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VOLUME 15 , ISSUE 4 ( July-August, 2023 ) > List of Articles
Mohamed Rishard, Probhodana Ranaweera, Hemantha Senanayake, Marzia Lazzerini
Keywords : Birth, Cesarean section rates, Childbirth experience, Health education, Vaginal birth after cesarean, Women's choice
Citation Information : Rishard M, Ranaweera P, Senanayake H, Lazzerini M. 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.
License: CC BY-NC 4.0
Published Online: 16-09-2023
Copyright Statement: Copyright © 2023; The Author(s).
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.