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dc.contributor.authorGross, Mechthild M.
dc.contributor.authorMatterne, Andrea
dc.contributor.authorBerlage, Silvia
dc.contributor.authorKaiser, Annette
dc.contributor.authorLack, Nicholas
dc.contributor.authorMacher-Heidrich, Susanne
dc.contributor.authorMisselwitz, Björn
dc.contributor.authorBahlmann, Franz
dc.contributor.authorFalbrede, Jörg
dc.contributor.authorHillemanns, Peter
dc.contributor.authorvon Kaisenberg, Constantin
dc.contributor.authorvon Koch, Franz Edler
dc.contributor.authorSchild, Ralf L.
dc.contributor.authorStepan, Holger
dc.contributor.authorDevane, Declan
dc.contributor.authorMikolajczyk, Rafael
dc.date.accessioned2018-09-20T16:09:45Z
dc.date.available2018-09-20T16:09:45Z
dc.date.issued2015-01-01
dc.identifier.citationGross, Mechthild M. Matterne, Andrea; Berlage, Silvia; Kaiser, Annette; Lack, Nicholas; Macher-Heidrich, Susanne; Misselwitz, Björn; Bahlmann, Franz; Falbrede, Jörg; Hillemanns, Peter; von Kaisenberg, Constantin; von Koch, Franz Edler; Schild, Ralf L.; Stepan, Holger; Devane, Declan; Mikolajczyk, Rafael (2015). Interinstitutional variations in mode of birth after a previous caesarean section: a cross-sectional study in six german hospitals. Journal of Perinatal Medicine 43 (2), 177-184
dc.identifier.issn1619-3997,0300-5577
dc.identifier.urihttp://hdl.handle.net/10379/11740
dc.description.abstractAims: Regional and interinstitutional variations have been recognized in the increasing incidence of caesarean section. Modes of birth after previous caesarean section vary widely, ranging from elective repeat caesarean section (ERCS) and unplanned repeat caesarean section (URCS) after trial of labour to vaginal birth after caesarean section (VBAC). This study describes interinstitutional variations in mode of birth after previous caesarean section in relation to regional indicators in Germany. Material and methods: A cross-sectional study using the birth registers of six maternity units (n = 12,060) in five different German states (n = 370,209). Indicators were tested by chi(2) and relative deviations from regional values were expressed as relative risks and 95% confidence intervals. Results: The percentages of women in the six units with previous caesarean section ranged from 11.9% to 15.9% (P = 0.002). VBAC was planned for 36.0% to 49.8% (P = 0.003) of these women, but actually completed in only 26.2% to 32.8% (P = 0.66). Depending on the indicator, the units studied deviated from the regional data by up to 32% [relative risk 0.68 (0.47-0.97)] in respect of completed VBAC among all initiated VBAC. Conclusions: There is substantial interinstitutional variation in mode of birth following previous caesarean section. This variation is in addition to regional patterns.
dc.publisherWalter de Gruyter GmbH
dc.relation.ispartofJournal of Perinatal Medicine
dc.subjectgermany
dc.subjectmode of birth
dc.subjectregional variation
dc.subjectvbac
dc.subjectvaginal birth after caesarean section
dc.subjectvaginal birth
dc.subjectregional-variation
dc.subjectuterine rupture
dc.subjectdelivery rates
dc.subjecttrial
dc.subjectrisk
dc.subjectlabor
dc.subjectvbac
dc.subjectsuccess
dc.subjectcohort
dc.titleInterinstitutional variations in mode of birth after a previous caesarean section: a cross-sectional study in six german hospitals
dc.typeArticle
dc.identifier.doi10.1515/jpm-2014-0108
dc.local.publishedsourcehttps://digitalcollection.zhaw.ch/bitstream/11475/8165/1/2015_Gross_Interinstitutional_variations_in_mode.pdf
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