Vaginal birth after caesarean: Views of women from countries with low VBAC rates

Nilsson, Christína; Lalor, Joan; Begley, Cecily; Carroll, Margaret; Groß, Mechthild M.; Grylka‐Baeschlin, Susanne; Lundgren, Ingela; Matterne, Andrea; Morano, Sandra; Nicoletti, Jane; Healy, Patricia

doi:10.1016/j.wombi.2017.04.009

Cited by 42 publications

(93 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The data were collected by means of individual in‐depth interviews with the participation of both researchers between August and December 2017 using the personal information form and a semistructured interview guide. The interview guide was developed by the authors on the basis of the relevant literature (Chen et al, ; Nilsson, Lalor, et al, ; Nilsson, van Limbeek, et al, ) and consisted of four main open‐ended questions and clarifying questions about VBAC experience (refer to Table ).…”

Section: Methodsmentioning

confidence: 99%

“…Turkey Ministry of Health () has used the “Birth and Caesarian section Action Management Guide” to emphasize that VBAC can be recommended for appropriate women. However, studies in countries with low VBAC rates such as Turkey have revealed that health care professionals have negative attitudes towards VBAC due to lack of information and potential complication risks; thus, women cannot obtain sufficient support (Gözükara, Karapınar, Hakverdi, Kurt, & Demirkıran, ; Nilsson et al, ; Yanıkkerem & Çimen, ; Ünsal et al, ). As a result, VBAC is not a routine procedure in many middle‐ and high‐income countries (WHO, ).…”

Section: Introductionmentioning

confidence: 99%

“…A number of qualitative studies have examined the decision‐making processes and experiences of these women in counties with high VBAC rates (Cox, ; Konheim‐Kalkstein, Whyte, Miron‐Shatz, & Stellmack, ; McKenna & Symon, ; Nilsson, van Limbeek, Vehvilainen‐Julkunen, & Lundgren, ). However, in countries with low VBAC rates such as Turkey, women's views, which have an important role in improving the VBAC rate, are lacking.…”

Section: Introductionmentioning

confidence: 99%

“…There are few qualitative studies describing women's views in countries with low VBAC rates. One study, conducted in Germany, Ireland, and Italy, demonstrated that women request balanced information on VBAC and seek a more supportive attitude from clinicians (Nilsson, Lalor, et al, ). In another study, Taiwanese women stated that they were disturbed by their current culture that supports CS and believed that routine CS is not proper for themselves and the health of their babies (Chen, McKellar, & Pincombe, ).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

Akgün

Boz

2019

Int J of Nursing Practice

View full text Add to dashboard Cite

Aim:To discover, identify, and interpret the decision-making processes and experiences of women on vaginal birth after caesarean section.Methods: This Husserlian phenomenological qualitative study was conducted using semistructured individual interviews with 12 women who experienced vaginal birth after caesarean section between August and December 2017. Colaizzi's qualitative analysis method was used.Results: Four themes emerged: "finding a way to have vaginal birth after caesarean section," "healing by giving birth," "advantageous birth," and "being at the centre of the care," with 13 subthemes. Women defined vaginal birth after caesarean section as an important aspect of their femininity and a sense of motherhood. The women noted that traumatic experiences in caesarean section birth had been removed with vaginal birth and regarded this as an important spiritual experience and life event.The women reported that the important advantage of vaginal birth after caesarean section was not being in need of others in the post-partum period. However, women described negative experiences where health care professionals did not respect their birth preference or provide adequate information and support. Conclusions:Continuing professional development training is recommended in order to improve health care professionals' caring consciousness about the importance of shared decision making for women's birth type. KEYWORDScaesarean section, decision making, nurse, qualitative study, vaginal birth after caesarean SUMMARY STATEMENTWhat is already known about this topic?• Literature indicates that vaginal birth after caesarean section is an important phenomenon for the majority of women with a previous caesarean section experience.• Many health care professionals have negative attitudes towards vaginal birth after caesarean section, but women want to volunteer for this process.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

Akgün

Boz

2019

Int J of Nursing Practice

View full text Add to dashboard Cite

show abstract

“…Sites randomised to the intervention group received a complex, innovative programme of evidence-based antenatal strategies, developed following three systematic reviews [17,20,21], and four qualitative studies with clinicians and women in both high and low VBAC countries [18,19,24,25]. Technology-assisted learning resources were also developed using motivational systems and instructional design theory [26].…”

Section: Interventionsmentioning

confidence: 99%

OptiBIRTH: a cluster randomised trial of a complex intervention to increase vaginal birth after caesarean section

Clarke

Devane

Gross

et al. 2020

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

Background: Despite evidence supporting the safety of vaginal birth after caesarean section (VBAC), rates are low in many countries. Methods: OptiBIRTH investigated the effects of a woman-centred intervention designed to increase VBAC rates through an unblinded cluster randomised trial in 15 maternity units with VBAC rates < 35% in Germany, Ireland and Italy. Sites were matched in pairs or triplets based on annual birth numbers and VBAC rate, and randomised, 1:1 or 2:1, intervention versus control, following trial registration. The intervention involved evidence-based education of clinicians and women with one previous caesarean section (CS), appointment of opinion leaders, audit/peer review, and joint discussions by women and clinicians. Control sites provided usual care. Primary outcome was annual hospital-level VBAC rates before the trial (2012) versus final year of the trial (2016). Between April 2014 and October 2015, 2002 women were recruited (intervention 1195, control 807), with mode-of-birth data available for 1940 women. Results: The OptiBIRTH intervention was feasible and safe across hospital settings in three countries. There was no statistically significant difference in the change in the proportion of women having a VBAC between intervention sites (25.6% in 2012 to 25.1% in 2016) and control sites (18.3 to 22.3%) (odds ratio adjusted for differences between intervention and control groups (2012) and for homogeneity in VBAC rates at sites in the countries: 0.87, 95% CI: 0.67, 1.14, p = 0.32 based on 5674 women (2012) and 5284 (2016) with outcome data. Among recruited women with birth data, 4/1147 perinatal deaths > 24 weeks gestation occurred in the intervention group (0.34%) and 4/782 in the control group (0.51%), and two uterine ruptures (one per group), a rate of 1:1000.(Continued on next page)

show abstract

Prevention of Placenta Accreta Spectrum Disorders

Makukhina

Penzhoyan

2022

Placenta Accreta Spectrum

View full text Add to dashboard Cite

Vaginal birth after caesarean: Views of women from countries with low VBAC rates

Cited by 42 publications

References 38 publications

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

Women's decision‐making processes and experiences of vaginal birth after caesarean birth: A phenomenological study

OptiBIRTH: a cluster randomised trial of a complex intervention to increase vaginal birth after caesarean section

Prevention of Placenta Accreta Spectrum Disorders

Contact Info

Product

Resources

About