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Neonatal outcomes following one previous caesarean section

Neonatal outcomes following one previous caesarean section

Hardy, Deniece and Essex, Ryan ORCID: 0000-0003-3497-3137 (2024) Neonatal outcomes following one previous caesarean section. British Journal of Midwifery. ISSN 0969-4900 (Print), 2052-4307 (Online) (In Press)

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Abstract

Background: Vaginal Birth following a previous Caesarean section (VBAC) delivery is considered a safe option for subsequent deliveries following personal planning and counselling.
Aim: The aim of this study was to compare neonatal outcomes for both elective caesarean and vaginal birth to aid decision making for women/ pregnant people.
Methods: Quantitative study using retrospective data collection. Inclusion criteria were low risk pregnant people / women at term with one previous CS (n=392). Logistic regression was used to determine the impact of delivery mode on neonatal outcomes.
Findings: Logistic regression indicated that APGAR score was associated to be higher amongst those in the VBAC group compared to the ERCS group, while there were no differences in NNU admissions by delivery mode. Further descriptive analyses were carried out to explore these results and reasons for admission to NNU.
Conclusion: Statistical analysis shows minimal difference in neonatal outcomes, regardless of intention for either VBAC or ERCS for this cohort of participants.

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: 01 Feb 2024 10:58
URI: http://gala.gre.ac.uk/id/eprint/45648

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