Bioethics and Birth

McGrath, Pam; Phillips, Emma; Ray‐Barruel, Gillian

doi:10.1007/bf03351315

Cited by 5 publications

(1 citation statement)

References 28 publications

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“…Inherent with the health care providers' ethical responsibility for patient care is the lawful requirement to fully inform the patient of the risks, benefits and alternatives available in any particular situation (Cunningham et al, 2010). The legal aspect of medical ethics evokes a delicate balancing of triplicate concepts, each on a continuum—paternalism versus autonomy, beneficence versus nonmalfeasance and justice versus injustice—which must be considered when counseling pregnant women (McGrath & Phillips, 2009). Ethical management should include discussions pertaining to the latest data surrounding the risks and benefits of nonemergent CD (Latham & Norwitz, 2009).…”

Section: Ethical Considerationsmentioning

confidence: 99%

Elective Cesarean Delivery: Trends, Evidence and Implications for Women, Newborns and Nurses

Campbell

2011

Nursing for Women's Health

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Section: Ethical Considerationsmentioning

confidence: 99%

Elective Cesarean Delivery: Trends, Evidence and Implications for Women, Newborns and Nurses

Campbell

2011

Nursing for Women's Health

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Decision‐making experiences and the need for decision aids in women considering vaginal birth after cesarean: A qualitative meta‐synthesis

Shurong,

Li,

Jie

2023

Birth

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AimsThis study aims to comprehensively explore the decision‐making requirements of women contemplating vaginal birth after cesarean (VBAC).Design & MethodsA meta‐synthesis approach was employed for this study. Using an integrative methodology, we conducted a systematic assessment of women's experiences and needs related to VBAC decision‐making. A comprehensive search was conducted across The Cochrane Library, PubMed, EMBASE, Ovid Medline, SCOPUS, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and Wan Fang databases to identify pertinent studies between 2000 and 2022. Furthermore, the reference lists of the included studies were thoroughly examined.ResultsFifteen studies were incorporated, from which seven themes emerged: emotional changes, preference for vaginal birth, unmet information needs, influences on decision‐making, decision‐making autonomy, aligning information provision with decision‐support needs, and the requirement for support systems. Two primary syntheses were constructed on the decision‐making process and the need for decision‐making aids, respectively.ConclusionWomen opting for VBAC experienced emotional shifts during their decision‐making process in pregnancy. There remains a need for an enhanced decision‐making tool to guide them in their choice. Recommendations for implementation in VBAC decision aids include facilitating women's involvement in decision‐making, satisfying their information needs, and delivering appropriate emotional support.

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Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

et al. 2016

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ObjectiveTo identify what women report influences their preferred mode of birth after caesarean section.DesignSystematic review of qualitative literature using meta-ethnography.Data sourcesMedline, EMBASE, ASSIA, CINAHL and PsycINFO (1996 until April 2013; updated September 2015). Hand-searched journals, reference lists and abstract authors.Study selectionPrimary qualitative studies reporting women's accounts of what influenced their preferred mode of birth after caesarean section.Data extraction and synthesisPrimary data (quotations from study participants) and authors’ interpretations of these were extracted, compared and contrasted between studies, and grouped into themes to support the development of a ‘line of argument’ synthesis.Results20 papers reporting the views of 507 women from four countries were included. Distinctive clusters of influences were identified for each of three groups of women. Women who confidently sought vaginal birth after a caesarean section were typically driven by a long-standing anticipation of vaginal birth. Women who sought a repeat caesarean section were strongly influenced by distressing previous birth experiences, and at times, by encouragement from social contacts. Women who were more open to information and professional guidance had fewer strong preconceptions and concerns, and viewed a range of considerations as potentially important.ConclusionsWomen's attitudes towards birth after caesarean section appear to be shaped by distinct clusters of influences, suggesting that opportunities exist for clinicians to stratify and personalise decision support by addressing relevant ideas, concerns and experiences from the first caesarean section birth onwards.

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Bioethics and Birth

Cited by 5 publications

References 28 publications

Elective Cesarean Delivery: Trends, Evidence and Implications for Women, Newborns and Nurses

Elective Cesarean Delivery: Trends, Evidence and Implications for Women, Newborns and Nurses

Decision‐making experiences and the need for decision aids in women considering vaginal birth after cesarean: A qualitative meta‐synthesis

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

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