Abstract
Centres providing maternity care and offering a trial of labour after cesarean must
develop and use maternal educational and consent processes that emphasize choice and
autonomy related to options for and decisions surrounding vaginal birth after cesarean
and elective repeat cesarean delivery. These centres should have administrative systems
and processes that take into account local resources for cesarean delivery services,
including team-based complex maternity risk support and an urgency consensus on the
fetal, maternal, and maternal–fetal indications for a surgical delivery to ensure
an appropriate decision-to-delivery interval.
Résumé
Les centres qui prodiguent des soins de maternité et offrent l’épreuve de travail
après césarienne doivent mettre au point et utiliser des processus d’éducation et
de consentement maternels. Ces processus doivent mettre l'accent sur le choix et l'autonomie
par rapport aux options et aux décisions entourant l'accouchement vaginal après césarienne
ou la césarienne itérative planifiée. Ces centres doivent avoir des systèmes et processus
administratifs qui tiennent compte de la disponibilité des ressources locales pour
l'accouchement par césarienne. Ces systèmes et processus doivent intégrer un soutien
collaboratif en matière de risques maternels complexes et un consensus d'urgence sur
les indications fœtales, maternelles et fœto-maternelles de l'accouchement chirurgicale
afin d'assurer un intervalle décision-accouchement adéquat.
Keywords
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Article info
Publication history
Published online: September 30, 2020
Footnotes
Disclosures: The authors have nothing to disclose.
All authors have indicated they meet the journal's requirements for authorship.
Identification
Copyright
© 2020 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
