{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T16:35:31Z","timestamp":1785602131651,"version":"3.56.0"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Australia's caesarean rate is higher than Organisation for Economic Co\u2010operation and Development (OECD) average, and is rising. Vaginal birth after caesarean (VBAC) is safe for selected women. Midwifery continuity of care (CoC) is associated with higher rates of vaginal birth compared to other models; however, impacts on VBAC attempts and success are unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The primary aim was to determine if there is a difference in achieving VBAC between CoC and non\u2010CoC (NCoC) models. The secondary aim was to determine if there is a difference in the proportion of women attempting VBAC between these models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Retrospective review of antenatal records and birthing data of all women who birthed in 2021 with one or more previous caesareans. Women were included if they had two or fewer caesareans. Women were excluded if contraindications to VBAC existed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 142\/1109 (12.8%) women who had previous caesareans and were eligible to attempt VBAC. There were 47\/109 (43.1%) women who attempted vaginal birth after one caesarean with 78.7% success. After one caesarean, women in CoC were more likely to achieve VBAC than NCoC (45.2% vs 26.1%; relative risk (RR) 1.76, 95% CI 1.04\u20133.00), although when stratified by private and midwifery CoC models, women in midwifery CoC models were more likely to be successful (private RR 0.69, 95% CI 0.23\u20132.07 vs midwifery RR 2.48, 95% CI 1.50\u20134.11). Women in CoC were more likely to attempt VBAC (54.7% vs 34.8%; RR 1.57, 95% CI 1.02\u20132.41), and receive counselling about VBAC (92.5% vs 62%; RR 1.48, 95% CI 1.41\u20133.11).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CoC improves the rate of attempted and successful VBAC through several factors, including increased counselling and greater provision of birth choices.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13790","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T11:50:59Z","timestamp":1704455459000},"page":"264-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Continuity obstetric care demonstrates greater vaginal birth after caesarean success"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5707-0281","authenticated-orcid":false,"given":"Georgina","family":"Facchetti","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Coffs Harbour Hospital, Mid North Coast Local Health District  Coffs Harbour New South Wales Australia"},{"name":"Department of Obstetrics and Gynaecology Nepean Hospital, Nepean Blue Mountains Local Health District  Penrith New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Teo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Nepean Hospital, Nepean Blue Mountains Local Health District  Penrith New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenu","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Coffs Harbour Hospital, Mid North Coast Local Health District  Coffs Harbour New South Wales Australia"},{"name":"School of Women's and Children's Health University of New South Wales  Coffs Harbour New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6738-4104","authenticated-orcid":false,"given":"Aaron","family":"Budden","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Coffs Harbour Hospital, Mid North Coast Local Health District  Coffs Harbour New South Wales Australia"},{"name":"Gynaecology Research and Clinical Excellence (GRACE) Royal Hospital for Women  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Australian Institute of Health and Welfare.National Core Maternity Indicators Caesarean section[online] n.d. [Accessed 22 April 2023.] Available from URL:https:\/\/www.aihw.gov.au\/reports\/mothers\u2010babies\/national\u2010core\u2010maternity\u2010indicators\u20101\/contents\/labour\u2010and\u2010birth."},{"key":"e_1_2_6_3_1","unstructured":"RANZCOG.Birth After Previous Caesarean Section. [online] RANZCOG guidelines 2019. [Accessed 21 April 2023.] Available from URL:https:\/\/ranzcog.edu.au\/wp\u2010content\/uploads\/2022\/05\/Birth\u2010after\u2010previous\u2010caesarean\u2010section.pdf."},{"key":"e_1_2_6_4_1","unstructured":"Safetyandquality.gov.au.Atlas 2017 | Australian Commission on Safety and Quality in Health Care. [online] 2017. [Accessed 21 April 2023.] Available from URL:https:\/\/www.safetyandquality.gov.au\/our\u2010work\/healthcare\u2010variation\/atlas\u20102017."},{"key":"e_1_2_6_5_1","unstructured":"BoutsikouT Malamitsi\u2010PucherA.Caesarean section: impact on mother and child. [online] Acta Paediatrica 2011. [Accessed 22 April 2023.] Available from URL:https:\/\/doi.org\/10.1111\/j.1651\u20102227.2011.02477."},{"key":"e_1_2_6_6_1","unstructured":"Royal College of Obstetricians and Gynaecologists.Birth After Previous Caesarean Birth Green\u2010top Guideline No. 45. [online] 2015. [Accessed 21 April 2023.] Available from URL:https:\/\/www.rcog.org.uk\/media\/kpkjwd5h\/gtg_45.pdf."},{"key":"e_1_2_6_7_1","unstructured":"Australian College of Midwives.National Midwifery Guidelines for Consultation and Referral 4th Edition. [online] 2021. [Accessed 10 June 2023.] Available from URL:https:\/\/www.midwives.org.au\/common\/Uploaded%20files\/_ADMIN\u2010ACM\/National\u2010Midwifery\u2010Guidelines\u2010for\u2010Consultation\u2010and\u2010Referral\u20104th\u2010Edition\u2010(2021).pdf."},{"key":"e_1_2_6_8_1","unstructured":"mfmunetwork.Vaginal Birth After Cesarean Calculator \u2013 portal (MFMU). [online] n.d. [Accessed 22 April 2023.] Available from URL:https:\/\/mfmunetwork.bsc.gwu.edu\/web\/mfmunetwork\/vaginal\u2010birth\u2010after\u2010cesarean\u2010calculator."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0020252"},{"key":"e_1_2_6_10_1","unstructured":"NSW Health.Maternity\u2010Supporting Women in their Next Birth After Caesarean Section (NBAC) Policy manual Patient Matters Previous reference N\/A Status Review Functional group Clinical\/Patient Services\u2010Maternity. [online] 2014. [Accessed 16 June 2023.] Available from URL:https:\/\/www1.health.nsw.gov.au\/pds\/ActivePDSDocuments\/GL2014_004.pdf."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(18)31927\u20105"},{"key":"e_1_2_6_12_1","unstructured":"NSW Health.E\u2010Maternity(Version 3.3.1) Computer Program.2017. (CIAP). Accessed at Coffs Harbour Hospital and Macksville District Hospital NSW Australia."},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd004667.pub5"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010020\u201003075\u20108"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.099853"},{"key":"e_1_2_6_16_1","unstructured":"World Health Organization.Continuity and Coordination of Care a Practice Brief to Support Implementation of the WHO Framework on Integrated people\u2010centred Health Services. [online] 2018. [Accessed 2 May 2023.] Available from URL:http:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/274628\/9789241514033\u2010eng.pdf?ua=1."},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010022\u201004407\u20106"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523\u2010536x.1997.tb00583.x"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13790","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T12:28:33Z","timestamp":1721046513000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13790"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,5]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/ajo.13790"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13790","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,5]]},"assertion":[{"value":"2023-07-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}