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28 May 2009- Melbourne
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28 May 2009- Melbourne

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  1. “VBAC Clinic”A clinic for women with one Caesarean SectionPresenter: Robyn AldridgeHospital: AchillesContact: Robyn Aldridge dr.robyn.aldridge@gmail.com042 0538 575 28 May 2009- Melbourne

  2. KEY PROBLEM • Increasing number of women with C/S • Variable support & education regarding VBAC vs repeat C/S • Lower than expected/desired successful VBAC rate

  3. AIM OF THIS PROJECT • Improvement Sought – increased successful VBAC rate • What areas – Otherwise low risk women • By When – within the first year of deliveries • With what resources – Dedicated clinic with : • 2 Midwives • 1 Obstetrician • 1 GP Obstetrician

  4. KEY CHANGES IMPLEMENTED • 16 women per month in complete clinic care • Mixed M/W, Obs & GP Obs visits – permanent staff assigned to the clinic • 30 mins for a new visit and 15 for repeat visit • Development of VBAC information sheet

  5. OUTCOMES SO FAR • Clinic started Jan 2008 – first deliveries in July 2008 • Preliminary data from July 2008 to end of April 2009 • Bookings 115 women through the clinic • Antenatal wishes for delivery

  6. OUTCOMES SO FAR Outcomes (n=115) • Two pregnancy losses (FDIU at 20/40 & 37/40), n=113

  7. Planned VBAC Outcomes (numbers)

  8. Planned Repeat C/S (numbers)

  9. PROJECT EVALUATION • Appear a valuable addition to the clinic structure • May improve outcomes if the woman’s preference is known prior to clinic booking or returning those women back to an ordinary clinic if repeat elective C/S chosen or required