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Date of Award

Spring 2021

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Elizabeth Masten

Abstract

The intricacy of childbirth is something that is both beautiful, yet potentially devastating if not approached appropriately for each individual mother and fetus. Maternal hemorrhaging is one, of the many, adverse outcomes that can present with childbirth. The potential risks of childbirth have led to various techniques and modes of delivery to reduce the possible detriments, posing debates over which is the “right” protocol. Due to the variability in research findings regarding postpartum hemorrhaging (PPH) and maternal and fetal safety, this research poses the question of: in multiparous women who have previously delivered via cesarean section [P], does vaginal birth after cesarean (VBAC) [I] reduce the need for maternal transfusion due to blood loss [O] when compared to elective repeat cesarean delivery (ERCD) [C]?

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Vaginal birth after cesarean (VBAC) compared to elective repeat cesarean delivery (ERCD) in maternal hemorrhage prevention

The intricacy of childbirth is something that is both beautiful, yet potentially devastating if not approached appropriately for each individual mother and fetus. Maternal hemorrhaging is one, of the many, adverse outcomes that can present with childbirth. The potential risks of childbirth have led to various techniques and modes of delivery to reduce the possible detriments, posing debates over which is the “right” protocol. Due to the variability in research findings regarding postpartum hemorrhaging (PPH) and maternal and fetal safety, this research poses the question of: in multiparous women who have previously delivered via cesarean section [P], does vaginal birth after cesarean (VBAC) [I] reduce the need for maternal transfusion due to blood loss [O] when compared to elective repeat cesarean delivery (ERCD) [C]?