Vaginal Birth After Caesarean Section - Effect on Maternal Psychosocial Function

Not Applicable

Completed

• Conditions: Pregnancy; Cesarean Section; Uterine Rupture

• Registration Number: NCT00517140
• Lead Sponsor: Hospital Authority, Hong Kong

Brief Summary

The incidence of caesarean section has reached 15-20% in most developed countries. Encouraging vaginal birth after caesareans section (VBAC) has been considered a key component of a strategy to reduce the caesarean section rate. Most medical literature has focused on the efficacy of VBAC in reducing the caesarean section rate and the physical safety of successful VBAC. However, 30%-40% of these women fail to achieve a vaginal delivery. Little is known about how the uncertainty of labour outcome and a failed VBAC impact on the psychosocial function of these women. We propose to study a cohort of women with a prior caesarean section and presenting with a subsequent pregnancy for care. After consent and recruitment, these subjects will be randomly assigned to have a repeat caesarean section or VBAC. The medical outcomes, overall satisfaction of the subjects with the care they received, and the short-term psychosocial function of these subjects will be studied. The result of this study will provide important information that would be useful in assisting women to decide the mode of delivery after a prior caesarean section.

Detailed Description

Not available

Study Timeline

• Study Start: 2003-09
• Study Completion: 2007-04
• Study First Submitted: 2007-08-15
• Study First Submitted QC: 2007-08-15
• Study First Posted: 2007-08-16
• Status Verified: 2011-06
• Last Update Submitted: 2011-06-14
• Last Update Posted: 2011-06-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 262

Inclusion Criteria

All women who:

• Have one prior caesarean section
• No prior vaginal delivery and
• Agree for either vaginal delivery or elective caesarean section

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
pscyiatric morbidity	after delivery

Secondary Outcome Measures

Name	Time	Method
Psychosocial function	3 and 6 months after delivery

Trial Locations

Locations (1)

Department of Obstetrics and Gynaecology, Prince of Wales Hospital; 🇨🇳 Hong Kong, China