Coherent Identifier About this item: 20.500.12592/sbwfn7

Vaginal Birth After Previous Low-Segment Caesarean Section GRADE Tables

22 June 2021

Summary

Risk of bias was rated serious due to concerns regarding a lack of adjustment for potential confounders in included studies, the selection of participants in study groups, and the classification of study participants. [...] Risk of bias was rated serious due to concerns regarding lack of adjustment for potential confounders in included studies and the selection of participants in study groups (e.g., the planned VBAC group had a higher proportion of people who had previously delivered vaginally, which has the potential to increase one's likelihood of having a successful VBAC). [...] Risk of bias was rated serious due to lack of clarity re: selection of participants in the augmentation and spontaneous labour groups. [...] Risk of bias was rated serious due to lack of adjustments for confounders and lack of clarity re: selection of participants in the augmentation and spontaneous labour groups. [...] Risk of bias was rated serious because of a higher proportion of participants in the “no epidural” group having previously had a vaginal birth; a previous vaginal birth is associated with a lower risk of uterine rupture in subsequent planned VBACs.

Authors

Pages
15
AOM
Association of Ontario Midwives