Caring for women wanting a vaginal birth after previous caesarean section: A qualitative study of the experiences of midwives and obstetricians

Foureur, Maralyn; Turkmani, Sabera; Clack, Danielle; Davis, Deborah; Mollart, Lyndall; Leiser, Bernadette; Homer, Caroline

doi:10.1016/j.wombi.2016.05.011

Cited by 26 publications

(34 citation statements)

References 40 publications

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“…In international studies of women's experiences, social support identified by women with a history of cesarean included peers and family, support groups, and the internet. [44][45][46][48][49][50]56 Social factors, such as the support of their choices by their partners, families, friends, and perinatal care providers, appeared to play a stronger role in women's decision making about mode of birth after cesarean than their perceptions of risk or health concerns. 48 As identified in this review, a woman's partner also has considerable influence on the decision about mode of birth, 49,50 as does a woman's perception of support for her choice by her family, friends, and provider.…”

Section: Discussionmentioning

confidence: 99%

“…[44][45][46][48][49][50]56 Social factors, such as the support of their choices by their partners, families, friends, and perinatal care providers, appeared to play a stronger role in women's decision making about mode of birth after cesarean than their perceptions of risk or health concerns. 48 As identified in this review, a woman's partner also has considerable influence on the decision about mode of birth, 49,50 as does a woman's perception of support for her choice by her family, friends, and provider. [44][45][46] Similar to results of this review, previous research supports that women view their provider as a very valuable source of information about pregnancy and birth 51 and that women perceive a supportive clinician as a key facilitator for a successful VBAC.…”

Section: Discussionmentioning

confidence: 99%

“…Results of previous research on decision making for birth after cesarean, perinatal care providers' perceptions about barriers and facilitators to accessing VBAC, and women's experiences of VBAC internationally include similar factors to those identified in this review. Specifically, providers in the United States and women using international health systems also identified knowledge, [44][45][46][47] social support, [44][45][46][48][49][50] the quality of the relationship with their provider, 44,46,[50][51][52] and skill in navigating the health system as integral factors in their experience accessing a labor after cesarean.…”

Section: Discussionmentioning

confidence: 99%

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Women's Perceptions of Barriers and Facilitators to Vaginal Birth After Cesarean in the United States: An Integrative Review

Ibrahim

Kennedy

Whittemore

2020

J Midwife Womens Health

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Introduction The purpose of this integrative review was to synthesize the literature on women's perceived barriers and facilitators to achieving a vaginal birth after cesarean. Methods A search of Scopus and PubMed databases and relevant citations from 2000 to 2018 was conducted to identify resources meeting inclusion criteria. Conclusion drawing and verification were completed using data displays, data analysis, and comparison. Results Sixteen resources met inclusion criteria. Factors identified by women with a history of cesarean that act as facilitators or barriers to achieving a vaginal birth after cesarean included (1) individual factors (knowledge, body, and psychological), (2) social factors (culture and social support), and (3) systemic factors (perinatal care provider, health system, and financial). Some factors related to barriers and facilitators reflected opposing aspects of the same phenomenon on a continuum. Discussion Enhancing facilitators identified by women, while addressing perceived barriers, may increase access to labor after cesarean for women in the United States. Increasing access to labor after cesarean may subsequently improve women's experiences of care and decrease the US cesarean rate, positively affecting individual health outcomes and overall health of childbearing women in the United States.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Women's Perceptions of Barriers and Facilitators to Vaginal Birth After Cesarean in the United States: An Integrative Review

Ibrahim

Kennedy

Whittemore

2020

J Midwife Womens Health

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“…Rising rates of caesarean section (CS) is an issue of particular concern in the global maternity care field 1 due to the increased adverse maternal and neonatal outcomes associated with CS [2][3][4][5] . In 1985, the World Health Organization (WHO) suggested that there are no additional advantages of CS above a rate of 10-15% [6][7][8][9][10] . CS rates are increasing in both resource-intense and resource-poor countries; however, of concern is the variation in CS rates internationally.…”

Section: Introductionmentioning

confidence: 99%

Maternal and neonatal outcomes for women giving birth after previous cesarean

Charitou¹,

Charos²,

Vamenou³

et al. 2019

Eur J Midwifery

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INTRODUCTION Rising rates of caesarean section (CS) is an issue of particular concern. Recently, there has been research supporting Vaginal Births After Caesarean (VBAC), which is controversial. In Greece, over half of births in the country are by CS, placing Greece among countries with the highest CS rates. The aim of this study was to investigate the prevalence and the factors associated with VBACs and to compare the maternal/neonatal outcomes with a 'non-caesarean' control group. METHODS The data were evaluated and retrospectively gathered on archived singleton births, from medical records of a midwifery-led team, between May 2006 and May 2013. The target group of the study included mothers with a previous CS, who had a second birth. The sample consisted of 71 VBAC women and 583 who had normal spontaneous vaginal delivery (NSVD) as the 'non-caesarean' control group. RESULTS The duration of labour was longer for the VBACs compared with first-time mothers who gave birth naturally (for duration 481-720 min, 27% vs 10.3%, respectively), episiotomy was more common for VBAC (20.7% vs 7.9%), and epidural analgesia was more often for VBAC (68.4% vs 10%). The percentage of 1-min Apgar score in the range 0-7 in the VBAC group was 5%, and there was no significant difference in women who had NSVD (3.6%). The Apgar score in the 5th minute was always above 8 for both groups. CONCLUSIONS Severe maternal and neonatal complications are infrequent, and therefore the necessity arises for further continuous studies to ascertain the safety of VBAC.

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“…The Royal College of Obstetrics and Gynecologists 2007 issued guidelines for implementing vaginal delivery after section surgeries (VBAC) recommended facilitating practice by providing counseling and support for joint decision making. Additionally, support, professional midwives and doctors can help women to try VBAC because they need effective communication and information support [5].…”

Section: Introductionmentioning

confidence: 99%

Development of Midwifery Learning Model with Spiritual Approach in the Midwifery Concept Course

Hasnerita¹,

Muslim²,

Suparman³

2019

Proceedings of the First International Conference on Technology and Educational Science

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This study resulted in acquiring knowledge about learning models of spiritual midwifery services with ideal methods of assessment and labor. The research methodology implemented includes research and development. There were 10 steps used as a basis for developing a model in research and development by Borg and Gall. Before using the instrument, validation is carried out by competent experts. The product testing phase begins with the validation of several material, design and media experts. Furthermore, the product will support one to one learners for the overall average score of 4.33 or 86.6%, the small group trials get an average value of 4.37 or 87.5%, while the large group trials get an average score of 4.48, or 89.65%. The results of the learning process indicate an average level of 3.84 which correlates with what has been agreed.

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Caring for women wanting a vaginal birth after previous caesarean section: A qualitative study of the experiences of midwives and obstetricians

Cited by 26 publications

References 40 publications

Women's Perceptions of Barriers and Facilitators to Vaginal Birth After Cesarean in the United States: An Integrative Review

Women's Perceptions of Barriers and Facilitators to Vaginal Birth After Cesarean in the United States: An Integrative Review

Maternal and neonatal outcomes for women giving birth after previous cesarean

Development of Midwifery Learning Model with Spiritual Approach in the Midwifery Concept Course

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