| January 24th Webinar 7:30-8:30am |
|
 Please make sure your team attends the January 24th webinar as we will further discuss data collection plans for Phase II. In last week's newsletter we asked your thoughts on collecting data on all NSTV patients and randomly entering a representative sample into the PQCNC database. We will discuss this further on the webinar. If you have questions or suggestions prior to the webinar, please contact Amanda.
|
Webinar Software Updated - Please Test
|
|
 We have been fortunate to be able to update our web conferencing software from Blackboard Elluminate to Blackboard Collaborate. This change will allow us to better deliver content down, and, well, collaborate with you. While the software has changed, the procedure for logging on is essentially unchanged - please visit the link below and test your ability to log on anytime before the next webinar and let me know if you encounter any difficulties.
|
Data Collection and Phase II Plans
|
|
 Just a reminder, we are taking off January and February for data collection to allow you and your teams a break as well allow teams that are a little behind to catch up. We will start back with data collection on March 1st with the data entry deadline as the 20th of April. The deadline of the 20th of the following month enables us to have timely reports to your team as well as timely information for our monthly webinars.
|
| Progress in Reaching our Goal!! |
|
We have reduced the NTSV cesarean rate by 19%! Our goal of reducing the cesarean rate by 25% is just around the corner!
|
| VBACs |
|
 Recently on the PQCNC list serv there's been some discussion of VBACs. The NIH released a statement in 2010 noting the importance of informed consent with VBACs and that addressing six questions would assist in making the decision for a trial of labor after cesarean.
1. What are the rates and patterns of utilization of trial of labor after prior cesarean delivery, vaginal birth after cesarean delivery, and repeat cesarean delivery in the United States?
2. Among women who attempt a trial of labor after prior cesarean delivery, what is the vaginal delivery rate and the factors that influence it?
3. What are the short-and long-term benefits and harms to the mother of attempting trial of labor after prior cesarean versus elective repeat cesarean delivery, and what factors influence benefits and harms?
4. What are the short- and long-term benefits and harms to the baby of maternal attempt at trial of labor after prior cesarean versus elective repeat cesarean delivery, and what factors influence benefits and harms?
5. What are the nonmedical factors that influence the patterns and utilization of trial of labor after prior cesarean delivery?
6. What are the critical gaps in the evidence for decisionmaking, and what are the priority investigations needed to address these gaps?
The link to the NIH's statement is:
http://consensus.nih.gov/2010/images/vbac/vbac_statement.pdf
|
|
Contact
|
|
|
Amanda French, MSN, RNC-OB, CNS
amanda.french@pqcnc.org
Phone: (336) 675-2787
|
