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Retrospective Study on Vaginal Birth After a Cesarean

The nurse proposes the study of vaginal birth after cesarean birth (VBAC). It seems that once women have cesarean birth the first time, the use of repeat cesarean is typically done. As the nurse looked in the issue, found that most times a repeat cesarean birth is chosen for convenience of the physician or the mother. (Charles, S. 2012). There are many factors that should affect the use VBAC besides convenience of schedule. The purpose of the study is to look into safety of mother and infant when attempting VBAC.

The nurse proposes to use a retrospective cohort design using a quantitative framework with simple random sampling form the area hospitals. "Traditional quantitative research is a formal, objective systematic process where numerical data is used to describe, examine and determine effectiveness of treatments" (Burns & Grove, 2011, p. 20,34). Outcomes research focuses on the end results of patient care; it is used to appraise quality of care, uses scientific approaches that are different from traditional research. Outcomes research uses three major concepts of theory, health, subjects of care, and providers of care (Burns & Grove, 2011)

Burns, N. & Grove, S., (2011). Understanding nursing research: Building an evidence-based practice (5th ed.). St Louis, MO: Saunders Elsevier.

Solution Preview

You want to design a retrospective cohort study to investigate the safety of the mother and infant who have undergone vaginal birth after cesarean delivery (VBAC). The following website offers an excellent overview of this procedure:

http://emedicine.medscape.com/article/272187-overview

As you can see, VBAC is controversial and its use has been declining in recent years. VBAC carries an increased risk of uterine rupture; however, the alternative of a repeat cesarean section also carries its own risks. In properly selected patients, a trial of VBAC may be a safe alternative which could improve outcomes for vaginal delivery for future pregrancies.

The use of a quantitative study such as a retrospective cohort can help clarify the risks associated with VBAC when compared with the alternative of a repeat cesarean section. A retrospective cohort study involves the selection of patients who have undergone the procedure of interest (in this case, VBAC) and a control group (in this case, repeat cesarean section). The records are then reviewed to determine the outcomes in both groups.

A retrospective cohort study offers several advantages. The ...

Solution Summary

This solution describes how to design a retrospective study on the safety of vaginal birth after cesarean (VBAC).

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