TY - JOUR T1 - Vaginal birth after caesarean at home in England: an opportunity for shared decision-making JF - Evidence Based Nursing JO - Evid Based Nurs SP - 115 LP - 115 DO - 10.1136/eb-2016-102452 VL - 19 IS - 4 AU - Kim J Cox Y1 - 2016/10/01 UR - http://ebn.bmj.com/content/19/4/115.abstract N2 - 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.OpenUrlCrossRefPubMedSince 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.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 … ER -