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Vaginal Birth After Cesarean—Views of Women From Countries With High VBAC Rates

Journal article
Authors Christina Nilsson
Evelien van Limbeek
Katri Vehvilainen-Julkunen
Ingela Lundgren
Published in Qualitative Health Research
Volume 27
Issue 3
Pages 325-340
ISSN 1049-7323
Publication year 2017
Published at Institute of Health and Care Sciences
Pages 325-340
Language en
Links dx.doi.org/10.1177/1049732315612041
Keywords childbirth; content analysis; focus groups; health care, culture of; interviews; midwifery; nursing, maternity; relationships; Vaginal birth after cesarean; VBAC
Subject categories Reproductive health, Reproductive and perinatal care, Health Sciences

Abstract

Despite the consequences for women’s health, a repeat cesarean section birth (CS) after a previous CS is common in Western countries. Vaginal Birth After Cesarean (VBAC) is recommended for most women, yet VBAC rates are decreasing and vary across maternity organizations and countries. We investigated women’s views on factors of importance for improving the rate of VBAC in countries where VBAC rates are high. We interviewed 22 women who had experienced VBAC in Finland, the Netherlands, and Sweden. We used content analysis, which revealed five categories: receiving information from supportive clinicians, receiving professional support from a calm and confident midwife/ obstetrician during childbirth, knowing the advantages of VBAC, letting go of the previous childbirth in preparation for the new birth, and viewing VBAC as the first alternative for all involved when no complications are present. These findings reflect not only women’s needs, but also sociocultural factors influencing their views on VBAC.

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