Birth after caesarean study – planned vaginal birth or planned elective repeat caesarean for women at term with a single previous caesarean birth: protocol for a patient preference study and randomised trial
2007

Study Protocol for Birth after Caesarean: Comparing Vaginal Birth and Repeat Caesarean

Sample size: 2314 publication Evidence: high

Author Information

Author(s): Jodie M Dodd, Caroline A Crowther, Janet E Hiller, Ross R Haslam, Jeffrey S Robinson

Primary Institution: The University of Adelaide

Hypothesis

Does a policy of planned vaginal birth after caesarean compared with a policy of planned repeat caesarean affect the risk of serious complications for the woman and her infant?

Conclusion

The study aims to provide rigorous evidence on the maternal and infant health outcomes associated with planned vaginal birth after caesarean versus planned elective repeat caesarean.

Supporting Evidence

  • The study addresses a gap in the literature regarding the safety of vaginal birth after caesarean.
  • Previous studies have shown varying success rates for vaginal birth after caesarean.
  • The study is designed to provide high-quality evidence to inform clinical practice.

Takeaway

This study is trying to find out if having a vaginal birth after a previous caesarean is safer for mothers and babies than having another caesarean.

Methodology

Multicentred patient preference study and a randomised clinical trial.

Potential Biases

Potential bias in participant selection and treatment preferences.

Limitations

Previous cohort studies have methodological deficiencies, and the study aims to avoid these pitfalls.

Participant Demographics

Women with a single prior caesarean presenting in their next pregnancy with a single, live fetus in cephalic presentation.

Statistical Information

P-Value

0.05

Statistical Significance

p=0.05

Digital Object Identifier (DOI)

10.1186/1471-2393-7-17

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication