Do vaginal birth after cesarean outcomes differ based on hospital setting?

Do vaginal birth after cesarean outcomes differ based on hospital setting? Research Abstract Details 

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Do vaginal birth after cesarean outcomes differ based on hospital setting? Abstract Text:

Emily A DeFranco,Roxane Rampersad,Kristin L Atkins,Anthony O Odibo,Erika J Stevens,Jeffrey F Peipert,David M Stamilio,George A Macones,

OBJECTIVE: The objective of the study was to test the null hypothesis that outcomes of vaginal birth after cesarean (VBAC) do not differ on the basis of the hospital setting. STUDY DESIGN: The study was a retrospective cohort study of women who were offered VBAC in 17 hospitals from 1996 to 2000. VBAC attempts occurring in hospitals with and without obstetrics-gynecology residency programs were compared, as were outcomes from university and community hospitals. Bivariate and multivariate logistic regression analyses assessed the association between hospital setting and VBAC outcomes. RESULTS: Of 25,065 women with 1 or more prior cesareans, the VBAC attempt rate was 56.1% at hospitals with obstetrics-gynecology residencies, 51.3% at hospitals without obstetrics-gynecology residencies, 61% at university hospitals, and 50.4% at community hospitals. The occurrence of failed VBAC, blood transfusion, or composite adverse outcome did not differ by hospital setting. There was a significant increase in the uterine rupture rate at community (1.2%) vs university hospitals (0.6%), but the absolute risk remained low. CONCLUSION: The rate of VBAC-associated complications is low, independent of hospital setting.

Do vaginal birth after cesarean outcomes differ based on hospital setting? Publishing Authors By Initials

EA DeFranco,R Rampersad,KL Atkins,AO Odibo,EJ Stevens,JF Peipert,DM Stamilio,GA Macones,

For similar surgical procedures, operative: obstetric surgical procedures: delivery, obstetric: vaginal birth after cesarean research abstracts see: surgical procedures, operative: obstetric surgical procedures: delivery, obstetric: vaginal birth after cesarean research

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Do vaginal birth after cesarean outcomes differ based on hospital setting? Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: American journal of obstetrics and gynecology

VOLUME: 197

Page Numbers: 400.e1-6

Journal Abbreviation: Am. J. Obstet. Gynecol.

ISSN: 1097-6868

DAY: 3

MONTH: Oct

YEAR: 2007

Do vaginal birth after cesarean outcomes differ based on hospital setting? Information

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LANGUAGE: eng

NlmUniqueID: 370476

Do vaginal birth after cesarean outcomes differ based on hospital setting? Keywords Mesh Terms:

KEYWORDS: Vaginal Birth after Cesarean

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Do vaginal birth after cesarean outcomes differ based on hospital setting?

AFFILIATION: Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO 63110, USA. defrancoe@wudosis.wustl.edu

Country: United States

AGENCY: United States NICHD

GRANT: R01 HD 35631

ACRONYM: HD

MEDLINETA: Am J Obstet Gynecol

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