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Study finds pregnant women with prior cesarean choose the delivery method preferred by their doctor
Date:2/9/2012

for trial of labor.

The study found that 87 of the 155 chose to undergo trial of labor, with the remaining 68 opting for a repeat cesarean. There were no differences in age, level of education, ethnicity and provider type between the groups. Women in both groups demonstrated lack of knowledge on the risks and benefits of the options, particularly women in the elective repeat cesarean group. Specifically, patients were not familiar with the chances of a successful vaginal delivery with trial of labor (13 percent of trial of labor patients knew, as did four percent of cesarean patients), the effect of indication for previous cesarean on success, the risk of uterine rupture, and the increase in risk with each successive cesarean. Fifty-two percent of patients did not know which delivery method has a faster recovery time. When patients perceived their providers as having a preference for cesarean, only four percent chose trial of labor. Conversely, 43 percent chose trial of labor when they thought that was their provider's preference.


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Contact: Vicki Bendure
vicki@bendurepr.com
202-374-9259
Society for Maternal-Fetal Medicine
Source:Eurekalert

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