Title: Vaginal birth after caesarean : views of women from countries with low VBAC rates
Authors : Nilsson, Christina
Lalor, Joan
Begley, Cecily
Carroll, Margaret
Gross, Mechthild Maria
Grylka-Baeschlin, Susanne
Lundgren, Ingela
Matterne, Andrea
Morano, Sandra
Nicoletti, Jane
Healy, Patricia
Published in : Women and Birth
Volume(Issue) : 30
Issue : 6
Pages : 481
Pages to: 490
Publisher / Ed. Institution : Elsevier
Issue Date: 2017
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Caesarean section; Vaginal birth after caesarean; Women’s views; Focus Groups; Parturition; Choice behavior; Decision making
Subject (DDC) : 618.4: Childbirth
Abstract: Problem and background Vaginal birth after caesarean section is a safe option for the majority of women. Seeking women’s views can be of help in understanding factors of importance for achieving vaginal birth in countries where the vaginal birth rates after caesarean is low. Aim To investigate women’s views on important factors to improve the rate of vaginal birth after caesareanin countries where vaginal birth rates after previous caesarean are low. Methods A qualitative study using content analysis. Data were gathered through focus groups and individual interviews with 51 women, in their native languages, in Germany, Ireland and Italy. The women were asked five questions about vaginal birth after caesarean. Data were translated to English, analysed together and finally validated in each country. Findings Important factors for the women were that all involved in caring for them were of the same opinion about vaginal birth after caesarean, that they experience shared decision-making with clinicians supportive of vaginal birth, receive correct information, are sufficiently prepared for a vaginal birth, and experience a culture that supports vaginal birth after caesarean. Discussion and conclusion Women’s decision-making about vaginal birth after caesarean in these countries involves a complex, multidimensional interplay of medical, psychosocial, cultural, personal and practical considerations. Further research is needed to explore if the information deficit women report negatively affects their ability to make informed choices, and to understand what matters most to women when making decisions about vaginal birth after a previous caesarean as a mode of birth.
Departement: Gesundheit
Organisational Unit: Institute of Midwifery (IHB)
Publication type: Article in scientific Journal
DOI : 10.1016/j.wombi.2017.04.009
ISSN: 1871-5192
URI: https://digitalcollection.zhaw.ch/handle/11475/8158
Appears in Collections:Publikationen Gesundheit

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