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Douglas Wilson R, Dy J, Barrett J, Giesbrecht E, Stirk L, Bow MR, Chari R, Blake J, Anthony Armson B. Revisiting the Care Pathway for Trial of Labour After Cesarean: The Decision-to-Delivery Interval Is Key. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2020; 42:1550-1554. [PMID: 33268311 DOI: 10.1016/j.jogc.2020.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 05/25/2020] [Accepted: 05/25/2020] [Indexed: 10/23/2022]
Abstract
Centres providing maternity care and offering a trial of labour after cesarean must develop and use maternal educational and consent processes that emphasize choice and autonomy related to options for and decisions surrounding vaginal birth after cesarean and elective repeat cesarean delivery. These centres should have administrative systems and processes that take into account local resources for cesarean delivery services, including team-based complex maternity risk support and an urgency consensus on the fetal, maternal, and maternal-fetal indications for a surgical delivery to ensure an appropriate decision-to-delivery interval.
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Affiliation(s)
- R Douglas Wilson
- Cumming School of Medicine, Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB.
| | - Jessica Dy
- Department of Obstetrics, Gynecology, and Newborn Care, The Ottawa Hospital, Ottawa, ON; Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON
| | - Jon Barrett
- Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON
| | - Ellen Giesbrecht
- Department of Obstetrics & Gynaecology, University of British Columbia, Vancouver, BC
| | - Linda Stirk
- Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON
| | - Michael R Bow
- Department of Obstetrics & Gynecology, University of Alberta, Edmonton, AB
| | - Radha Chari
- Department of Obstetrics & Gynecology, University of Alberta, Edmonton, AB
| | - Jennifer Blake
- Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON
| | - B Anthony Armson
- Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS
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