Vaginal birth after cesarean section: The impact of patient resistance to a trial of labor

Joseph, G. F., Stedman, C. M. and Robichaux, A. G. (1991). Vaginal birth after cesarean section: The impact of patient resistance to a trial of labor. In: 58th Annual Meeting of the Central Association Obstetricians and Gynecologists, Louisville KY, United States, (1441-1447). 11-13 October 1990.

Author Joseph, G. F.
Stedman, C. M.
Robichaux, A. G.
Title of paper Vaginal birth after cesarean section: The impact of patient resistance to a trial of labor
Conference name 58th Annual Meeting of the Central Association Obstetricians and Gynecologists
Conference location Louisville KY, United States
Conference dates 11-13 October 1990
Journal name American Journal of Obstetrics and Gynecology   Check publisher's open access policy
Place of Publication Philadelphia, PA, United States
Publisher Mosby
Publication Year 1991
Sub-type Fully published paper
ISSN 0002-9378
1097-6868
Volume 164
Issue 6
Start page 1441
End page 1447
Total pages 6
Language eng
Abstract/Summary In spite of the relative safety and medical advantages of vaginal birth cesarean section, the procedure continues to be underutilized in the private practice setting. To evaluate the hypothesis that resistance by the patient often precludes a trial of labor, an observational study was conducted of all women with a history of one prior cesarean section who were delivered in 1989 at Ochsner Foundation Hospital. The choices of 167 women and the judgements of their obstetricians were longitudinally recorded during the antepartum and intrapartum course. Patients routinely received the patient guide of the American College of Obstetricians and Gynecologists for vaginal birth after cesarean section. Ultimately, 50% of patients who were encouraged by their obstetrician toward vaginal birth after cesarean section opted for an elective repeat cesarean section without a trial of labor. Reasons for patient resistance are enumerated and potential future remedial proposals are discussed.
Keyword Decision making
Repeat cesarean section
Vaginal birth after cesarean
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 09:59:15 EST