Can a Nurse-led Counseling Clinic Improve the Success of Vaginal Birth after Cesarean Section? A Pilot Project Conducted at a Tertiary Care Center in Sri Lanka

Mohamed Rishard; Probhodana Ranaweera

doi:10.5005/jp-journals-10006-2282

SEARCH WITHIN CONTENT

Online First

Can a Nurse-led Counseling Clinic Improve the Success of Vaginal Birth after Cesarean Section? A Pilot Project Conducted at a Tertiary Care Center in Sri Lanka

Mohamed Rishard, Probhodana Ranaweera

Keywords : Birth, Cesarean section rates, Childbirth experience, Health education, Vaginal birth after cesarean, Women's choice

Citation Information : Rishard M, Ranaweera P. Can a Nurse-led Counseling Clinic Improve the Success of Vaginal Birth after Cesarean Section? A Pilot Project Conducted at a Tertiary Care Center in Sri Lanka. J South Asian Feder Obs Gynae 2023; 15 (4):503-504.

DOI: 10.5005/jp-journals-10006-2282

License: CC BY-NC 4.0

Published Online: 16-09-2023

ARTICLE
REFERENCES

Abstract

There is a lack of studies reporting successful counseling interventions to increase vaginal birth after cesarean section (VBAC) in low- and middle-income countries (LMIC). We report a pilot study conducted in Colombo, Sri Lanka, to assess the preliminary results of a nurse-led counseling clinic to improve the VBAC rate. Women who attended the VBAC clinic from January 2020 to May 2020 were recruited for this study. They were counseled by trained educator nurses on the VBAC process. The rate of women opting for VBAC almost tripled after counseling, while the rate of women opting for cesarean section (CS) has significantly reduced. In this pilot study, a nurse-led VBAC counseling clinic significantly increased the maternal choice towards VBAC. The observed effect is clinically relevant and warrants further consideration in larger studies.

HTML PDF Share

Simeone S, Stile F, Assunta G, et al. Experience of vaginal birth after cesarean: A phenomenological study. J Perinat Educ 2019;28(3):131–141. DOI: 10.1891/1058-1243.28.3.131.
Keedle H, Peters L, Schmied V, et al. Women's experiences of planning a vaginal birth after caesarean in different models of maternity care in Australia. BMC Pregnancy and Childbirth 2020;20(1):381. DOI: 10.1186/s12884-020-03075-8.
Lazzerini M, Senanayake H, Mohamed R, et al. Implementation of an individual patient prospective database of hospital births in Sri Lanka and its use for improving quality of care. BMJ Open 2019;9(2):e023706. DOI: 10.1136/bmjopen-2018-023706.
Senanayake H, Piccoli M, Valente EP, et al. Implementation of the WHO manual for Robson classification: An example from Sri Lanka using a local database for developing quality improvement recommendations. BMJ Open 2019;9(2):e027317. DOI: 10.1136/bmjopen-2018-027317.

PDF Share