Pregnancy after caesarean : current care, clinical prediction and risk counselling

E.N.C. Schoorel

Research output: ThesisDoctoral ThesisInternal

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In the Netherlands, more and more women are giving birth by caesarean. This study shows that the guidelines that determine when to perform a caesarean are not always followed. Interestingly, the guidelines governing the type of delivery after a prior caesarean are only followed 15% of the time. Moreover, major differences exist between hospitals, often independent of patient characteristics. It can therefore be concluded that local policies are largely determined based on the opinions of individual healthcare providers and hospital policies. A decision-making tool has been developed to improve the quality of care. Gynaecologists can use this tool in the examination room to make the best decision in consultation with the patient about the type of delivery: a natural birth or a caesarean.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Maastricht University
  • Nijhuis, Jan, Supervisor
  • Hermens, R.P.M.G., Co-Supervisor, External person
  • Scheepers, Liesbeth, Co-Supervisor
Award date23 Jun 2015
Place of Publication‘s-Hertogenbosch
Print ISBNs9789462951884
Publication statusPublished - 2015


  • quality of care
  • caesarean
  • guidelines


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