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Vaginal Birth After Caesarean: Views of women from countries with low VBAC rates

Artikel i vetenskaplig tidskrift
Författare Christina Nilsson
Joan Lalor
Cecily Begley
Margaret Carroll
Mechthild Gross
Susanne Grylka-Baeschlin
Ingela Lundgren
Andrea Matterne
Sandra Morano
Jane Nicoletti
Patricia Healy
Publicerad i Women and Birth
Volym 30
Nummer/häfte 6
Sidor 481-490
ISSN 1871-5192
Publiceringsår 2017
Publicerad vid Institutionen för vårdvetenskap och hälsa
Sidor 481-490
Språk en
Länkar dx.doi.org/10.1016/j.wombi.2017.04....
Ämnesord content analysis, focus groups, vaginal birth after caesarean, caesarean section, women´s views
Ämneskategorier Annan medicin och hälsovetenskap, Reproduktiv hälsa, Omvårdnad

Sammanfattning

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 caesarean in countries where vaginal birth rates after caesarean rates 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 section, thet they experience shared decision-making with clinicians supportive of vaginal birth, receive correct information, are sufficently prepared for a vaginal birth, and experience a culture that supports vaginal birth after caesarean section. Discussion and conclusion: Women’s decision-making about vaginal birth after caesarean in these countries involves a complex, multidimensional interplay of medical, psychological, social, 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 caesarean as a mode of birth.

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