Abstract
Objective:To determine whether continuing midwifery care has more benefits than standard maternity care in vaginal birth after cesarean (VBAC).Methods:This study was conducted on women in labour who had history of previous cesarean section and received vaginal birth in obstetrical department of our hospital from May 2013 to November 2014. The included patients were divided randomly into observation group and control group. The women in labour allocated to the observation group received continuing midwifery care, and those to control group received standard maternity care in all the stages of labour. The duration of labor stage together with the rate of fetal distress, neonatal asphyxia, vaginal birth and postpartum bleeding were compared between the two groups.Results:Ninety-six participants were included in the current study, forty-eight in each group. The length of labor was significantly longer (p<0.05), the vaginal birth rate was significantly lower (p<0.05) and the postpartum hemorrhage rate was significantly higher (p<0.05) in the control group than the observation group. In addition, the rate of fetal distress and neonatal asphyxia were higher in the control group, but there was no significant difference between the two groups (p>0.05).Conclusion:The continuing midwifery care has more benefits than the standard maternity care in vaginal birth after cesarean (VBAC).
Highlights
Cesarean section, which saves many lives of mothers and babies, is the most common procedure1
We carried out a comparative study between continuing midwifery care and standard maternity care in vaginal birth after cesarean (VBAC)
In a clinical study from Sehhati, one hundred laboring women were randomly divided into experimental and control groups, obstetrical cares were provided by one midwife from the beginning of phase of labor till postpartum in the experimental group, whereas in the control group, cares were provided by several midwives and without their continuous presence
Summary
Cesarean section, which saves many lives of mothers and babies, is the most common procedure. 1. Tieying Zhang, Chief Nurse, Chunna Liu, Chief Nurse, 1-2: Obstetrical Department, Tianjin 4th Centre Hospital, Tianjin, 300140, China. Correspondence: December 9, 2015 February 24, 2016 February 28, 2016 in obstetrical department. The cesarean section rate is increasing sharply.[1] It was reported that in 2007 the rate of cesarean section was high up to 43.9%, 39.8% and 35.3% in Mexico, Italy and South Korea respectively, and the rate reached 31.8% in USA.[1] Many factors, such as decreased training in instrumental vaginal and vaginal breech births, medico-legal issues, the wide use of electronic fetal heart rate monitoring and maternal request, lead to the increasing rate of cesarean section.[2] Certainly, most of cesarean section cases are not medically indicated. Nowadays the increasing rate of cesarean section is becoming a global issue in the world
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
