Betrán, AP;
Torloni, MR;
Althabe, F;
Altieri, E;
Arulkumaran, S;
Ashraf, F;
Bailey, P;
Bonet, M;
Bucagu, M;
Clark, E;
et al.
Betrán, AP; Torloni, MR; Althabe, F; Altieri, E; Arulkumaran, S; Ashraf, F; Bailey, P; Bonet, M; Bucagu, M; Clark, E; Changizi, N; Churchill, R; Dominico, S; Downe, S; Draycott, T; Faye, A; Feeley, C; Geelhoed, D; Gherissi, A; Gholbzouri, K; Grupta, G; Hailegebriel, TD; Hanson, C; Hartmann, K; Hassan, L; Hofmeyr, GJ; Jayathilaka, AC; Kabore, C; Kidula, N; Kingdon, C; Kuzmenko, O; Lumbiganon, P; Mola, GD; Moran, A; de Muncio, B; Nolens, B; Opiyo, N; Pattinson, RC; Romero, M; van Roosmalen, J; Siaulys, MM; Camelo, JS; Smith, J; Sobel, HL; Sobhy, S; Sosa, C; Souza, JP; Ten Hoope-Bender, P; Thangaratinam, S; Varallo, J; Wright, A; Yates, A; Oladapo, OO
(2023)
A research agenda to improve incidence and outcomes of assisted vaginal birth.
Bull World Health Organ, 101 (11).
pp. 723-729.
ISSN 1564-0604
https://doi.org/10.2471/BLT.23.290140
SGUL Authors: Arulkumaran, Sabaratnam
Abstract
Access to emergency obstetric care, including assisted vaginal birth and caesarean birth, is crucial for improving maternal and childbirth outcomes. However, although the proportion of births by caesarean section has increased during the last few decades, the use of assisted vaginal birth has declined. This is particularly the case in low- and middle-income countries, despite an assisted vaginal birth often being less risky than caesarean birth. We therefore conducted a three-step process to identify a research agenda necessary to increase the use of, or reintroduce, assisted vaginal birth: after conducting an evidence synthesis, which informed a consultation with technical experts who proposed an initial research agenda, we sought and incorporated the views of women's representatives of this agenda. This process has allowed us to identify a comprehensive research agenda, with topics categorized as: (i) the need to understand women's perceptions of assisted vaginal birth, and provide appropriate and reliable information; (ii) the importance of training health-care providers in clinical skills but also in respectful care, effective communication, shared decision-making and informed consent; and (iii) the barriers to and facilitators of implementation and sustainability. From women's feedback, we learned of the urgent need to recognize labour, childbirth and postpartum experiences as inherently physiological and dignified human processes, in which interventions should only be implemented if necessary. The promotion and/or reintroduction of assisted vaginal birth in low-resource settings requires governments, policy-makers and hospital administrators to support skilled health-care providers who can, in turn, respectfully support women in labour and childbirth.
Item Type: |
Article
|
Additional Information: |
Copyright (c) 2023 The authors; licensee World Health Organization.
This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
Keywords: |
Pregnancy, Female, Humans, Cesarean Section, Incidence, Delivery, Obstetric, Labor, Obstetric, Postpartum Period, Humans, Delivery, Obstetric, Cesarean Section, Incidence, Postpartum Period, Pregnancy, Labor, Obstetric, Female, 11 Medical and Health Sciences, Tropical Medicine |
SGUL Research Institute / Research Centre: |
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) |
Journal or Publication Title: |
Bull World Health Organ |
ISSN: |
1564-0604 |
Language: |
eng |
Dates: |
Date | Event |
---|
1 November 2023 | Published | 13 September 2023 | Accepted |
|
Publisher License: |
Creative Commons: Attribution 3.0 IGO |
Projects: |
Project ID | Funder | Funder ID |
---|
001 | World Health Organization | UNSPECIFIED |
|
PubMed ID: |
37961052 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/116081 |
Publisher's version: |
https://doi.org/10.2471/BLT.23.290140 |
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