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Barth Cottrell EK, Wasson N, Wagner J, et al. Vaginal Birth After Cesarean: Developing and Prioritizing a Future Research Agenda [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 May. (Future Research Needs Papers, No. 15.)
Vaginal Birth After Cesarean: Developing and Prioritizing a Future Research Agenda [Internet].
Show detailsTable APhase 2, Delphi round 2: Top 10 VBAC future research priorities
| Priority | Final Rank | Weighted Scorea | Category of Research |
|---|---|---|---|
| Studies to test clinical, institutional, or policy interventions to increase access to “safe” TOL | 1 | 72 | A |
| Research on barriers to providing safe TOL, including factors that limit hospitals' ability to meet the “immediately available” requirement (i.e., availability of anesthesiologists, obstetric providers, and other resources) | 2 | 51 | A |
| Studies comparing outcomes for mother and infant in settings where physicians are “immediately available” vs. settings where physicians are “readily available” | 3 | 46 | A |
| Studies to understand best-practice models based on institutions that are currently offering safe TOL | 4 | 41 | A |
| Development of standardized measures for short- and long-term maternal and infant outcomes | 5 | 41 | B |
| Surveillance to determine long-term clinical outcomes of TOL vs. ERCD | 6 | 38 | B |
| Research on how patients understand risk, how they respond to different ways of framing risk, and how best to communicate risks of TOL vs. ERCD | 7 | 37 | C |
| Clinical and policy-relevant studies to address the threat of legal liability on practice patterns regarding TOL vs. ERCD | 8 | 34 | A |
| Development/utilization of a reliable model or tool to predict the probability of successful VBAC for individual women and/or a tool to predict probability of successful VBAC in general | 9 | 32 | B |
| Studies to refine, validate, and implement informed-consent templates that are informative, reliable, and able to be well documented | 10 | 26 | C |
ERCD = elective repeat cesarean delivery; TOL = trial of labor; VBAC = vaginal birth after cesarean. Categories of research: A = health systems and contextual issues; B = standardized measurement and collection of data on maternal and infant outcomes; C = understanding how patients perceive risk and how best to communicate risk of mode of delivery after prior cesarean.
- a
Weighted scores correspond to the prioritized ranking in the second round of phase 2.
- Table A, Phase 2, Delphi round 2: Top 10 VBAC future research priorities - Vagin...Table A, Phase 2, Delphi round 2: Top 10 VBAC future research priorities - Vaginal Birth After Cesarean: Developing and Prioritizing a Future Research Agenda
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