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    Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC)

    193751_193751.pdf (318.5Kb)
    Access Status
    Open access
    Authors
    Kelly, G.
    Hauck, Yvonne
    Bayes, Sara
    Hardwick, T.
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Kelly, Georgina and Hauck, Yvonne L. and Bayes, Sara and Hardwick, Tasmin. 2013. Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC). International Journal of Childbirth. 3 (2): pp. 106-116.
    Source Title
    International Journal of Childbirth
    DOI
    10.1891/2156-5287.3.2.106
    ISSN
    2156-5287
    Remarks

    NOTICE: This is the author’s version of a work in which changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication.

    The final publication is available at link.springer.com

    URI
    http://hdl.handle.net/20.500.11937/20492
    Collection
    • Curtin Research Publications
    Abstract

    BACKGROUND: With cesarean rates around the world escalating, concern is growing around why women wanting a vaginal birth after cesarean (VBAC) are not achieving their goal. AIM: To gain an understanding of women’s perceptions of factors they felt contributed to not achieving a VBAC. SETTING AND PARTICIPANTS: Fifteen women were interviewed following a nonelective repeat cesarean section (NERCS). They had attended a Western Australian midwifery-led service, next birth after cesarean (NBAC), and labored but were not successful in achieving a VBAC because of reasons around delayed progress. Interview transcripts were analyzed using Colaizzi’s method of thematic analysis. FINDINGS: Five themes emerged: “Tentative commitment with lingering doubts,” “My body failed me,” “Compromised by a longer than tolerable labor,” “Unable to effectively self-advocate in a climate of power struggling and poor support,” and “The inflexibility of hospital processes.” The final theme included two subthemes: “Restrictive policies” on labor and use of the cardiotocography, “The CTG.” CONCLUSIONS: When labor did not progress as envisaged and hospital processes adversely affected how women were supported, women’s doubts around being able to achieve a VBAC were reinforced with a NERCS. Maternity services need to ensure clinical practice reflects best evidence while assuring staff are supportive of women’s choice.

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