Evaluating professional society guidelines on vaginal birth after cesarean.


  • Date de publication : 2010-09-27

Référence

Bujold E. Evaluating professional society guidelines on vaginal birth after cesarean. Semin. Perinatol. 2010;34:314-7. doi: 10.1053/j.semperi.2010.05.004. PubMed PMID: 20869546.

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Mot(s) Clé(s)

canada cesarean section, repeat female fetal macrosomia fetal monitoring humans labor, induced oxytocin patient satisfaction practice guidelines as topic pregnancy risk factors societies, medical treatment failure trial of labor twins uterine rupture vaginal birth after cesarean

Résumé

The objective was to compare national guidelines regarding vaginal birth after cesarean. Along with the American College of Obstetricians and Gynecologists practice bulletin, guidelines from the Royal College of Obstetricians and Gynaecologists and the Society of Obstetricians and Gynecologists of Canada were reviewed and compared. Although the 3 organizations agree on most of the risk factors for uterine rupture and failed vaginal birth after cesarean (VBAC), there were some variances in the recommendations to women with 2 previous cesareans and those who required oxytocin augmentation. A disagreement was also present in regard to the availability and requirement of resources to allow a trial of labor after a previous cesarean. Although concerns could be raised about how the literature is synthesized, the 3 organizations recognized the potential biases in published reports and the lack of randomized trials.