Vaginal Birth After Caesarean Section - Effect on Maternal Psychosocial Function

NCT00517140 | Completed

• 2 other identifiers: CRE-2003.118HARECCTR0500014
• Study Type: interventional
• Target: 262
• Locations: 1 country
• Sites: 1

Brief Summary

The incidence of caesarean section has reached 15-20% in most developed countries. Encouraging vaginal birth after caesareans section (VBAC) has been considered a key component of a strategy to reduce the caesarean section rate. Most medical literature has focused on the efficacy of VBAC in reducing the caesarean section rate and the physical safety of successful VBAC. However, 30%-40% of these women fail to achieve a vaginal delivery. Little is known about how the uncertainty of labour outcome and a failed VBAC impact on the psychosocial function of these women. We propose to study a cohort of women with a prior caesarean section and presenting with a subsequent pregnancy for care. After consent and recruitment, these subjects will be randomly assigned to have a repeat caesarean section or VBAC. The medical outcomes, overall satisfaction of the subjects with the care they received, and the short-term psychosocial function of these subjects will be studied. The result of this study will provide important information that would be useful in assisting women to decide the mode of delivery after a prior caesarean section.

Conditions

Pregnancy; Cesarean Section; Uterine Rupture

Keywords

Pregnancy women with a scarred uterus due to previous caesarean section

Outcome Measures

Primary Outcomes (1)

• pscyiatric morbidity

  after delivery

Secondary Outcomes (1)

• Psychosocial function

  3 and 6 months after delivery

Interventions

Repeat Caesaen section PROCEDURE

vaginal delivery PROCEDURE

Eligibility Criteria

• Sex: female
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All women who:
• Have one prior caesarean section
• No prior vaginal delivery and
• Agree for either vaginal delivery or elective caesarean section

Sponsors & Collaborators

• Hospital Authority, Hong Kong: lead
• Chinese University of Hong Kong: collaborator

Study Sites (1)

Department of Obstetrics and Gynaecology, Prince of Wales Hospital

Hong Kong, China

Location

MeSH Terms

Conditions

Uterine Rupture

Condition Hierarchy (Ancestors)

Uterine Diseases; Genital Diseases, Female; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Obstetric Labor Complications; Pregnancy Complications; Genital Diseases; Rupture; Wounds and Injuries

Study Officials

• Tze Kin Lau, Prof

  Department of Obstetrics and Gynaecology, The Chinese Univerisity of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV

Study Record Dates

• First Submitted: August 15, 2007
• First Posted: August 16, 2007
• Study Start: September 1, 2003
• Study Completion: April 1, 2007
• Last Updated: June 16, 2011

Record last verified: 2011-06

Locations

CN (1)