| Maternal Factors Affecting Delivery Mode of the Previous Cesarean Delivery Mothers |
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Yun Mi Kim, Myung Hee Kim, Kyohyun Kim |
1Eulji University College of Nursing, Korea. kyunm@eulji.ac.kr
2People's Health Institute, Korea.
3The Third Republic of Korea Army, Korea. |
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| Abstract |
PURPOSE
To examine delivery type of mother who have had a previous cesarean and identify maternal factors related to type of delivery.
METHODS
The study sample included 60,504 mothers who had delivered through cesarean section. Related variables were categorized as sociodemographic factors (age, residence, health insurance type, income level) and clinical characteristics (14 maternal factor, 4 fetal factor and pre-term). For data analysis, chi2 and multivariate logistic regression were conducted.
RESULTS
Among the 60,504mothers, 3,075 were delivered through Vaginal Birth After C-Section (VBAC) and the VBAC rate was 5.1%. Underage 34, the VBAC rate increased according to age increases up to 3%. Mothers residing in urban areas had VBAC more frequently than mothers in rural area. Mothers in the high and middle income levels had a greater possibility of having VBAC than mothers in lower income levels. A greater likelihood of increase in repeated cesarean section were found in mothers with maternal and fetal factors.
CONCLUSION
Evidence based nursing practice guidelines and education programs for previous cesarean section mothers and health policy are needed to increase VBAC. |
| Key Words:
Maternal health services; Vaginal birth after cesarean; Cesarean section repeat |
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