Vaginal birth after caesarean section - West Hertfordshire Hospitals ...
Vaginal birth after caesarean section - West Hertfordshire Hospitals ...
Vaginal birth after caesarean section - West Hertfordshire Hospitals ...
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Trust Offices<br />
Watford General Hospital<br />
Vicarage Road<br />
Watford<br />
<strong>Hertfordshire</strong><br />
WD18 0HB<br />
Tel: 01923 436280<br />
Thank you for your request for information regarding the policy and statistics for vaginal<br />
<strong>birth</strong> <strong>after</strong> <strong>caesarean</strong> <strong>section</strong>s in <strong>West</strong> <strong>Hertfordshire</strong> <strong>Hospitals</strong> NHS Trust.<br />
1. Please supply a copy of the Trust's policy regarding vaginal <strong>birth</strong> <strong>after</strong><br />
Caesarean <strong>section</strong> (VBAC).<br />
Please see attachment 1<br />
2. Please supply a list of any exclusions/restrictions the Trust would apply to a<br />
VBAC i.e. would you accommodate home <strong>birth</strong>s, water <strong>birth</strong>s, access to your<br />
midwifery-led units or <strong>birth</strong> centres<br />
Please see attachment 2 & 3<br />
3. Please advise on how these practice points alter (if at all) should the VBAC<br />
follow multiple Caesarean <strong>section</strong>s.<br />
Please see attachment 1<br />
4. Please provide:<br />
(a) Your most up-to-date VBAC success rate statistics, including, if available:<br />
(i) The number of women who have had a previous Caesarean <strong>section</strong> who booked<br />
for maternity care<br />
574<br />
(ii) The number of those women who attempted a VBAC<br />
Please be advised that the Trust is unable to supply the data in the format requested as<br />
it is not held centrally by the Trust and would require a manual search which would<br />
exceed the £450 limit for an FOI request. Therefore exemption 12 (1) of the Freedom<br />
of Information Act applies to this request.<br />
(iii) The number of those women who achieved a vaginal <strong>birth</strong><br />
148<br />
(b) Your most recent statistics relating to numbers of <strong>birth</strong>s, including:<br />
(i) How many of these were unassisted normal <strong>birth</strong>s<br />
3188<br />
(ii) How many were instrumental deliveries<br />
881<br />
(iii) How many were Caesarean <strong>section</strong>s<br />
1696<br />
(iv)The most recent statistics relating to how many of the Caesarean <strong>section</strong>s were<br />
elective<br />
710
How many were emergencies<br />
986<br />
(c) if available, statistics relating to how many planned VBACs resulted in normal<br />
<strong>birth</strong> and how many in repeat Caesarean <strong>section</strong>, to the extent not already covered<br />
under 4(a) above<br />
Information provided in 4a<br />
I hope that this information is helpful. The Trust operates an internal complaints<br />
procedure in relation to FOI and if you are not satisfied with this response, in the first<br />
instance you should contact Gail Samuel – Executive Assistant to the Chief Executive on<br />
01923 436209. In the event that you remain dissatisfied, you have the right to complain<br />
to the Information Commissioner for a determination on whether or not the Trust has<br />
complied with the requirements of the FOIA.<br />
The Information Commissioner’s contact details are:<br />
Wycliffe House<br />
Water Lane<br />
Wilmslow<br />
Cheshire<br />
SK9 5AF<br />
Yours sincerely<br />
Jan Filochowski<br />
Chief Executive
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