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IRCT20091219002889N14 IRCT 2023-04-02 Esfahan University of Medical Sciences Vaginal Birth after cesarean section in women with a history of cesarean section Design, implementation and evaluation of intervention program for normal vaginal Birth after cesarean section 2023-04-21 anticipated 100 Complete https://irct.ir/trial/69148 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: By referring to the research environment, the researcher will take a detailed medical and obstetric history from the mothers who have a history of one cesarean section, and after reviewing the entry criteria and explaining the objectives and methods of the study, he will suggest participation in the research to the participants. and will obtain written informed consent from them to participate in the study. The randomization method will be simple and individual. Eligible pregnant women will be placed in one of two test and control groups using computer randomization with Excel software. N/A Vaginal Birth after Cesarian. Intervention 1: Intervention group: Women with a history of previous caesarean section in their current pregnancy will undergo natural delivery intervention. Intervention 2: Control group: Women with a history of caesarean section in the current pregnancy will undergo a repeat cesarean section. Yes - There is a plan to make this available What will be shared: The main implications of the study will be shared When: Data access starts 6 months after results are published To whom: Academic researchers Conditions: For the knowledge and use of other researchers in their next similar studies Where to obtain: Email: valiani@nm.mui.ac.ir How to obtain: The researcher must send a request to send information with a valid organizational email or university email Comments:
public Mahboobeh Valiani
Hazar Jarib St., Isfahan University of Medical Sciences and Health Care Services, Nursing and Midwifery College
Esfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 7537 valiani@nm.mui.ac.ir Esfahan University of Medical Sciences scientific Mahboobeh Valiani
Hazar Jarib St., Isfahan University of Medical Sciences and Health Care Services, Nursing and Midwifery College
Esfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 7537 Valiani@nm.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Iranian nationality Resident of Isfahan city Score 5 and above according to Flam et al 's scoring table No history of known mental disorders based on the contents of the file Age less than 40 years Normal vital signs of the mother No history of intrauterine death (IUFD) Absence of the cause of previous cesarean including: long labor, presentation of breech, fetal distress Single embryo Lack of track record Absence of pelvic stenosis History of transverse cesarean section Normal body mass index (19.8-24) Current non-pregnancy with assisted reproduction methods The interval between the current pregnancy and the previous cesarean delivery is at least 18 months Absence of any disease or complication that hinders natural delivery according to gynecologist Willingness to participate in the study no limit 40 years Female Twin pregnancy Previous cesarean vertical incision Unwillingness to participate in the study Body mass index above 25 Non-Iranian nationality Pregnancy with the help of assisted reproduction methods Suffering from a disease or complication that, according to experts, prohibits natural childbirth O75.7 Vaginal delivery following previous caesarean section N/A N/A Intervention group: Women with a history of previous caesarean section in their current pregnancy will undergo natural delivery intervention Control group: Women with a history of caesarean section in the current pregnancy will undergo a repeat cesarean section Mother's satisfaction. Timepoint: In 24 hours after delivery. Method of measurement: Questionnaire of satisfaction of natural childbirth and cesarean delivery by Pakari et al. Obstetric outcomes. Timepoint: The first 24 hours after delivery. Method of measurement: Checklist made by the researcher. Esfahan University of Medical Sciences Approved 2023-03-11 Ethical Committee of Isfahan University of Medical Sciences Hazar Jarib St., Isfahan University of Medical Sciences and Health Services, central headquarters Esfahan Isfehan Iran (Islamic Republic of)