National Survey of the management and delivery of the unicicatriciel uterus in France in 2009

Journal de gynécologie, obstétrique et biologie de la reproduction
A ArzelF Letois

Abstract

To audit French maternity units' obstetric procedures in delivering women who have undergone previous caesarean section. [corrected] Survey by questionnaire collecting the obstetrical practices about agreement and methods of delivery of women with previous caesarean section in France in 2009. The questionnaire was sent by email to 472 private and public maternity units of grades 1, 2 and 3. One hundred and seventy-five units (37%) replied, about 305,710 new-borns representated, few private maternity units answered (12.6% of the answers), despite their accounting for 30.2% of obstetric work; 50.9% had no written policy for the management of patients with previous caesarean; 53.1% of units relied on written consent from women attempting vaginal delivery after previous caesarean. The documentation concerning previous caesarean section was considered important by 73.1% of units. Rates for acceptance of attempted vaginal delivery were as follows: after a transverse lower uterine segment incision - 100% of maternity units; after a transverse corporeal incision - 30.3% of units and after a vertical incision - 25.1% of units; 55.4% of maternities induced labour after a previous caesarean section, 29.9% of them with prostaglandin E2; 64...Continue Reading

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Citations

Nov 28, 2012·PloS One·Jeanne RoparsManuela López-Villavicencio
Jul 20, 2017·Health Research Policy and Systems·Jean-Pierre Olivier de SardanMahaman Moha

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