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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3087 records
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Created on : 01 Feb 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Guidelines for VBAC. JOGCan, 26, p.660

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Résumé (français)  :

Abstract (English)  :

Medline search with the following guidelines:
1. Patients with one PCS should be offered TOL with informed consent (IIB)
2. The plan should be clearly documented in the patient’s record (II-2B)
3. Delivery should be where emergency CS is immediately available (II-2A)
4. Each hospital should have a written policy regarding notification, etc.
5. Suspected uterine rupture requires urgent attention
6. Fetal monitoring is recommended
7. Oxytocin is not contraindicated
8. Medical induction of labor with oxytocin may be associated with an increased risk of uterine rupture and should be used carefully after appropriate counseling
9. Medical induction of labor with prostaglandin is associated with an increased risk of uterine rupture and should not be used except in rare circumstances
10. Prostaglandin E1 (misoprostol) is associated with a high risk of uterine rupture and should not be used.
11. A Foley catheter may be safely used to ripen the cervix
12. Data suggest s that TOL after more than one PCS is likely to be successful but is associated with a higher risk of uterine rupture
13. Multiple gestation is not a contraindication to TOL.
14. Diabetes is not a contraindication to TOL
15. Suspected macrosomia is not a contraindication to TOL
16. Women delivering within 18-24 months after PCS should be counseled about the increased risk of uterine rupture
17. Postdatism is not a contraindication to TOL
18. Every effort should be made to obtain previous operative note

These guidelines were approved by the Clinical Practice Obstetrics and Executive Committee of the Society of Obstetricians and Gynecologists of Canada

Sumário (português)  :

Resumen (español)  :

Comments :

Fiche importée de avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ vaginal birth after caesarean ; c-section/caesarean ; induction of labor ; post-term pregnancy ; misoprostol (Cytotec)

Author of this record :

Ken Turkowski — 01 Feb 2006
➡ latest update : Bernard Bel — 01 Dec 2007

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