Outcomes of trial of labor after cesarean birth by provider type in low-risk women.

ABSTRACT:

Background

One approach to decreasing the cesarean birth rate in the United States is to increase the availability of birth attendants, including certified nurse-midwives (CNMs), who offer trial of labor after cesarean (TOLAC). We examined associations between provider type and mode of birth for women attempting vaginal birth after cesarean (VBAC).

Methods

We performed a retrospective cohort study at a United States academic medical center using prospectively-collected data (2005-2012). We included healthy women with term singleton vertex pregnancies after one or two prior cesareans who were managed by obstetricians or CNMs. We assessed unplanned cesarean birth by provider type using univariate and logistic regression and examined labor interventions and predicted VBAC succe

SUBMITTER: Fore MS 

PROVIDER: S-EPMC7047558 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature