An Adventure In Integrated Knowledge Translation For Choice Of Childbirth After Caesarean

Mar 6, 2017 - 12:00pm to 1:00pm
700-828 W. 10 Ave., VGH Research Pavilion
Sarah Munro

Repeat caesarean section is the single largest contributor to the escalating caesarean section (CS) rate in Canada. Over 80% of patients with a past CS are candidates for vaginal birth after caesarean (VBAC), the recommended option for healthy, low-risk women, yet fewer than 30% of eligible women give birth that way. We set out to explore the question, “What are the factors that influence decision-making for birth after caesarean in British Columbia?” This session will provide an overview of the study findings, our integrated knowledge translation (iKT) process with patients, clinicians, health authorities, and government, and next steps for implementing shared decision-making in routine practice across BC.

Learning objectives:

  • Describe the evidence-to-practice gap for choice of next birth after caesarean
  • Identify the multiple health system factors that may influence clinical decision-making
  • Describe practical implications of using integrated knowledge translation (iKT) for applied health services research