Vaginal Birth After Caesarean Section at Campbelltown
6 December 2012 Last updated:
21 October 2016
By South Western Sydney Local Health District
Campbelltown Hospital have set up Vaginal Birth After Caesarean section (VBAC) service for women in their Local Health District (LHD).
The service includes specialist Towards Normal Birth clinics and parent education groups targeted at women who have had a previous caesarean section.
The VBAC service started in the middle of 2011 and has resulted in an increase in the number of women planning a VBAC with approximately 50% of women with a previous caesarean choosing this option for birth. The number of successful VBACs is over 80%. The service also dramatically increased the Australian Council on Healthcare Standards (ACHS) rate from around 11% to 40%.
The VBAC clinic is run by a staff specialist who counsels and see each woman at least twice during the antenatal period. The woman's other visits are attended by midwives in the Ante Natal Clinic or other medical officers depending on maternal risk factors.
The emphasis is on providing the woman and her family with consistent information and advice. A flyer was also developed to support the information provided in the clinic. The flyer is given to all women who have had a previous caesarean section, and encourages them to attend the VBAC groups and to visit the Staff Specialist at the Towards Normal Birth clinic to discuss previous birth and birth options.
The parent education groups for VBAC women are run by the parent educator (a midwife), who runs two sessions one at 28 weeks and 36 weeks. The women are encouraged to come to both sessions. The sessions address any fears the women may have and provides them with strategies to assist them in achieving a normal birth. The women are encouraged to discuss their fears and expectations and talk to each other and hear stories from our women who were successful in their VBACs.
To support this initiative additional work has been implemented to promote and develop a culture that supports women to choose VBAC. Education and training has been undertaken with all staff members and VBAC statistics are displayed and discussed regularly at multidisciplinary meetings and forums. This strategy has led to an increased level of support for VBAC within the service.
Clinical Midwifery Consultant
South Western Sydney Local Health District
Phone: 02 4634 4094
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