Delivery after caesarean: chances and choices

Emy Vankan

Research output: ThesisDoctoral ThesisInternal

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An increasing number of women is pregnant after a previous caesarean section. Temporary guidelines indicate these women have to be informed about their choice between a trial of labour or a planned repeat caesarean section. However, often women are insufficiently informed about their options. We developed a decision aid based on evidence-based information and the current guidelines to support shared decision making. A prediction model is included to predict the individual chance of a vaginal delivery in case of trial of labour. Care including the decision aid was compared to care as usual. The number of vaginal births was comparable. More patients chose a planned caesarean section in the decision-aid group. In the same group, more women had a vaginal birth after a trial of labour. Consequently, less emergency caesarean sections were performed, showing better risk selection. Patients reported they felt more involved in decision making when the decision aid was used.
Original languageEnglish
Awarding Institution
  • Maastricht University
  • Nijhuis, J.G., Supervisor, External person
  • Scheepers, Liesbeth, Co-Supervisor
  • Hermens, R.P.M.G., Co-Supervisor, External person
Award date12 Nov 2021
Place of PublicationMaastricht
Print ISBNs9789464167757
Publication statusPublished - 2021


  • caesarean
  • vaginal delivery
  • decision aid
  • prediction model


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