Please use this identifier to cite or link to this item:
https://doi.org/10.21256/zhaw-4278
Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | 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) |
Authors: | Clarke, Mike Savage, Gerard Smith, Valerie Daly, Deirdre Devane, Declan Gross, Mechthild Maria Grylka, Susanne Healy, Patricia Morano, Sandra Nicoletti, Jane Begley, Cecily |
DOI: | 10.21256/zhaw-4278 10.1186/s13063-015-1061-y |
Published in: | Trials |
Volume(Issue): | 16 |
Issue: | 542 |
Issue Date: | 30-Nov-2015 |
Publisher / Ed. Institution: | BioMed Central |
ISSN: | 1745-6215 1468-6708 1468-6694 |
Language: | English |
Subjects: | Clinical protocol; Cost saving; Cost-benefit analysis; Health care costs; Patient selection; Prospective studies; Research design; Treatment outcome; Delivery of health care; Maternal health services; Patient-centered care; Vaginal birth after cesarean |
Subject (DDC): | 618: Gynecology, obstetrics and midwifery |
Abstract: | Background: 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 €150 million. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/8146 |
Fulltext version: | Published version |
License (according to publishing contract): | CC BY 4.0: Attribution 4.0 International |
Departement: | School of Health Sciences |
Organisational Unit: | Institute of Midwifery and Reproductive Health (IHG) |
Appears in collections: | Publikationen Gesundheit |
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File | Description | Size | Format | |
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2015_Gross_Improving_the_organisation_of_maternal.pdf | 484.5 kB | Adobe PDF | View/Open |
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Clarke, M., Savage, G., Smith, V., Daly, D., Devane, D., Gross, M. M., Grylka, S., Healy, P., Morano, S., Nicoletti, J., & Begley, C. (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(542). https://doi.org/10.21256/zhaw-4278
Clarke, M. et al. (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(542). Available at: https://doi.org/10.21256/zhaw-4278.
M. Clarke et al., “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, vol. 16, no. 542, Nov. 2015, doi: 10.21256/zhaw-4278.
CLARKE, Mike, Gerard SAVAGE, Valerie SMITH, Deirdre DALY, Declan DEVANE, Mechthild Maria GROSS, Susanne GRYLKA, Patricia HEALY, Sandra MORANO, Jane NICOLETTI und Cecily BEGLEY, 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. 30 November 2015. Bd. 16, Nr. 542. DOI 10.21256/zhaw-4278
Clarke, Mike, Gerard Savage, Valerie Smith, Deirdre Daly, Declan Devane, Mechthild Maria Gross, Susanne Grylka, et al. 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 (542). https://doi.org/10.21256/zhaw-4278.
Clarke, Mike, et al. “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, vol. 16, no. 542, Nov. 2015, https://doi.org/10.21256/zhaw-4278.
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