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https://doi.org/10.21256/zhaw-4285| Publikationstyp: | Beitrag in wissenschaftlicher Zeitschrift |
| Art der Begutachtung: | Peer review (Publikation) |
| Titel: | Interinstitutional variations in mode of birth after a previous caesarean section : a cross-sectional study in six German hospitals |
| Autor/-in: | Gross, Mechthild Maria 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 |
| DOI: | 10.21256/zhaw-4285 10.1515/jpm-2014-0108 |
| Erschienen in: | Journal of Perinatal Medicine |
| Band(Heft): | 43 |
| Heft: | 2 |
| Seite(n): | 177 |
| Seiten bis: | 184 |
| Erscheinungsdatum: | 2015 |
| Verlag / Hrsg. Institution: | De Gruyter |
| ISSN: | 1619-3997 0300-5577 |
| Sprache: | Englisch |
| Schlagwörter: | Cesarean section, repeat; Cross-sectional studies; Pregnancy; Vaginal birth after cesarean; Mode of birth |
| Fachgebiet (DDC): | 618.4: Geburt |
| Zusammenfassung: | Aims: 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 χ2 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. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/8165 |
| Volltext Version: | Publizierte Version |
| Lizenz (gemäss Verlagsvertrag): | CC BY-NC-ND 4.0: Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International |
| Departement: | Gesundheit |
| Organisationseinheit: | Institut für Hebammenwissenschaft und reproduktive Gesundheit (IHG) |
| Enthalten in den Sammlungen: | Publikationen Gesundheit |
Dateien zu dieser Ressource:
| Datei | Beschreibung | Größe | Format | |
|---|---|---|---|---|
| 2015_Gross_Interinstitutional_variations_in_mode.pdf | 280.04 kB | Adobe PDF |  Öffnen/Anzeigen |
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Gross, M. M., Matterne, A., Berlage, S., Kaiser, A., Lack, N., Macher-Heidrich, S., Misselwitz, B., Bahlmann, F., Falbrede, J., Hillemanns, P., von Kaisenberg, C., von Koch, F. E., Schild, R. L., Stepan, H., Devane, D., & Mikolajczyk, R. (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. https://doi.org/10.21256/zhaw-4285
Gross, M.M. et al. (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), pp. 177–184. Available at: https://doi.org/10.21256/zhaw-4285.
M. M. Gross et al., “Interinstitutional variations in mode of birth after a previous caesarean section : a cross-sectional study in six German hospitals,” Journal of Perinatal Medicine, vol. 43, no. 2, pp. 177–184, 2015, doi: 10.21256/zhaw-4285.
GROSS, Mechthild Maria, Andrea MATTERNE, Silvia BERLAGE, Annette KAISER, Nicholas LACK, Susanne MACHER-HEIDRICH, Björn MISSELWITZ, Franz BAHLMANN, Jörg FALBREDE, Peter HILLEMANNS, Constantin VON KAISENBERG, Franz Edler VON KOCH, Ralf L. SCHILD, Holger STEPAN, Declan DEVANE und Rafael MIKOLAJCZYK, 2015. Interinstitutional variations in mode of birth after a previous caesarean section : a cross-sectional study in six German hospitals. Journal of Perinatal Medicine. 2015. Bd. 43, Nr. 2, S. 177–184. DOI 10.21256/zhaw-4285
Gross, Mechthild Maria, Andrea Matterne, Silvia Berlage, Annette Kaiser, Nicholas Lack, Susanne Macher-Heidrich, Björn Misselwitz, et al. 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): 177–84. https://doi.org/10.21256/zhaw-4285.
Gross, Mechthild Maria, et al. “Interinstitutional Variations in Mode of Birth after a Previous Caesarean Section : A Cross-Sectional Study in Six German Hospitals.” Journal of Perinatal Medicine, vol. 43, no. 2, 2015, pp. 177–84, https://doi.org/10.21256/zhaw-4285.
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