ArticleBirth (Berkeley, Calif.)2015
Planned Home VBAC in the United States, 2004-2009: Outcomes, Maternity Care Practices, and Implications for Shared Decision Making.
Article in Birth (Berkeley, Calif.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Community Midwifery Postpartum Care: National Data From Community Practice.Journal of midwifery & women's health · 2026Article
- Observational
- Racial Disparities in Respectful Maternity Care During Pregnancy and Birth After Cesarean in Rural United States.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023Observational
- Maternal and neonatal outcomes following waterbirth: a cohort study of 17 530 waterbirths and 17 530 propensity score-matched land births.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- Demographic, Socioeconomic, Health Systems, and Geographic Factors Associated with Vaginal Birth After Cesarean: An Analysis of 2017 U.S. Birth Certificate Data.Maternal and child health journal · 2021Article
- Factors affecting third-stage management and postpartum hemorrhage in planned midwife-led home and birth center births in the United States.Birth (Berkeley, Calif.) · 2020Article
- Medical indications for primary cesarean delivery in women with and without disabilities.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2020Article
- Utility of the 5-Minute Apgar Score as a Research Endpoint.American journal of epidemiology · 2019Article
- Trends and state variations in out-of-hospital births in the United States, 2004-2017.Birth (Berkeley, Calif.) · 2019Article
- Out-of-hospital births in California 1991-2011.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Vaginal birth after cesarean: neonatal outcomes and United States birth setting.American journal of obstetrics and gynecology · 2017Article
- Article
- Dueling Statistics: Is Out-of-Hospital Birth Safe?The Journal of perinatal education · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the United States, the number of planned home vaginal births after cesarean (VBACs) has increased. This study describes the maternal and neonatal outcomes for women who planned a VBAC at home with midwives who were contributing data to the Midwives Alliance of North America Statistics Project 2.0 cohort during the years 2004-2009.
methodTwo subsamples were created from the parent cohort: 12,092 multiparous women without a prior cesarean and 1,052 women with a prior cesarean. Descriptive statistics were calculated for maternal and neonatal outcomes for both groups. Sensitivity analyses comparing women with a prior vaginal birth and those who were at the lowest risk with various subgroups in the parent cohort were also conducted.
resultsWomen with a prior cesarean had a VBAC rate of 87 percent, although transfer rates were higher compared with women without a prior cesarean (18% vs 7%, p < 0.001). The most common indication for transfer was failure to progress. Women with a prior cesarean had higher proportions of blood loss, maternal postpartum infections, uterine rupture, and neonatal intensive care unit admissions than those without a prior cesarean. Five neonatal deaths (4.75/1,000) occurred in the prior cesarean group compared with 1.24/1,000 in multiparas without a history of cesarean (p = 0.015).
conclusionAlthough there is a high likelihood of a vaginal birth at home, women planning a home VBAC should be counseled regarding maternal transfer rates and potential for increased risk to the newborn, particularly if uterine rupture occurs in the home setting.
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