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This research aimed to compare intended and actual <jats:styled-content style=\"fixed-case\">VBAC<\/jats:styled-content> rates before and after implementation of midwife\u2010led antenatal care for women with one previous cesarean birth and no other risk factors in a large, tertiary maternity hospital in England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective, comparative cohort study. Data were collected from the medical records of women with one previous lower segment cesarean delivery and no other obstetric, medical, or psychological complications who gave birth at the hospital before (2008) and after (2011) the implementation of midwife\u2010led antenatal care. Chi\u2010squared analysis was used to calculate the odds ratio, and logistic regression to account for confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intended and actual <jats:styled-content style=\"fixed-case\">VBAC<\/jats:styled-content> rates were higher in 2011 compared with 2008: 90 percent vs. 77 percent, adjusted odds ratio (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>) 2.69 (1.48\u20134.87); and 61 percent vs. 47 percent, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 1.79 (1.17\u20132.75), respectively. Mean rates of unscheduled antenatal care sought via the delivery suite and inpatient admissions were lower in 2011 than 2008. Postnatal maternal and neonatal safety outcomes were similar between the two groups, except mean postnatal length of stay, which was shorter in 2011 compared with 2008 (2.67 vs. 3.15 days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of midwife\u2010led antenatal care for women with one previous cesarean offers a safe and effective alternative to traditional obstetrician\u2010led antenatal care, and is associated with increased rates of intended and actual <jats:styled-content style=\"fixed-case\">VBAC<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12229","type":"journal-article","created":{"date-parts":[[2016,3,19]],"date-time":"2016-03-19T07:13:19Z","timestamp":1458371599000},"page":"200-208","source":"Crossref","is-referenced-by-count":11,"title":["Evaluating a Midwife\u2010Led Model of Antenatal Care for Women with a Previous Cesarean Section: A Retrospective, Comparative Cohort Study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7823-7831","authenticated-orcid":false,"given":"Helen K.","family":"White","sequence":"first","affiliation":[{"name":"University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9e","family":"le May","sequence":"additional","affiliation":[{"name":"University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"Cluett","sequence":"additional","affiliation":[{"name":"University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjc5065"},{"key":"e_1_2_7_3_1","unstructured":"Health and Social Care Information Centre.NHS Maternity Statistics\u2014England 2010\u201011. 2011. 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