Patient Counseling and Preferences for Elective Repeat Cesarean Delivery
| Autor: | M. Sean Esplin, Sean Edmunds, Michael W. Varner, Susan Folsom, G. Marc Jackson, T. Flint Porter, Torri D. Metz |
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| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty Vaginal birth Case Reports lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine medicine 030212 general & internal medicine Cesarean delivery Prospective cohort study Contraindication lcsh:RG1-991 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Patient counseling Patient preference counseling vaginal birth after cesarean Family medicine Pediatrics Perinatology and Child Health Fetal injury elective repeat cesarean delivery business patient preference |
| Zdroj: | American Journal of Perinatology Reports, Vol 06, Iss 02, Pp e226-e231 (2016) AJP Reports |
| ISSN: | 2157-7005 2157-6998 |
| DOI: | 10.1055/s-0036-1584529 |
| Popis: | Objective We sought to identify factors influencing a woman's decision to have an elective repeat cesarean delivery (ERCD) versus vaginal birth after cesarean (VBAC). Methods and Materials A prospective study at two academic medical centers of women with one prior cesarean, and no contraindication to a trial of labor, delivered by ERCD from October 2013 to June 2014. Participants completed anonymous surveys during their delivery hospitalization. Counseling was considered adequate if women reported being counseled, recalled being quoted a VBAC success probability, and this probability was within 20% of that derived from an established VBAC success prediction model. Participants were also asked why they chose ERCD. Results Of 68 participants, only 8 (11.8%) had adequate counseling. Of those with inadequate counseling, 21.7% did not recall being counseled, 63.3% were not quoted a chance of success, and 60.0% had more than a 20% discrepancy between their recalled and predicted success rates. Eighteen women were calculated to have more than 70% chance of successful VBAC. Of these, 16 (88.9%) were not adequately counseled. Conclusion Most women were inadequately counseled about delivery options. The most important factors influencing the choice of ERCD over VBAC were patient preferences, risk for fetal injury, and perceived physician preference. |
| Databáze: | OpenAIRE |
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