Vaginal birth after cesarean: do California hospital policies follow national guidelines?
OBJECTIVE
To review whether California hospitals are adhering to national practice guidelines with regard to vaginal birth after cesarean (VBAC).


METHODS
We performed a content analysis of the American College of Obstetricians and Gynecologists (ACOG) and American Association of Family Physicians published guidelines and identified 39 specific recommendations, which were categorized into the following 5 content areas: patient criteria, procedure, staff and resources, uterine rupture or other complications, and miscellaneous clinical issues. We evaluated individual hospital policies with regard to adherence to 34 recommendations made specifically by ACOG.


RESULTS
Of the 225 surveyed hospitals, 167 (74%) allow VBAC, and 22% of these (36 of 167) provided VBAC protocols for review. Approximately 80% of protocols included < 50% of the ACOG items (median, 13.5; range, 3-27 items). The highest percent adherence was observed in the procedure and staff and resources categories, where over two thirds of study hospitals exhibited 75-100% adherence. One third of participating hospitals were less adherent (0-25%) in the categories of patient criteria, uterine rupture or other complications, and miscellaneous clinical issues.


CONCLUSIONS
In a sample of written VBAC protocols, we found a wide range of adherence to ACOG recommendations, as evidenced by the number and type of items explicitly documented in the protocols.
Shihady
Ida R
IR
Department of Obstetrics and Gynecology, Nursing Research Institute, Cedars-Sinai Medical Center, 8635 West 3rd Street, Los Angeles, CA 90048, USA.
Broussard
Paula
P
Bolton
Linda Burnes
LB
Fink
Arlene
A
Fridman
Moshe
M
Fridman
Rachel
R
Aydin
Carolyn
C
Korst
Lisa M
LM
Gregory
Kimberly D
KD
D002140:California; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D016134:Organizational Policy; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D016064:Vaginal Birth after Cesarean