What Influences a Woman to Choose Vaginal Birth After Cesarean?

Ridley, Renee T.; Davis, Peggy A.; Bright, Jane H.; Sinclair, Donna

doi:10.1177/0884217502239212

Cited by 34 publications

(56 citation statements)

References 17 publications

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“…The results show that four studies are from Australia [13,18,19,29], three from UK [2,20,30], and one from US [31]. The women's experiences were requested concerning different aspects of the following phenomena: experiences of decision-making - whether to give birth vaginally or with CS during the subsequent birth [2,13,20], experiences of the influence of health professionals on decision-making [30], reason for trying a vaginal birth after a previous CS [18,20,31], experiences when choosing VBAC [18,19,29], experiences during the subsequent birth giving birth vaginally [18,20,31], and experiences with CS during the subsequent birth [13,30].…”

Section: Resultsmentioning

confidence: 99%

“…The women's experiences were requested concerning different aspects of the following phenomena: experiences of decision-making - whether to give birth vaginally or with CS during the subsequent birth [2,13,20], experiences of the influence of health professionals on decision-making [30], reason for trying a vaginal birth after a previous CS [18,20,31], experiences when choosing VBAC [18,19,29], experiences during the subsequent birth giving birth vaginally [18,20,31], and experiences with CS during the subsequent birth [13,30]. Experiences of giving birth vaginally [13,18-20,31], and with CS [2,13,18-20,29,31] are described. In one study no information was given about the subsequent birth experience [30].…”

Section: Resultsmentioning

confidence: 99%

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‘Groping through the fog’: a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)

Lundgren

Begley

Groß

et al. 2012

BMC Pregnancy Childbirth

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BackgroundVaginal birth after Caesarean section (VBAC) is a relevant question for a large number of women due to the internationally rising Caesarean section (CS) rate. There is a great deal of research based on quantitative studies but few qualitative studies about women's experiences.MethodA metasynthesis based on the interpretative meta ethnography method was conducted. The inclusion criterion was peer-review qualitative articles from different disciplines about women's experiences of VBAC. Eleven articles were checked for quality, and eight articles were included in the synthesis.ResultsThe included studies were from Australia (four), UK (three), and US (one), and studied women's experience in relation to different aspects of VBAC; decision-making whether to give birth vaginally, the influence of health professionals on decision-making, reason for trying a vaginal birth, experiences when choosing VBAC, experiences of giving birth vaginally, and giving birth with CS when preferring VBAC. The main results are presented with the metaphor groping through the fog; for the women the issue of VBAC is like being in a fog, where decision-making and information from the health care system and professionals, both during pregnancy and the birth, is unclear and contrasting. The results are further presented with four themes: ‘to be involved in decision about mode of delivery is difficult but important,’ ‘vaginal birth has several positive aspects mainly described by women,’ ‘vaginal birth after CS is a risky project,’ and ‘own strong responsibility for giving birth vaginally'.ConclusionIn order to promote VBAC, more studies are needed from different maternity settings and countries about women's experiences. Women need evidence-based information not only about the risks involved but also positive aspects of VBAC.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

‘Groping through the fog’: a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)

Lundgren

Begley

Groß

et al. 2012

BMC Pregnancy Childbirth

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show abstract

“…Women's decision making on birth options can be influenced by caregivers' approval or disapproval of their choices and/or through the information provided to them. 35,[60][61][62] Therefore it is imperative for these professionals to make every effort to address the issue of unbiased accurate evidence based information provision regarding birth options after CS.…”

Section: Discussionmentioning

confidence: 99%

Women's knowledge of options for birth after Caesarean Section

Chen

Hancock

2012

Women and Birth

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“…One study from the USA showed that the major influences were the woman’s sense of control in the decision-making process and the clinician’s encouragement of VBAC [21]. Whereas these were not linked to a model of care, it is well established that midwifery continuity of care programs increase women’s sense of control over decision making, [22] hence the logical link in our hypothesis.…”

Section: Introductionmentioning

confidence: 90%

Does continuity of care impact decision making in the next birth after a caesarean section (VBAC)? a randomised controlled trial

Homer

Besley

Bell

et al. 2013

BMC Pregnancy Childbirth

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BackgroundCaesarean section (CS) has short and long-term health effects for both the woman and her baby. One of the greatest contributors to the CS rate is elective repeat CS. Vaginal birth after caesarean (VBAC) is an option for many women; despite this the proportion of women attempting VBAC remains low. Potentially the relationship that women have with their healthcare professional may have a major influence on the uptake of VBAC. Models of service delivery, which enable an individual approach to care, may make a difference to the uptake of VBAC. Midwifery continuity of care could be an effective model to encourage and support women to choose VBAC.Methods/DesignA randomised, controlled trial will be undertaken. Eligible pregnant women, whose most recent previous birth was by lower-segment CS, will be randomly allocated 1:1 to an intervention group or control group. The intervention provides midwifery continuity of care to women through pregnancy, labour, birth and early postnatal care. The control group will receive standard hospital care from different midwives through pregnancy, labour, birth and early postnatal care. Both groups will receive an obstetric consultation during pregnancy and at any other time if required. Clinical care will follow the same guidelines in both groups.DiscussionThis study will determine whether midwifery continuity of care influences the decision to attempt a VBAC and impacts on mode of birth, maternal experiences with care and the health of the neonate. Outcomes from this study might influence the way maternity care is provided to this group of women and thus impact on the CS rate. This information will provide high level evidence to policy makers, health service managers and practitioners who are working towards addressing the increased rate of CS.Trial registrationThis trial is registered with the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12611001214921

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What Influences a Woman to Choose Vaginal Birth After Cesarean?

Cited by 34 publications

References 17 publications

‘Groping through the fog’: a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)

‘Groping through the fog’: a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)

Women's knowledge of options for birth after Caesarean Section

Does continuity of care impact decision making in the next birth after a caesarean section (VBAC)? a randomised controlled trial

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