Journal List > Korean J Women Health Nurs > v.17(4) > 1037292

Kim, Kim, and Kim: Maternal Factors Affecting Delivery Mode of the Previous Cesarean Delivery Mothers

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, χ2 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.

Figures and Tables

Table 1
Sociodemographic Characteristics of Previous Cesarean Delivery Mothers (N=60,504)
kjwhn-17-359-i001

II=industrial workers-insured; ID=industrial workers-dependants; SI=self employees-insured; SD=self employees-dependants.

Table 2
Delivery Mode according to Mothers' Sociodemographic Characteristics (N=60,504)
kjwhn-17-359-i002

VBAC=vaginal birth after cesarean section; CS=cesarean section; II=industrial workers-insured; ID=industrial workers-dependants; SI=self employees-insured; SD=self employees-dependants.

Table 3
Delivery Mode according to Mothers' Clinical Characteristics (N=60,504)
kjwhn-17-359-i003

VBAC=vaginal birth after cesarean section; CS=cesarean section.

Fisher's exact test.

Table 4
Logistic Regression Result of Previous Cesarean Delivery Mothers' Delivery Mode (N=60,504)
kjwhn-17-359-i004

Health insurance type : I.I.-Industrial workers-insured, I.D.-Industrial workers-dependants, S.I.-Self employees-insured, S.D.- Self employees-dependants.

Notes

This work was supported by the Eulji University Research Grant.

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