Vaginal Birth After Cesarean (VBAC): Volume 1. Evidence Report and Appendixes by

Description: Vaginal Birth After Cesarean (VBAC) by Agency for Healthcare Resea And Quality, U.S. Department of Healt Human Services, Agency for Healthcare Resea Estimated delivery 3-12 business days Format Paperback Condition Brand New Description This report provides a framework for comparing the harms and benefits of delivery options for women with prior cesarean delivery (CD). The information is designed to help consumers, providers, payers, and policymakers in decision making about repeat cesarean or trial of labor (TOL). In 2000, 22.9 percent of all births in the United States occurred by CD. This rate is the highest total CD rate reported since data collection began in 1989. The vaginal birth after cesarean (VBAC) rate, defined as the proportion of women with a prior CD who delivered vaginally, steadily increased from 1989 to 1996. As allowing TOL became more common, practice variation became a larger concern, e.g., expanding criteria for eligibility and medical induction, and for augmentation of labor. In parallel with this liberalization of criteria and management, highly publicized articles suggested that maternal and fetal risks were perceived to be increasing. Subsequently, the VBAC rate has decreased 27 percent from 1996 to 2000. Currently, a crisis in malpractice rates is decreasing the availability of maternity care providers and raising concerns that patients may have limited options, less access to care, and perhaps be at increased risk for complications. Two types of key questions were addressed. The first group (Questions 1- 7) compares the outcomes of a TOL and an ERCD: 1. What is the frequency of vaginal delivery in women who undergo a TOL (spontaneous onset, induced, and augmented) after prior low transverse cesarean or unknown scar? 2. How accurate are risk assessment tools for identifying patients who will have a vaginal delivery after a TOL? 3. What are the relative harms associated with a TOL (spontaneous onset, induced, and augmented) and repeat cesarean? 4. What is the incidence of uterine rupture, and are there methods for preventing major morbidity and mortality due to uterine rupture? 5. What are the health status and health-related quality of life for VBAC and repeat cesarean patients? 6. Regarding VBAC and repeat cesarean, what factors influence patient satisfaction/dissatisfaction with their childbirth experience? 7. How are economic outcomes related to VBAC, repeat CD, and their respective complications? The second group (Questions 8-10) address factors influencing the decision to have a TOL: 8. What individual factors influence route of delivery? 9. What factors influence a patients decision making regarding VBAC or ERCD? 10. How do legislation, policy, guidelines, provider characteristics, insurance type, and access to care affect health outcomes for VBAC candidates? Details ISBN 1499500416 ISBN-13 9781499500417 Title Vaginal Birth After Cesarean (VBAC) Author Agency for Healthcare Resea And Quality, U.S. Department of Healt Human Services, Agency for Healthcare Resea Format Paperback Year 2014 Pages 426 Publisher Createspace Independent Publishing Platform GE_Item_ID:93263970; About Us Grand Eagle Retail is the ideal place for all your shopping needs! With fast shipping, low prices, friendly service and over 1,000,000 in stock items - you're bound to find what you want, at a price you'll love! Shipping & Delivery Times Shipping is FREE to any address in USA. Please view eBay estimated delivery times at the top of the listing. Deliveries are made by either USPS or Courier. We are unable to deliver faster than stated. International deliveries will take 1-6 weeks. NOTE: We are unable to offer combined shipping for multiple items purchased. This is because our items are shipped from different locations. Returns If you wish to return an item, please consult our Returns Policy as below: Please contact Customer Services and request "Return Authorisation" before you send your item back to us. Unauthorised returns will not be accepted. Returns must be postmarked within 4 business days of authorisation and must be in resellable condition. Returns are shipped at the customer's risk. We cannot take responsibility for items which are lost or damaged in transit. For purchases where a shipping charge was paid, there will be no refund of the original shipping charge. Additional Questions If you have any questions please feel free to Contact Us. Categories Baby Books Electronics Fashion Games Health & Beauty Home, Garden & Pets Movies Music Sports & Outdoors Toys

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