OptiBIRTH: a cluster randomised trial of a complex intervention to increase vaginal birth after caesarean section.

ABSTRACT:

Background

Despite evidence supporting the safety of vaginal birth after caesarean section (VBAC), rates are low in many countries.

Methods

OptiBIRTH investigated the effects of a woman-centred intervention designed to increase VBAC rates through an unblinded cluster randomised trial in 15 maternity units with VBAC rates < 35% in Germany, Ireland and Italy. Sites were matched in pairs or triplets based on annual birth numbers and VBAC rate, and randomised, 1:1 or 2:1, intervention versus control, following trial registration. The intervention involved evidence-based education of clinicians and women with one previous caesarean section (CS), appointment of opinion leaders, audit/peer review, and joint discussions by women and clinicians. Control sites provided usual care. Pri

SUBMITTER: Clarke M 

PROVIDER: S-EPMC7059398 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature