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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-4287
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dc.contributor.authorLundgren, Ingela-
dc.contributor.authorHealy, Patricia-
dc.contributor.authorCarroll, Margaret-
dc.contributor.authorBegley, Cecily-
dc.contributor.authorMatterne, Andrea-
dc.contributor.authorGross, Mechthild Maria-
dc.contributor.authorGrylka-Baeschlin, Susanne-
dc.contributor.authorNicoletti, Jane-
dc.contributor.authorMorano, Sandra-
dc.contributor.authorNilsson, Christina-
dc.contributor.authorLalor, Joan-
dc.date.accessioned2018-07-16T13:16:24Z-
dc.date.available2018-07-16T13:16:24Z-
dc.date.issued2016-
dc.identifier.issn1471-2393de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/8172-
dc.description.abstractBackground: Caesarean section (CS) rates are increasing worldwide and the most common reason is repeat CS following previous CS. For most women a vaginal birth after a previous CS (VBAC) is a safe option. However, the rate of VBAC differs in an international perspective. Obtaining deeper knowledge of clinicians’ views on VBAC can help in understanding the factors of importance for increasing VBAC rates. Focus group interviews with clinicians and women in three countries with high VBAC rates (Finland, Sweden and the Netherlands) and three countries with low VBAC rates (Ireland, Italy and Germany) are part of “OptiBIRTH”, an ongoing research project. The study reported here aims to explore the views of clinicians from countries with low VBAC rates on factors of importance for improving VBAC rates. Methods: Focus group interviews were held in Ireland, Italy and Germany. In total 71 clinicians participated in nine focus group interviews. Five central questions about VBAC were used and interviews were analysed using content analysis. The analysis was performed in each country in the native language and then translated into English. All data were then analysed together and final categories were validated in each country. Results: The findings are presented in four main categories with several sub-categories: 1) “prameters for VBAC”, including the importance of the obstetric history, present obstetric factors, a positive attitude among those who are centrally involved, early follow-up after CS and antenatal classes; 2) “organisational support and resources for women undergoing a VBAC”, meaning a successful VBAC requires clinical expertise and resources during labour; 3) “fear as a key inhibitor of successful VBAC”, including understanding women’s fear of childbirth, clinicians’ fear of VBAC and the ways that clinicians’ fear can be transferred to women; and 4) “shared decision making – rapport, knowledge and confidence”, meaning ensuring consistent, realistic and unbiased information and developing trust within the clinician-woman relationship. Conclusions: The findings indicate that increasing the VBAC rate depends on organisational factors, the care offered during pregnancy and childbirth, the decision-making process and the strategies employed to reduce fear in all involved.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Pregnancy & Childbirthde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectCliniciansde_CH
dc.subjectContent analysisde_CH
dc.subjectFocus groupsde_CH
dc.subjectMidwiferyde_CH
dc.subjectQualitative studyde_CH
dc.subjectVBACde_CH
dc.subjectCesarean section, repeatde_CH
dc.subjectDecision makingde_CH
dc.subjectFocus groupsde_CH
dc.subjectHealth personnelde_CH
dc.subjectParturitionde_CH
dc.subjectPregnancyde_CH
dc.subjectVaginal birth after cesareande_CH
dc.subjectHealth knowledge, attitudes, practicede_CH
dc.subject.ddc618.4: Geburtde_CH
dc.titleClinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section) : a study from countries with low VBAC ratesde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.21256/zhaw-4287-
dc.identifier.doi10.1186/s12884-016-1144-0de_CH
dc.identifier.pmid27832743de_CH
zhaw.funding.euNode_CH
zhaw.issue350de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end10de_CH
zhaw.pages.start1de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume16de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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Lundgren, I., Healy, P., Carroll, M., Begley, C., Matterne, A., Gross, M. M., Grylka-Baeschlin, S., Nicoletti, J., Morano, S., Nilsson, C., & Lalor, J. (2016). Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section) : a study from countries with low VBAC rates. BMC Pregnancy & Childbirth, 16(350), 1–10. https://doi.org/10.21256/zhaw-4287
Lundgren, I. et al. (2016) ‘Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section) : a study from countries with low VBAC rates’, BMC Pregnancy & Childbirth, 16(350), pp. 1–10. Available at: https://doi.org/10.21256/zhaw-4287.
I. Lundgren et al., “Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section) : a study from countries with low VBAC rates,” BMC Pregnancy & Childbirth, vol. 16, no. 350, pp. 1–10, 2016, doi: 10.21256/zhaw-4287.
LUNDGREN, Ingela, Patricia HEALY, Margaret CARROLL, Cecily BEGLEY, Andrea MATTERNE, Mechthild Maria GROSS, Susanne GRYLKA-BAESCHLIN, Jane NICOLETTI, Sandra MORANO, Christina NILSSON und Joan LALOR, 2016. Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section) : a study from countries with low VBAC rates. BMC Pregnancy & Childbirth. 2016. Bd. 16, Nr. 350, S. 1–10. DOI 10.21256/zhaw-4287
Lundgren, Ingela, Patricia Healy, Margaret Carroll, Cecily Begley, Andrea Matterne, Mechthild Maria Gross, Susanne Grylka-Baeschlin, et al. 2016. “Clinicians’ Views of Factors of Importance for Improving the Rate of VBAC (Vaginal Birth after Caesarean Section) : A Study from Countries with Low VBAC Rates.” BMC Pregnancy & Childbirth 16 (350): 1–10. https://doi.org/10.21256/zhaw-4287.
Lundgren, Ingela, et al. “Clinicians’ Views of Factors of Importance for Improving the Rate of VBAC (Vaginal Birth after Caesarean Section) : A Study from Countries with Low VBAC Rates.” BMC Pregnancy & Childbirth, vol. 16, no. 350, 2016, pp. 1–10, https://doi.org/10.21256/zhaw-4287.


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