Evidence summary of delivery mode decision making among repregnancy women with post cesarean section
10.3760/cma.j.cn115682-20190722-02610
- VernacularTitle:剖宫产后再次妊娠产妇分娩方式决策的最佳证据总结
- Author:
Xingyue HOU
1
;
Xiaoming XU
;
Jixiang ZHONG
;
Ning LIU
;
Wenjuan ZHANG
;
Xiaomin HUANG
Author Information
1. 遵义医科大学珠海校区护理学系 519041
- Keywords:
Cesarean section;
Delivery woman;
Repregnancy;
Decision making;
Delivery mode;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2020;26(11):1411-1417
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To select and extract the evidence of delivery mode decision making among repregnancy women with post cesarean section, and summarize the best evidence.Methods:Evidence-based nursing was used to retrieve the evidences on delivery mode decision making among repregnancy women with post cesarean section in the Chinese Guidelines Network, Guidelines International Network (GIN) , National Institute for Health and Clinical Excellence (NICE) , American GuidelineClearinghouse (NGC) , Joanna Briggs Institute Evidence-based Health Care Center of Australia, UpToDate, Cochrane Library, PubMed, China National Knowledge Infrastructure (CNKI) , WanFang data, Chinese Biological Medicine (CBM) and Cumulated Index to Nursing and Allied Health Literature (CINAHL) and Excerpta Medica Database (Embase) . The evidences included the guidelines, systematic reviews, evidence summaries, recommended practices, best clinical practice information booklets and primary studies.The retrieval time was from the establishment of the database to 1st May 2019.Results:A total of 13 evidences were included, six guideline, one expert consensus and six systematic reviews, which involved 15 best evidences in four aspects, trial of labor after cesarean section (TOLAC) /vaginal birth after cesarean (VBAC) population, VBAC/uterine rupture influencing factors, delivery mode management and the delivery decision making tools.Conclusions:Evidences of clinical practice should be recommended according to the resource of medical institutions, promotion and barrier factors when medical staff apply evidences, reasonable judgments of clinician, clinical data provided by delivery women, will of delivery women and their family members. Users should continuously update evidences since the best evidences update over time to solve the problems of delivery mode decision making among repregnancy women with post cesarean section by scientific method so as to improve the nursing quality.
