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Women's health and midwifery
Cohort study
Vaginal birth after caesarean at home in England: an opportunity for shared decision-making
  1. Kim J Cox
  1. University of New Mexico, Albuquerque, New Mexico, USA
  1. Correspondence to : Dr Kim J Cox, College of Nursing, 1 University of New Mexico, MSC09 5350, Albuquerque, NM 87131, USA; kjcox{at}salud.unm.edu
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http://dx.doi.org/10.1136/eb-2016-102452

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    Commentary on: Rowe R, Li Y, Knight M, et al. 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. BJOG 2016;123:1123–32.OpenUrlCrossRefPubMed

    Implications for practice and research

    • Since current guidelines advise against planned home vaginal birth after caesarean (VBAC), a careful process of shared decision-making acknowledges women's autonomy while informing them of the benefits and risks based on the existing evidence.

    • Further research is needed to determine how context and model of care influence VBAC success in home and hospital settings.

    Context

    Although current guidelines suggest that women with a previous caesarean plan a VBAC in an obstetric unit (OU), a small proportion of women plan a VBAC at home with a midwife. Few studies to date have reported outcomes for women …

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