Delivery after one previous cesarean section

Article Abstract:

Research on repeat cesarean section deliveries may need to include information about previous vaginal deliveries to accurately reflect actual trends in cesarean delivery rates. The United States has experienced a dramatic rise in the rate of cesarean deliveries since 1970. The obstetric profession supports vaginal birth after cesarean section (VBAC) yet VBAC rates are low. Oxytocin induction of labor is not recommended with VBAC because of the risk of uterine rupture. Trends in cesarean delivery may be hidden when numbers of patients with previous cesarean or repeat elective cesarean deliveries are not included in reports.

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Using active management of labor and vaginal birth after previous cesarean delivery to lower cesarean delivery rates: a 10-year experience

Article Abstract:

Doctors at one hospital were able to lower the cesarean rate without increasing adverse fetal outcomes by actively managing labor using oxytocin and a trial of labor in women with a previous cesarean. Over a 10-year period using this strategy, the overall cesarean delivery rate decreased from 17% to 11%.

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Setting goals for reductions in Canadian cesarean delivery rates: benchmarking medical practice patterns

Article Abstract:

Benchmarking may be a useful means of reducing the rate of cesarean sections in Canadian hospitals. In a study of 239 maternity units, cesarean rate limits were set at the 75th, 50th, and 25th percentiles in large, intermediate, and small maternity units, respectively.

Usage, Benchmarks, Benchmarking

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