European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · May 2015
Predicting the chance of vaginal delivery after one cesarean section: validation and elaboration of a published prediction model.
We aimed to validate a widely used US prediction model for vaginal birth after cesarean (Grobman et al. [8]) and modify it to suit Swedish conditions. ⋯ Customization of prediction models for vaginal birth after cesarean is of considerable value. Choosing relevant indicators for a Swedish setting made it possible to achieve excellent prediction accuracy for success in trial of labor after cesarean. During the delicate process of counseling about preferred delivery mode after one cesarean section, considering the results of our study may facilitate the choice between a trial of labor or an elective repeat cesarean section.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2015
Randomized Controlled TrialEffect of maternal death reviews and training on maternal mortality among cesarean delivery: post-hoc analysis of a cluster-randomized controlled trial.
To explore the differential effect of a multifaceted intervention on hospital-based maternal mortality between patients with cesarean and vaginal delivery in low-resource settings. ⋯ Maternal deaths reviews and on-site training on emergency obstetric care may be more effective in reducing maternal mortality among high-risk women who need a cesarean section than among low-risk women with vaginal delivery.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2014
Epidural analgesia and operative delivery: a ten-year population-based cohort study in The Netherlands.
To describe trends in the use of epidural analgesia (EA) and to evaluate the association of EA with operative deliveries. ⋯ A near triplication of EA use in The Netherlands in ten years was accompanied by relatively stable rates of operative deliveries. The association between EA and operative delivery became weaker. This supports the idea that EA is not an important causal factor of operative deliveries.