Maternal and perinatal outcomes in women planning vaginal birth after caesarean (VBAC) at home in England: secondary analysis of the Birthplace national prospective cohort study.

ABSTRACT:

Objective

To compare vaginal birth rates in women planning vaginal birth after caesarean (VBAC) at home versus in an obstetric unit (OU) and explore transfer rates in women planning home VBAC.

Design

Prospective cohort study.

Setting

OUs and planned home births in England.

Population

1436 women planning VBAC in the Birthplace cohort, including 209 planning home VBAC.

Methods

We used Poisson regression to calculate relative risks adjusted for maternal characteristics.

Main outcome measures

Main outcomes

(i) vaginal birth and (ii) transfer from planned home birth to OU during labour or immediately after birth.

Secondary outcomes

(i) composite of maternal blood transfusion or admission to higher level care, (ii) stillbirth or Apgar sco

SUBMITTER: Rowe R 

PROVIDER: S-EPMC5014182 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature