Peterborough City Hospital

Newbornbaby2Updated 14th October 2015.

1) Could you provide a copy of your guidelines for the management of vaginal births after caesarean (VBAC)?

Peterborough Hospital VBAC Guidelines

Peterborough Hospital Previous CS Antenatal Counselling Proforma

2) Please can you also supply a list of any exclusions and/or restrictions you would apply to a VBAC birth? i.e. would you accommodate home births, water births, access to your midwifery-led unit or birth centre?

Please see documents (the PDFs above)

3) Could you also please advise on how these practice points alter (if at all) should the VBAC follow multiple caesareans?

Please see documents (the PDFs above)

4) The most recent statistics (2013, 2014 and 2015 to date) relating to how many women choose an elective caesareans after they’ve previously had one or more caesareans?

Women who had a previous CS and then had an elective CS (CS4) – whether active choice or recommended:

2012/13 = 232
2013/14 = 220
2014/15 = 251

5) The most recent statistics (2013, 2014 and 2015 to date) relating to how many VBAC women choose to birth at a) midwife-led unit, b) consultant-led unit, c) home?

VBAC women – actual place of birth as intended place of birth is not held:

2012/13 a) MLBU = 1
b) Consultant led = 228
c) Home = 2

2013/14 a) MLBU = 2
b) Consultant led = 201
c) Home = 3

2014/15 a) MLBU = 0
b) Consultant led = 204
c) Home = 3

6) Could you provide your most up to date VBAC success rate statistics?

2012-13 = 57%,
2013-14 = 56.2%
2014-15 = 53.6%

7) If available, statistics relating to how many planned VBACs resulted in vaginal birth and how many in caesarean birth? (2013, 2014 and 2015 to date)

2012-13 = 378 – 217 successful
2013-14 = 356 – 200 successful
2014-15 = 386 – 207 successful

8) How many VBAC women have transferred from the midwife-led unit to consultant-led unit? Of these how many had a vaginal birth, how many had an assisted birth, how many had a caesarean birth? (2013, 2014 and 2015 to date)

The Maternity Led Unit does not support VBACs.

9) How many women attempting a VBAC experienced a true uterine rupture? Of these, where was the women (midwife-led unit, consultant-led unit or home) and what was the outcome for mother and baby? (2013, 2014 and 2015 to date)

There have been no reposts via our Datix system, however this may be masked by the report being input as a PPH, which it is likely to also have been.

Cambridge VBAC Friends submitted Freedom of Information requests to five local hospitals: The Rosie Hospital in Cambridge; Hinchingbrooke Hospital in Huntingdon; Peterborough City Hospital; The Lister Hospital in Stevenage and The West Suffolk Hospital in Bury St Edmunds. We’ll be publishing the findings in full on this blog and they’ll also be available in our private online support group.

If you are planning birth after caesarean in the Peterborough area, find support at Peterborough & Stamford VBAC Support and Cambridge VBAC Friends’ online support group.

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