A qualitative analysis of the content of telephone calls made by women to a dedicated ‘Next Birth After Caesarean’ antenatal clinic

David, Sara Carolina Carrillo; Fenwick, Jennifer; Bayes, Sara; Martin, Tracy

doi:10.1016/j.wombi.2010.07.002

Cited by 19 publications

(37 citation statements)

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“…According to Cox, [14] Changing Childbirth in 1993 in UK gave women more choice over their maternity care, and it may be that this has led to many women making a ‘choice’ to have a repeat CS instead of VBAC [14], as has happened in other countries, with a resulting steep increase in CS-rate [32]. One could question why do women choose CS when VBAC is the best option, from an empirical evidence-base [10,11]. One answer according to our study is that women are groping in the fog in a context where vaginal birth is seen as a risky project and positive aspects of vaginal birth are mainly described by women and not the health care system.…”

Section: Discussionmentioning

confidence: 99%

“…VBAC is recommended as safe and as best practice for the majority of women [10,11], is associated with lower maternal mortality than repeat CS, and less overall morbidity for mothers and babies [11]. Similar to the CS-rate, VBAC-rates differ internationally.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have focused on women's perspective of decision-making in relation to mode of delivery in the subsequent birth after a previous CS. Women experience decisional conflicts and uncertainty and need individual and structured information [6,10,15-17]. Studies focusing on women's experiences of giving birth vaginally after a previous CS birth shows that they express a belief in the importance of a natural birth [18,19], and that psycho-social dimensions that go beyond the birth are of importance for them [20].…”

Section: Introductionmentioning

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: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

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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“…Recent research strives for a holistic understanding of childbirth experiences, based on women’s perceptions of risk (Sharma et al, 2011), the myriad of meanings underlying notions of ‘control’ (Namey & Lyerly, 2010), pain (Declercq et al, 2008), previous delivery outcomes (David et al, 2010; Kaimal & Kuppermann, 2010; Pang et al, 2008), race (Getahun et al, 2009; Rosenthal & Lobel, 2011; Selo-Ojeme et al, 2008), medical record information (Wibe et al, 2011), midwifery practices (Danerek et al, 2011), and community factors (Leone et al, 2008). These influences are increasingly viewed as interacting, and are replacing the antagonistic view of defensive medicine that dominated earlier literature (Bassett et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Misrecognition of need: Women's experiences of and explanations for undergoing cesarean delivery

Tully

Ball

2013

Social Science & Medicine

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International rates of operative delivery are consistently higher than the World Health Organization determined is appropriate. This suggests that factors other than clinical indications contribute to cesarean section. Data presented here are from interviews with 115 mothers on the postnatal ward of a hospital in Northeast England during February 2006 to March 2009 after the women underwent either unscheduled or scheduled cesarean childbirth. Using thematic content analysis, we found women’s accounts of their experiences largely portrayed cesarean section as everything that they had wanted to avoid, but necessary given their situations. Contrary to popular suggestion, the data did not indicate impersonalized medical practice, or that cesareans were being performed ‘on request.’ The categorization of cesareans into ‘emergency’ and ‘elective’ did not reflect maternal experiences. Rather, many unscheduled cesareans were conducted without indications of fetal distress and most scheduled cesareans were not booked because of ‘choice.’ The authoritative knowledge that influenced maternal perceptions of the need to undergo operative delivery included moving forward from ‘prolonged’ labor and scheduling cesarean as a prophylactic to avoid anticipated psychological or physical harm. In spontaneously defending themselves against stigma from the ‘too posh to push’ label that is currently common in the media, women portrayed debate on the appropriateness of cesarean childbirth as a social critique instead of a health issue. The findings suggest the ‘need’ for some cesareans is due to misrecognition of indications by all involved. The factors underlying many cesareans may actually be modifiable, but informed choice and healthful outcomes are impeded by lack of awareness regarding the benefits of labor on the fetal transition to extrauterine life, the maternal desire for predictability in their parturition and recovery experiences, and possibly lack of sufficient experience for providers in a variety of vaginal delivery scenarios (non-progressive labor, breech presentation, and/or after previous cesarean).

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“…These previous birth stories are the elephant in the room; they are exceedingly important, they have a powerful effect on decision making for subsequent births, and they are often unaddressed. 29,30 Additional Personal Factors that Affect Choice of TOLAC Versus ERCD Studies that have evaluated the reasons for choosing TOLAC or ERCD have identified several additional themes. Women who have had a previous vaginal birth and those who believe they are likely to have a successful VBAC are most likely to choose TOLAC.…”

mentioning

confidence: 99%

Can a Vaginal Birth After Cesarean Delivery be a Normal Labor and Birth? Lessons from Midwifery Applied to Trial of Labor After a Previous Cesarean Delivery

King

2011

Clinics in Perinatology

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A qualitative analysis of the content of telephone calls made by women to a dedicated ‘Next Birth After Caesarean’ antenatal clinic

Cited by 19 publications

References 20 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)

Misrecognition of need: Women's experiences of and explanations for undergoing cesarean delivery

Can a Vaginal Birth After Cesarean Delivery be a Normal Labor and Birth? Lessons from Midwifery Applied to Trial of Labor After a Previous Cesarean Delivery

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