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Birth After Caesarean - Planned vaginal birth or planned caesarean section for women at term with a single previous caesarean birth

Completed
Conditions
Birth after previous caesarean
Pregnancy and Childbirth
Caesarean section
Registration Number
ISRCTN53974531
Lead Sponsor
The University of Adelaide (Australia)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
2314
Inclusion Criteria

Women with a single prior caesarean presenting in their next pregnancy with a single live fetus in cephalic presentation who have reached 37 weeks gestation, and who don't have a contraindication to a planned VBAC.

Exclusion Criteria

Women with more than 1 prior caesarean; vertical inverted T or unknown uterine incision; previous uterine rupture; previous uterine surgery (hysterotomy) or myomectomy with entry into uterine cavity; previous uterine perforation; multiple pregnancy; any contraindication to vaginal birth; cephalo-pelvic disproportion; lethal congenital anomaly; fetal anomaly associated with mechanical difficulties at delivery.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Neonatal lung disease<br>2. Serious neonatal mobidity <br>3. Perinatal/neonatal mortality
Secondary Outcome Measures
NameTimeMethod
Secondary outcome(s) for funded study as of 2005: <br>1. Serious adverse outcomes for the women (up to time of primary hospital discharge) <br><br>Secondary outcomes for pre-funding draft protocol: <br>1. Serious adverse outcomes for the women<br>2. Maternal physical wellbeing<br>3. Maternal emotional wellbeing<br>4. Costs of health care for the infant
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