Show simple item record

dc.contributor.authorClarke, Mike
dc.contributor.authorSavage, Gerard
dc.contributor.authorSmith, Valerie
dc.contributor.authorDaly, Deirdre
dc.contributor.authorDevane, Declan
dc.contributor.authorGross, Mechthild M.
dc.contributor.authorGrylka-Baeschlin, Susanne
dc.contributor.authorHealy, Patricia
dc.contributor.authorMorano, Sandra
dc.contributor.authorNicoletti, Jane
dc.contributor.authorBegley, Cecily
dc.date.accessioned2018-09-20T16:03:25Z
dc.date.available2018-09-20T16:03:25Z
dc.date.issued2015-11-30
dc.identifier.citationClarke, Mike; Savage, Gerard; Smith, Valerie; Daly, Deirdre; Devane, Declan; Gross, Mechthild M. Grylka-Baeschlin, Susanne; Healy, Patricia; Morano, Sandra; Nicoletti, Jane; Begley, Cecily (2015). Improving the organisation of maternal health service delivery and optimising childbirth by increasing vaginal birth after caesarean section through enhanced women-centred care (optibirth trial): study protocol for a randomised controlled trial (isrctn10612254). Trials 16 ,
dc.identifier.issn1745-6215
dc.identifier.urihttp://hdl.handle.net/10379/10804
dc.description.abstractBackground: The proportion of pregnant women who have a caesarean section shows a wide variation across Europe, and concern exists that these proportions are increasing. Much of the increase in caesarean sections in recent years is due to a cascade effect in which a woman who has had one caesarean section is much more likely to have one again if she has another baby. In some places, it has become common practice for a woman who has had a caesarean section to have this procedure again as a matter of routine. The alternative, vaginal birth after caesarean (VBAC), which has been widely recommended, results in fewer undesired results or complications and is the preferred option for most women. However, VBAC rates in some countries are much lower than in other countries. Methods/Design: The OptiBIRTH trial uses a cluster randomised design to test a specially developed approach to try to improve the VBAC rate. It will attempt to increase VBAC rates from 25 % to 40 % through increased women-centred care and women's involvement in their care. Sixteen hospitals in Germany, Ireland and Italy agreed to join the study, and each hospital was randomly allocated to be either an intervention or a control site. Discussion: If the OptiBIRTH intervention succeeds in increasing VBAC rates, its application across Europe might avoid the 160,000 unnecessary caesarean sections that occur every year at an extra direct annual cost of more than (sic)150 million.
dc.publisherSpringer Nature
dc.relation.ispartofTrials
dc.subjectcomplex interventions
dc.subjectrates
dc.subjectpreference
dc.subjectmortality
dc.subjectlabor
dc.subjectmode
dc.subjectvbac
dc.titleImproving the organisation of maternal health service delivery and optimising childbirth by increasing vaginal birth after caesarean section through enhanced women-centred care (optibirth trial): study protocol for a randomised controlled trial (isrctn10612254)
dc.typeArticle
dc.identifier.doi10.1186/s13063-015-1061-y
dc.local.publishedsourcehttps://trialsjournal.biomedcentral.com/track/pdf/10.1186/s13063-015-1061-y
nui.item.downloads0


Files in this item

This item appears in the following Collection(s)

Show simple item record