Background:
Caesarean section (CS) rates are increasing in both developed and developing countries. Vaginal
birth after cesarean (VBAC) is an important option for reducing the CS rate.
Objective:
The purpose of this study is to explore clinicians' and midwives' views of factors influencing
decision-making for VBAC based on theory planned of behavior.
Methods:
This qualitative study was carried out in Urmia- Iran during 2017-2018. Data were collected using indepth semi-structured interviews with 21 obstetricians and midwives. Participants were selected among
governmental hospitals through purposeful sampling, until data saturation was reached. Data were analyzed
through directed content analysis approach using the MAXQDA software version 10.
Results:
Three themes and seven sub-themes including: 1."attitude toward VBAC": positive attitude and
negative attitude; 2. "control belief": organizational support, fear, and self-efficacy; and 3. "subjective norms":
peer recommendation, and maternal perceived pressure were emerged from data analysis.
Conclusion:
Clinicians' and midwives' positive attitude and clinicians' self efficacy could reinforce their
intentions to select VBAC and support mother. Insufficient organization support, clinicians' and midwives'
negative attitude, clinicians' and women's fear, clinicians' peer recommendation and pressure of outside sources
which is perceived by mothers could be barrier factors for VBAC.