Birth after previous caesarean Pregnancy and Childbirth Caesarean section
Conditions
Interventions
Eligible women will be randomised to either planned vaginal birth after caesarean or planned elective repeat caesarean section or can be entered into their preferred treatment group (patient preferenc
Sponsors
The University of Adelaide (Australia)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women with a single prior caesarean presenting in their next pregnancy with a single live fetus in cephalic presentation who have reached 37 weeks gestation, and who don't have a contraindication to a planned VBAC.
Exclusion criteria
Exclusion criteria: Women with more than 1 prior caesarean; vertical inverted T or unknown uterine incision; previous uterine rupture; previous uterine surgery (hysterotomy) or myomectomy with entry into uterine cavity; previous uterine perforation; multiple pregnancy; any contraindication to vaginal birth; cephalo-pelvic disproportion; lethal congenital anomaly; fetal anomaly associated with mechanical difficulties at delivery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Neonatal lung disease 2. Serious neonatal mobidity 3. Perinatal/neonatal mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome(s) for funded study as of 2005: 1. Serious adverse outcomes for the women (up to time of primary hospital discharge) Secondary outcomes for pre-funding draft protocol: 1. Serious adverse outcomes for the women 2. Maternal physical wellbeing 3. Maternal emotional wellbeing 4. Costs of health care for the infant | — |
Countries
Australia
Outcome results
None listed