C-Sections and VBACs – Past, Present, and Future

C-Sections and VBACs – Past, Present, and Future
Presentation by:
Russell S. Kirby, PhD, MS, FACE

Professor and Vice Chair
Department of Maternal and Child Health
School of Public Health
University of Alabama at Birmingham

Objectives

* Identify trends in Cesarean delivery and VBAC
* Discuss the clinical and public health significance of recent trends
* Describe evidence-based practice and its role in clinical decision making
* Review several recent influential publications and their impact
* Speculate on the future of obstetrics and labor/delivery management


Percent of Live Births
Total C- Section
Rate
Primary C-Section
Rate
VBAC Rate
Trends
Risk Factors Associated with Cesarean Delivery
BMI Cesarean Vaginal
Clinical Documentation of Previous Cesarean Section
Operative Vaginal vs. C-Section Rates
The Realistic Evidence-Based Rating Scale
The Practice of Evidence-based Practice
How Do We Practice EBP?
Quality of Evidence
Commentary on Elective Cesareans

C-Sections and VBACs – Past, Present, and Future.ppt