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Preferred and actual delivery mode after a cesarean in London, UK
Author(s) -
SeloOjeme Dan,
Abulhassan Nashwa,
Mandal Ramna,
Tirlapur Seema,
SeloOjeme Uati
Publication year - 2008
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2008.03.008
Subject(s) - medicine , confidence interval , odds ratio , cesarean delivery , vaginal birth , obstetrics , chose , vaginal delivery , odds , gynecology , pregnancy , logistic regression , pathology , biology , political science , law , genetics
Objective To determine the delivery mode preferred by pregnant women with 1 previous cesarean delivery and to investigate the relationship between preferred and actual mode of delivery. Method We reviewed the records of 215 women who were delivered in a London hospital with a history of 1 cesarean delivery. Women who planned an elective repeat cesarean section (ERCS) were compared with those who planned a vaginal birth after cesarean (VBAC). Results Although 55.3% chose VBAC overall, only 37.8% of those who chose it were delivered by it, whereas 94.8% of those who chose ERCS were delivered by ERCS. Nonwhite women were more likely to choose VBAC than white women (odds ratio, 3.5; 95% confidence interval, 1.9–6.1) but less likely to be deliver by it (odds ratio, 0.31; 95% confidence interval, 0.14–0.68). Conclusion In this study, VBAC was the method of delivery preferred by most women. Nonwhite women were more likely to choose VBAC over ERCS but less likely to be delivered by VBAC.