducted by the Office for Research and Clinical Audit (ORCA) at the Royal College of Obstetricians and Gynaecologists and the London School of Hygiene & Tropical Medicine, aimed to investigate the factors that determine the uptake and success rate of vaginal birth after caesarean.

The data from 143,970 women, who had their first baby by caesarean section between 2004 and 2011, found that just over half (52%) attempted a vaginal birth after caesarean section (VBAC) for their second baby.

Researchers found that younger women, aged 24 or less, were more likely to attempt a VBAC than women aged over 34, 60% vs 45% respectively. Black women (62%) and Asian women (64%) were also found to have higher VBAC attempt rates for their second delivery when compared to white women (49%).

Of the women who attempted a VBAC almost two-thirds (63%) had a successful natural delivery, though researchers found that black women had a particularly low success rate when compared to white women, 50% vs 66% respectively. The study also showed that women aged over 34 had a lower success rate than women aged 24 or younger, 59% vs 69% respectively.

The reason for the first caesarean section was also found to strongly determine the likelihood of successful natural delivery in the second pregnancy. Furthermore, women with a history of failed induction of labour were almost twice as likely to have a failed VBAC.

The researchers also found variation in the rate of attempted and successful VBAC between NHS trusts. There was almost a threefold variation in attempted VBAC, ranging from 33% to 94%, and almost a twofold variation in successful vaginal delivery for the second baby, between 48% and 84%.

Hannah Knight, Office for Research and Clinical Audit, Royal College of Obstetricians and Gynaecologists, and lead researcher of the paper, said:

"The majority of women with an uncomplicated first caesarean section are candidates for attempting VBAC, but our data found that only half of those women chose this option.

"Women from a non-white ethnic background were more likely than white women to attempt a VBAC, but the success rate in non-white women was lower. This could point to different patient preferences or a lack of access to elective repeat caesarean section for non-white women.

"Interestingly, we also found an unexplained variation in the rate of attempted and successful VBAC between hospitals, which was independent of maternal demographic and clinical risk factors.

"An informed discussion about whether or not to attempt a vaginal delivery after a caesarean section requires an assessment of the risk of emergency caesarean, and this paper provides valuable information both for women and the obstetricians and midwives caring for them."

John Thorp, BJOG deputy editor-in-chief, added:

"In England approximately 50,000 women per year are faced with the choice of attempting a trial of labour after having had a c-section for their first delivery.

"This study shows encouraging results with the majority of women who attempted a natural delivery after a primary c-section being successful.

"Current UK guidelines state pregnant women with a primary c-section and uncomplicated healthy second pregnancy should be given the option of a vaginal birth for their next baby, or an elective-repeat c-section, and counselled on the risks and benefits of both. Women with any questions about their delivery options should consult with their midwife or obstetrician."


'/>"/>

Contact: Caitlin Walsh
CWalsh@rcog.org.uk
Wiley
Source:Eurekalert

Related medicine news :

1. Hormone Treatments / Diet Doc Hormone Diets & Weight Loss Plans Reveal Higher Hormone Levels for Weight Loss Programs That Can Eliminate Almost a Pound of Fat per Day
2. Almost Nuts! Speaks to Women About the Soy Controversy
3. Almost Heaven Saunas Listed in Martha Stewart’s "American Made" Contest
4. Pastor of The House of Yahweh Publishes Detailed Article on Why Almost Total Destruction Is Near
5. Biomet Hip Lawsuits Update: Almost 600 Lawsuits Pending in Federal Court, Reports Rottenstein Law Group LLP
6. More Vaginal Mesh Lawsuits Filed as Two-Year Statute of Limitations for These Cases is Almost Up, Reports Alonso Krangle
7. Almost a Year Later, Eric Shuman Reflects on His Decision to Sell Travel Services Center MyTSOnline for 36 Million
8. Almost Half of Cancer Doctors Report Symptoms of Burnout: Survey
9. Almost Nuts! Announces Soy Nut Recipe Contest
10. Bergener & Associates: Woman Who Almost Died After Contracting Hantavirus in June 2012 Seeks Compensation
11. To Align with their Goals for Expansion Almost Nuts! Announces a Mouth-watering Offer for Business Owners
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/24/2017)... ... ... The Smart Machine Age is here, and it’s disrupting everything. Not only could it ... the United States may be taken over by technology in the next five to ... over colleagues is drawing to a close. Success will belong to those who can ...
(Date:2/24/2017)... Viejo, CA (PRWEB) , ... February 24, 2017 , ... ... Final Cut Pro X . Users have total control over position, rotation, distortion, ... and more all within Final Cut Pro X. , With ProGlass Prism users are ...
(Date:2/24/2017)... ... ... The Radiology Business Management Association will select the 2017 ... Building Better Radiology Marketing Programs conference, held this year from March 5 to ... are given out in five categories. They are:, ,     Patient Marketing, ...
(Date:2/23/2017)... ... February 23, 2017 , ... ... Justice jointly issued a letter to withdraw previous guidance issued by ... gender identity. The guidance issued in May 2016 by the Obama Administration came ...
(Date:2/23/2017)... CA (PRWEB) , ... February 23, 2017 , ... Los ... two episodes of WE TV’s “Mama June: From Not to Hot,” which will begin ... notable, “Mama” June Shannon, known to millions from the 2012 reality television series, “Here ...
Breaking Medicine News(10 mins):
(Date:2/24/2017)... 2017 Zimmer Biomet Holdings, Inc. (NYSE and ... present at the Cowen and Company 37 th ... Place on Tuesday, March 7, 2017 at 11:20 a.m. ... the presentation can be accessed at http://wsw.com/webcast/cowen38/zbh .  ... conference via Zimmer Biomet,s Investor Relations website at ...
(Date:2/24/2017)... Research and Markets has announced the addition of ... report to their offering. ... The latest research Dry eye Drugs Price Analysis and Strategies - 2016, ... The research answers the following questions: ... attributes? How are they positioned in the Global Dry eye market? ...
(Date:2/24/2017)... HILL, N.C. , Feb. 24, 2017 /PRNewswire/ ... are exploring ways to increase their self-service capabilities ... Health Care Providers (HCPs). New research ... many pharma organizations have developed self-service website portals ... electronically.  This is just one of many findings ...
Breaking Medicine Technology: