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Quantitative Research Critique

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The safety of a vaginal birth after cesarean (VBAC) continues to be a concern and issue for women faced with this decision. The quantitative research I have chosen to critique is "A new perspective on VBAC: A retrospective cohort study." (Rozen, Ugoni, & Sheehan, 2011). The purpose of this critique is to evaluate the research this study provides related to VBAC delivery and evidence-based nursing practice.
Research Problem and Purpose
Most research studies on VBAC and the safety of this type of delivery "have compared VBAC to elective repeat caesarean section (ERCS), despite the fact that the risks posed by each are considerably different." (Rozen, Ugoni, & Sheehan, 2011, p. 3). The authors of this study seek to compare the nulliparous woman, delivering for the first time, to a woman considering a VBAC. When health care professionals are advising and counseling women who are considering VBAC, accurate information and education is essential. The purpose of this study is to determine if the outcome and risks of ERCS deliveries or vaginal deliveries of nulliparous women should be compared to the woman choosing VBAC.the purpose of the study is not clear. Research Questions
This study proposes the question: "When counseling women undergoing planned VBAC, should a comparison of outcomes be made to women undergoing ERCS, or is a comparison to other nulliparous women undergoing vaginal birth a more valid comparison in terms of risk and outcomes?" (Rozen, Ugoni, & Sheehan, 2011, p. 3)I think the question below is what you are asking. The research study provides information regarding the safety of VBAC and counseling women. The objective of this research is to compare the safety of VBAC to nulliparous women. This comparison has not been researched before. What is the difference in complications and uterine rupture between women who receive ERCS and those who

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