Hardy, Deniece and Essex, Ryan ORCID: 0000-0003-3497-3137 (2024) Neonatal outcomes following one previous caesarean section. British Journal of Midwifery, 32 (3). pp. 120-124. ISSN 0969-4900 (Print), 2052-4307 (Online) (doi:https://doi.org/10.12968/bjom.2024.32.3.120)

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Abstract

Background/Aims
Vaginal birth following a previous caesarean section is considered a safe option for subsequent births following personal planning and counselling. The aim of this study was to compare neonatal outcomes for both elective caesarean and vaginal birth after a previous caesarean section to aid decision making for women/pregnant people.

Methods
This quantitative study used retrospective data from low-risk pregnant people/women at term with one previous caesarean section (n=392). Logistic regression was used to determine the impact of mode of birth on neonatal outcomes. Further descriptive analyses were carried out to explore the results and reasons for admission to neonatal unit.

Results
Apgar scores were higher in the vaginal birth group compared to the elective repeat caesarean group. There were no differences in neonatal unit admissions by mode of birth.

Conclusions
There is minimal difference in neonatal outcomes, regardless of intention for either vaginal birth following a previous caesarean section or elective repeat caesarean. To fully investigate the factors that impacted Apgar scores and neonatal unit admissions for these groups, a much larger sample is needed.

Item Type:	Article
Uncontrolled Keywords:	Vaginal Birth After Caesarean/ VBAC; Elective Repeat Caesarean Section /ERCS; neonatal outcomes; APGAR; Respiratory Distress Syndrome / RDS; sepsis; admission to NNU
Subjects:	R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Vulnerable Children and Families Faculty of Education, Health & Human Sciences > School of Health Sciences (HEA)
Last Modified:	05 Mar 2024 12:48
URI:	http://gala.gre.ac.uk/id/eprint/45648

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