+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Previous cesarean delivery: understanding and satisfaction with mode of delivery in a subsequent pregnancy in patients participating in a formal vaginal birth after cesarean counseling program



Previous cesarean delivery: understanding and satisfaction with mode of delivery in a subsequent pregnancy in patients participating in a formal vaginal birth after cesarean counseling program



American Journal of Perinatology 22(4): 217-221



The objective of this study was to determine patient satisfaction with delivery experience in a pregnancy subsequent to primary cesarean and to evaluate knowledge about a trial of labor after cesarean in patients enrolled in a formal vaginal birth after cesarean educational program. During a 12-month period, women with a history of cesarean delivery who were participating in a formal counseling program regarding the risks and benefits of vaginal birth after cesarean were surveyed in the antepartum and postpartum periods. Patient demographics, past birth experience, understanding of the risks and benefits of vaginal birth after cesarean, pregnancy outcomes, and ratings of satisfaction and recovery following the current delivery were collected. Patients were divided into four groups depending on their mode of delivery in the current pregnancy: group 1 succeeded at vaginal birth, group 2 underwent repeat cesarean in labor, group 3 delivered by cesarean before labor, and group 4 chose repeat cesarean. Ninety-five patients enrolled in the study. There were 26 patients in group 1, 18 patients in group 2, 16 patients in group 3, and 35 patients in group 4. The four groups had significant differences in patient satisfaction following the current delivery compared with the previous cesarean delivery ( p = 0.001). The patients who had a successful trial of labor exhibited the largest median change in score. The patients who delivered by cesarean during labor had the smallest median change in score. Nonetheless, 92% of these patients were pleased that they had attempted a vaginal birth. When questioned about the risks associated with a trial of labor after cesarean delivery, 92% of postpartum patients answered all questions correctly. Patients participating in a formal counseling program exhibit a high level of understanding about the risks and benefits of a trial of labor. Although the most satisfied patients were those who succeeded at vaginal birth, most women valued the opportunity to attempt a vaginal birth regardless of outcome.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 012448773

Download citation: RISBibTeXText

PMID: 15906216

DOI: 10.1055/s-2005-866606


Related references

Using active management of labor and vaginal birth after previous cesarean delivery to lower cesarean delivery rates: A 10-year experience. American Journal of Obstetrics & Gynecology 184(7): 1535-1543, 2001

Correlation between maximum cervical dilatation at cesarean delivery and subsequent vaginal birth after cesarean delivery. Obstetrics & Gynecology. 89(4): 591-593, 1997

Correlation between maximum cervical dilatation at cesarean delivery and subsequent vaginal birth after cesarean delivery. Obstetrics and Gynecology 90(2): 316-316, 1997

Risk for Maternal and Neonatal Complications in a Subsequent Pregnancy After Planned Cesarean Delivery in a First Birth, Compared with Emergency Cesarean Delivery. Obstetric and Gynecologic Survey 69(5): 237-239, 2014

Can a vaginal birth after cesarean delivery be a normal labor and birth? Lessons from midwifery applied to trial of labor after a previous cesarean delivery. Clinics in Perinatology 38(2): 247-263, 2011

Timing of planned repeat cesarean delivery after two or more previous cesarean sections--risk for unplanned cesarean delivery and pregnancy outcome. Journal of Maternal-Fetal and Neonatal Medicine 27(5): 431-438, 2014

The use of a vaginal birth after cesarean delivery prediction tool in patients scheduled for repeat cesarean delivery. American Journal of Obstetrics and Gynecology 214(1): S236-S237, 2016

Neonatal outcome and mode of delivery Vaginal birth after cesarean vs elective, repeat cesarean section. Pediatric Research 33(4 Part 2): 348A, 1993

Mode of delivery in the low birth weight fetus. Delivery by cesarean section independent of fetal lie versus vaginal delivery in vertex presentation. A study with long-term follow-up. Acta Obstetricia et Gynecologica Scandinavica 64(1): 51-57, 1985

Mode of delivery for the morbidly obese with prior cesarean delivery: vaginal versus repeat cesarean section. American Journal of Obstetrics and Gynecology 185(2): 349-354, 2001

Labor Before a Primary Cesarean Delivery: Reduced Risk of Uterine Rupture in a Subsequent Trial of Labor for Vaginal Birth After Cesarean. Obstetric Anesthesia Digest 29(4): 190-191, 2009

Labor before a primary cesarean delivery: reduced risk of uterine rupture in a subsequent trial of labor for vaginal birth after cesarean. Obstetrics and Gynecology 112(5): 1061-1066, 2008

Association between vaginal birth after cesarean delivery and primary cesarean delivery rates. Obstetrics and Gynecology 122(5): 1010-1017, 2013

Comparison of postpartum quality of life between patients with repeat cesarean delivery and vaginal birth after cesarean. American Journal of Obstetrics & Gynecology 189(6 Suppl.): S157, 2003

Vaginal delivery after previous cesarean birth. International Journal of Gynecology & Obstetrics 52(1): 90-98, 1996