Vaginal Birth After Caesarean Section - Effect on Maternal Psychosocial Function

Hospital Authority, Hong Kong

Status: Completed

Conditions: Uterine Rupture; Cesarean Section; Pregnancy

Treatments: Procedure: Repeat Caesaen section; Procedure: vaginal delivery

Study type: Interventional

Funder types: Other

Identifiers

NCT00517140

CRE-2003.118

HARECCTR0500014

Details and patient eligibility

About

The incidence of caesarean section has reached 15-20% in most developed countries. Encouraging vaginal birth after caesareans section (VBAC) has been considered a key component of a strategy to reduce the caesarean section rate. Most medical literature has focused on the efficacy of VBAC in reducing the caesarean section rate and the physical safety of successful VBAC. However, 30%-40% of these women fail to achieve a vaginal delivery. Little is known about how the uncertainty of labour outcome and a failed VBAC impact on the psychosocial function of these women. We propose to study a cohort of women with a prior caesarean section and presenting with a subsequent pregnancy for care. After consent and recruitment, these subjects will be randomly assigned to have a repeat caesarean section or VBAC. The medical outcomes, overall satisfaction of the subjects with the care they received, and the short-term psychosocial function of these subjects will be studied. The result of this study will provide important information that would be useful in assisting women to decide the mode of delivery after a prior caesarean section.

Enrollment: 262 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

All women who:

• Have one prior caesarean section
• No prior vaginal delivery and
• Agree for either vaginal delivery or elective caesarean section

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)