DALLAS (February 9, 2012) In a study to be presented today at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting , in Dallas, Texas, researchers will report findings that women who have undergone one prior delivery via cesarean section appear to know little about the risks and benefits associated with undergoing either a second cesarean or trial of labor to attempt a vaginal delivery, and that the preference of their medical provider strongly affects their selection between the two options.
Although trial of labor after a prior cesarean is considered a reasonable option with an overall success rate of 60 to 80 percent, the majority of women who would be eligible for it undergo an elective repeat cesarean. The study, Trial of Labor After a Previous Cesarean Section Versus Repeat Cesarean Section: Are Patients Making an Informed Decision?, sought to determine if this is due, in large part, to poor education of patients on the risks and benefits of both options.
"Even though most women can achieve a vaginal delivery with trial of labor, less than 10 percent of them attempt to do so," said Sarah Bernstein, MD, with St. Luke's-Roosevelt Hospital Center, Obstetrics and Gynecology, in New York, and one of the study's authors. "In fact, when patients perceived that their doctor preferred a repeat cesarean, very few chose to undergo trial of labor, whereas the majority chose trial of labor if that was their doctor's preference."
Bernstein and her colleagues, Shira Matalon-Grazi and Barak Rosenn, also with St. Luke's-Roosevelt Hospital Center, Obstetrics and Gynecology, observed 155 women who presented at the hospital for delivery between November 2010 and July 2011, and had a history of one prior cesarean and no contraindications for trial of labor. Consenting women were asked to fill out a questionnaire upon presentation for labor and delivery, either prior to their scheduled repeat cesarean or upon admission
|Contact: Vicki Bendure|
Society for Maternal-Fetal Medicine