Table 7 Minimum criteria for a woman with one previous caesarean delivery to make an informed decision on mode of delivery at KNH
Criteria | N (%) |
|---|---|
Women informed on mode of delivery (available options) (n = 202) | |
TOLAC | 61 (30.2%) |
ERCD | 126 (62.4%) |
Both | 0 |
Women’s knowledge on factors influencing mode of delivery (n = 116) | |
Classical scar as a reason for ERCD | 7 (6%) |
Small pelvis as a reason for ERCD | 15 (12.9%) |
Big baby as a reason for ERCD | 21 (18.1%) |
Current medical or obstetric complications as a reason for ERCD | 30 (25.9%) |
Adequacy of facility for delivery (A 24 h-theater…) | 1 (0.9%) |
Women’s knowledge on success and risk of uterine rupture in TOLAC (n = 202) | |
Patient knowledge on overall chance of TOLAC success | 65 (32.2%) |
Patient knowledge on risk of uterine rapture in TOLAC | 64 (31.7%) |
Reasons of previous caesarean as factor of success for TOLAC | 60 (29.7%) |
Women’s knowledge on risks of ERCD over TOLAC (n = 163) | |
Increased blood loss | 124 (76.1%) |
High risk of infection | 106 (65.0%) |
Complication of anaesthesia | 36 (22.1%) |
Injury to organ | 5 (3.1%) |
Recovery is longer | 140 (85.9%) |
Consent form signed and documented in the patient file (n = 202) | 23 (11.4%) |