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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-4278
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dc.contributor.authorClarke, Mike-
dc.contributor.authorSavage, Gerard-
dc.contributor.authorSmith, Valerie-
dc.contributor.authorDaly, Deirdre-
dc.contributor.authorDevane, Declan-
dc.contributor.authorGross, Mechthild Maria-
dc.contributor.authorGrylka, Susanne-
dc.contributor.authorHealy, Patricia-
dc.contributor.authorMorano, Sandra-
dc.contributor.authorNicoletti, Jane-
dc.contributor.authorBegley, Cecily-
dc.date.accessioned2018-07-16T12:28:54Z-
dc.date.available2018-07-16T12:28:54Z-
dc.date.issued2015-11-30-
dc.identifier.issn1745-6215de_CH
dc.identifier.issn1468-6708de_CH
dc.identifier.issn1468-6694de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/8146-
dc.description.abstractBackground: The proportion of pregnant women who have a caesarean section shows a wide variation across Europe, and concern exists that these proportions are increasing. Much of the increase in caesarean sections in recent years is due to a cascade effect in which a woman who has had one caesarean section is much more likely to have one again if she has another baby. In some places, it has become common practice for a woman who has had a caesarean section to have this procedure again as a matter of routine. The alternative, vaginal birth after caesarean (VBAC), which has been widely recommended, results in fewer undesired results or complications and is the preferred option for most women. However, VBAC rates in some countries are much lower than in other countries. Methods/Design: The OptiBIRTH trial uses a cluster randomised design to test a specially developed approach to try to improve the VBAC rate. It will attempt to increase VBAC rates from 25 % to 40 % through increased women-centred care and women’s involvement in their care. Sixteen hospitals in Germany, Ireland and Italy agreed to join the study, and each hospital was randomly allocated to be either an intervention or a control site. Discussion: If the OptiBIRTH intervention succeeds in increasing VBAC rates, its application across Europe might avoid the 160,000 unnecessary caesarean sections that occur every year at an extra direct annual cost of more than €150 million.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofTrialsde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectClinical protocolde_CH
dc.subjectCost savingde_CH
dc.subjectCost-benefit analysisde_CH
dc.subjectHealth care costsde_CH
dc.subjectPatient selectionde_CH
dc.subjectProspective studiesde_CH
dc.subjectResearch designde_CH
dc.subjectTreatment outcomede_CH
dc.subjectDelivery of health carede_CH
dc.subjectMaternal health servicesde_CH
dc.subjectPatient-centered carede_CH
dc.subjectVaginal birth after cesareande_CH
dc.subject.ddc618: Geburtsmedizin und Hebammenarbeitde_CH
dc.titleImproving the organisation of maternal health service delivery and optimising childbirth by increasing vaginal birth after caesarean section through enhanced women-centred care (OptiBIRTH trial) : study protocol for a randomised controlled trial (ISRCTN10612254)de_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.21256/zhaw-4278-
dc.identifier.doi10.1186/s13063-015-1061-yde_CH
dc.identifier.pmid26620402de_CH
zhaw.funding.euNode_CH
zhaw.issue542de_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume16de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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Clarke, M., Savage, G., Smith, V., Daly, D., Devane, D., Gross, M. M., Grylka, S., Healy, P., Morano, S., Nicoletti, J., & Begley, C. (2015). Improving the organisation of maternal health service delivery and optimising childbirth by increasing vaginal birth after caesarean section through enhanced women-centred care (OptiBIRTH trial) : study protocol for a randomised controlled trial (ISRCTN10612254). Trials, 16(542). https://doi.org/10.21256/zhaw-4278
Clarke, M. et al. (2015) ‘Improving the organisation of maternal health service delivery and optimising childbirth by increasing vaginal birth after caesarean section through enhanced women-centred care (OptiBIRTH trial) : study protocol for a randomised controlled trial (ISRCTN10612254)’, Trials, 16(542). Available at: https://doi.org/10.21256/zhaw-4278.
M. Clarke et al., “Improving the organisation of maternal health service delivery and optimising childbirth by increasing vaginal birth after caesarean section through enhanced women-centred care (OptiBIRTH trial) : study protocol for a randomised controlled trial (ISRCTN10612254),” Trials, vol. 16, no. 542, Nov. 2015, doi: 10.21256/zhaw-4278.
CLARKE, Mike, Gerard SAVAGE, Valerie SMITH, Deirdre DALY, Declan DEVANE, Mechthild Maria GROSS, Susanne GRYLKA, Patricia HEALY, Sandra MORANO, Jane NICOLETTI und Cecily BEGLEY, 2015. Improving the organisation of maternal health service delivery and optimising childbirth by increasing vaginal birth after caesarean section through enhanced women-centred care (OptiBIRTH trial) : study protocol for a randomised controlled trial (ISRCTN10612254). Trials. 30 November 2015. Bd. 16, Nr. 542. DOI 10.21256/zhaw-4278
Clarke, Mike, Gerard Savage, Valerie Smith, Deirdre Daly, Declan Devane, Mechthild Maria Gross, Susanne Grylka, et al. 2015. “Improving the Organisation of Maternal Health Service Delivery and Optimising Childbirth by Increasing Vaginal Birth after Caesarean Section through Enhanced Women-Centred Care (OptiBIRTH Trial) : Study Protocol for a Randomised Controlled Trial (ISRCTN10612254).” Trials 16 (542). https://doi.org/10.21256/zhaw-4278.
Clarke, Mike, et al. “Improving the Organisation of Maternal Health Service Delivery and Optimising Childbirth by Increasing Vaginal Birth after Caesarean Section through Enhanced Women-Centred Care (OptiBIRTH Trial) : Study Protocol for a Randomised Controlled Trial (ISRCTN10612254).” Trials, vol. 16, no. 542, Nov. 2015, https://doi.org/10.21256/zhaw-4278.


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