This decision support tool is based on the Birth Choices decision-aid written by Allison Shorten.
Disclaimer
The content provided in the patient decision aid does not replace the advice of a doctor.
The information provided in this program is intended for educational purposes only.
The authors are not responsible for how the information is used; that is, no warranty or liability is offered. All medical decisions should be made in consultation with a doctor.
Acknowledgement of Support
The development of this interactive version of the Birth Choices patient decision aid is supported by a R21 grant 1R21HS022114-01Agency for Healthcare Research and Quality.
Primary Investigator
Allison Shorten, RN RM, PhD
Associate Professor, Yale School of Nursing, Yale University, New Haven, Connecticut, USA.
Director, Informed Health Choices Trust and author of Birth Choices.
Project Team
Holly Kennedy CNM, PhD
Executive Deputy Dean & Helen Varney Professor of Midwifery
Yale University, School of Nursing
Robin Whittemore APRN, PhD
Associate Professor of Nursing and Director of PhD Program
Yale University, School of Nursing
Christian Pettker MD
Associate Professor of Obstetrics, Gynecology, and Reproductive Sciences; Medical Director, Labor & Birth Unit and Maternal Special Care Unit, Yale-New Haven Hospital; Chief of Obstetrics, Yale School of Medicine and Yale-New Haven Hospital
Jessica Illuzzi MD
Associate Professor of Obstetrics, Gynecology, and Reproductive Sciences; Director of Medical Studies; Clerkship Director
Angie Fagerlin PhD
Co-director, Centre for Bioethics and Social Sciences in Medicine
University of Michigan
Hannah Lakehomer BA RN
Research Assistant, Yale School of Nursing
Allison Saran BA
Research Assistant, Yale School of Nursing
Editing Team
Allison Shorten RN RM PhD
Holly Kennedy CNM PhD
Robin Whittemore APRN PhD
Christian Pettker MD
Jessica Illuzzi MD
Angie Fagerlin PhD
Hannah Lakehomer BA RN
Allison Saran BA
Web Development and Design Team
Gravity Switch in collaboration with Allison Shorten and the project team
Medical Content Experts
Allison Shorten RN RM PhD
Holly Kennedy CNM PhD
Christian Pettker MD
Jessica Illuzzi MD
Sarah Cross MD
References and Evidence Sources
Barger MK, Nannini, A, Weiss J, Declercq ER, Stubblefield P, Werler M and Ringer S Severe maternal and perinatal outcomes from uterine rupture among women at term with a trial of labor Journal of Perinatology 2012; 32: 837–843 Cahill AG, Stamilio DM, Odibo AO, et al. Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in women with a prior vaginal delivery? Am J Obstet Gynecol 2006; 195:1143-7.
Cardwell CR, Stene LC, Joner G, et al. Caesarean section is associated with an increased risk of childhood-onset type 1 diabetes mellitus: A meta-analysis of observational studies. Diabetologia 2008; 51:726-35.
Cottrell EKB, Wasson N, Wagner J, Graham E, Guise J-M. Vaginal birth after cesarean: Developing and prioritizing a future research agenda. Future Research Needs Paper No. 15.
(Prepared by the Oregon Evidence-based Practice Center under Contract No. 290-2007-10057-I.) AHRQ Publication No. 12-EHC072-EF. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. www.effectivehealthcare.ahrq.gov/reports/final.cfm.
Guise J-M, Eden K, Emeis C, et al. Vaginal birth after cesarean: New insights. Evidence Report/Technology Assessment No.191. (Prepared by the Oregon Health & Science University Evidence-based Practice Center under Contract No. 290-2007-10057-I). Rockville, MD: Agency for Healthcare Research and Quality. March 2010. AHRQ Publication No. 10-E001. Guise JM, Eden K, Emeis C, et al. Vaginal birth after cesarean: New insights. Evid Rep Technol Assess (Full Rep). 2010;(191)(191):1-397. http://www.ahrq.gov/research/findings/evidence-based-reports/er191-abstract.html
Holmgren C, Scott, JR, Flint Porter, T. Uterine Rupture With Attempted Vaginal Birth After Cesarean Delivery Decision-to-Delivery Time and Neonatal Outcome. Obstet Gynecol 2012; 119: 725-731
Hook B et al. Neonatal morbidity after elective repeat cesarean section and trial of labor. Pediatrics 1997; 100:348-353.
Kamath BD, Todd JK, Glazner JE, Lezotte D, Lynch AM. Neonatal outcomes after elective cesarean delivery. Obstet Gynecol 2009; 113:1231-8.
National Institutes of Health Consensus Development Program. Vaginal birth after cesarean: New insights, Final Statement, March 8-10 2010, Bethesda, Maryland, http://consensus.nih.gov.
Shorten A, Chamberlain M, Shorten B, Kariminia A. Making choices for childbirth: Development and testing of a decision-aid for women who have experienced previous caesarean. Patient Educ Couns 2004; Mar; 52(3):307-13.
Shorten A, Shorten B, Keogh J, West S, et al. Making choices for childbirth: A randomized controlled trial of a Decision-aid for informed birth after cesarean. Birth 2005; 32(40):252-261. Shorten A. Birth Choice: What is best for you…vaginal or caesarean birth? A Decision-aid for women making choices about birth after caesarean section. University of Wollongong Printery, Wollongon, Australia, 2007.
Shorten A. My last birth was a caesarean…what are my options? Royal Women’s Hospital Melbourne, Australia, 2009.
Steer PJ, Modi N. Elective caesarean sections--risks to the infant. Lancet 2009; 374:675-6.
References Cited Page 82
Thavagnanam S, Fleming J, Bromley A, Shields MD, Cardwell CR. A meta-analysis of the association between Caesarean section and childhood asthma. Clin Exp Allergy 2008; 38:629-33.
Winovitch KC, Padilla L, Ghamsary M, Lagrew DC, Wing DA. Persistent pulmonary hypertension of the newborn following elective cesarean delivery at term. J Matern Fetal Neonatal Med 2011 Nov; 24(11):1398-402.