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Cesarean Delivery Upon Request in Pregnancies Following Vaginal Delivery: A Nationwide Study.
J Korean Med Sci
December 2024
Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Article Synopsis
- The study investigates the rising cesarean delivery (CD) rates and reasons why some mothers opt for CD in subsequent pregnancies after a vaginal delivery (VD).
- The research analyzed data from over 372,000 women who had a VD in their first pregnancy and assessed factors influencing the choice for CD, focusing on those without medical contraindications.
- Key factors linked to the decision to request a CD included older maternal age, shorter intervals between pregnancies, and prior complications such as hypertension and gestational diabetes.
Choosing the abdominal incision for the surgical management of severe placenta accreta spectrum: Patient satisfaction and long-term safety of the Soleymani and Collins transverse abdominal incision.
Int J Gynaecol Obstet
December 2024
Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK.
Models for predicting vaginal birth after cesarean section: scoping review.
BMC Pregnancy Childbirth
December 2024
Shengjing Hospital of China Medical University, Shenyang, China.
Background: Women who are pregnant again after a prior cesarean section are faced with the choice between a vaginal trial and another cesarean section. Vaginal delivery is safer for mothers and babies, but face the risk of trial labor failure. Predictive models can evaluate the success rate of vaginal trial labor after cesarean section, which will help obstetricians and pregnant women choose the appropriate delivery method.
View Article and Find Full Text PDFAutomating Racism: Is Use of the Vaginal Birth After Cesarean Calculator Associated with Inequity in Perinatal Service Delivery?
J Racial Ethn Health Disparities
December 2024
Department of Anthropology, History and Social Medicine, University of California, San Francisco, USA.
Objective: The clinical application of race-adjusted algorithms may perpetuate health inequities. We assessed the impact of the vaginal birth after cesarean (VBAC) calculator, which was revised in 2021 to address concerns about equity. The original algorithm factored race and ethnicity and gave lower VBAC probabilities to Black and Hispanic patients.
View Article and Find Full Text PDFRisk-Based Decision Making: Estimands for Sequential Prediction Under Interventions.
Biom J
December 2024
Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands.
Article Synopsis
- Prediction models help make medical decisions by estimating risks, advising high-risk individuals to undergo interventions while suggesting low-risk individuals avoid them.
- Traditional models may overlook the complexities of interventions since they often assess risk at just one point in time, while in reality, decisions are made repeatedly and may change over time.
- The article discusses how to formulate estimands for making better sequential predictions about interventions, using the example of choosing between vaginal delivery and cesarean section to inform future research and improve decision-making in clinical practice.
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