No registrations found.
ID
Source
Health condition
delivery after cesarean section, vaginal birth after cesarean section, elective repeat cesarean section, prognostic factors for vaginal delivery, trial of labour, prognostic model for delivery after cesarean section, counseling after a cesarean
bevallen na een sectio, succespercentage op vaginale bevalling, counseling na een voorgaande sectio, electieve repeat sectio
Sponsors and support
Intervention
Outcome measures
Primary outcome
delivery outcomes:
-normal vaginal delivery
-assisted vaginal delivery
-elective cesarean section
-secondary cesarean section
-neonatal outcome
Secondary outcome
-success percentage at vaginal birth
-delivery complications
Background summary
Retrospective study of delivery after a cesarean section in a Dutch hospital setting. By evaluating delivery outcomes in this population, patient-specific factors can be identified that can aid the gynecologist in counseling women with a history of a cesarean section.
Study objective
Certain patient-specific factors contribute significantly to the outcome of delivery after a cesarean section in a Dutch hospital setting. These factors influence the decision to initiate trial of labour (TOL) or plan for an elective repeat cesarean section (ERCS) at the presentation of a next pregnancy. Women with a previous complicated pregnancy and/or a traumatic obstetric history will often opt for an elective cesarean rather than TOL, and in case of TOL, they will experience more secondary cesareans and poor neonatal outcomes compared to women with a positive obstetric history. Elder women above the age of 39 will choose an elective cesarean more often than young mothers. Women with a high prognostic chance for a vaginal delivery will undergo more TOL.
Study design
-
Intervention
retrospective observational study
Grace Bambe
Postbus 616
Maastricht 6200 MD
The Netherlands
0617730154
grace.bambe@student.maastrichtuniversity.nl
Grace Bambe
Postbus 616
Maastricht 6200 MD
The Netherlands
0617730154
grace.bambe@student.maastrichtuniversity.nl
Inclusion criteria
Women of all ages with a history of a cesarean section who gave birth at the Orbis Medical Centre in Sittard, The Netherlands in the past five years following an uncomplicated second pregnancy.
Exclusion criteria
-incomplete or ambiguous patient files
-history of more than 1 cesarean section
-hospital presentation a term of 37 weeks in the second pregnancy
-patients who do not speak Dutch
-twin pregnancies
-breech presentation in the second pregnancy
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL5004 |
| NTR-old | NTR5159 |
| Other | METC Atrium-Orbis-Zuyd : 5-N-53 |