Reframing birth: a consequence of cesarean section

Aim:This paper is a report of a study to describe the childbirth expectations, influences and knowledge of a group of Western Australian women who experienced a cesarean section (CS) and would prefer a CS in a subsequent pregnancy.Background:Evidence suggests that a previous CS is not an indication...

Full description

Bibliographic Details
Main Authors: Fenwick, Jennifer, Gamble, J., Hauck, Yvonne
Format: Journal Article
Published: Blackwell Publishing Ltd 2006
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/15055
_version_ 1848748791328407552
author Fenwick, Jennifer
Gamble, J.
Hauck, Yvonne
author_facet Fenwick, Jennifer
Gamble, J.
Hauck, Yvonne
author_sort Fenwick, Jennifer
building Curtin Institutional Repository
collection Online Access
description Aim:This paper is a report of a study to describe the childbirth expectations, influences and knowledge of a group of Western Australian women who experienced a cesarean section (CS) and would prefer a CS in a subsequent pregnancy.Background:Evidence suggests that a previous CS is not an indication for an elective CS in a subsequent pregnancy, but western world data indicate high probability of repeat CS.Methods:Community advertisements invited women who had experienced a CS to participate in a telephone interview. The thematic analysis presented in this paper is derived from data collected during 2003/2004 from 49 participants who had initially expected to birth vaginal but had a CS and who had planned a CS in a subsequent pregnancy or stated that they would choose this option in a future pregnancy.Findings:Before the first CS most women expected and wanted to give birth normally. After having a CS, however, many reframed vaginal birth as uncertain, unsafe and unachievable. For this group of women, the medical discourse that promoted CS as the safest option was a major influence on their decisions. As a result, they reconstructed CS as an acceptable alternative that was safer for them and their babies, allowed them to be better prepared, and was convenient.Conclusion:In the present climate, enabling women to keep birth 'fear' in perspective may be an important strategy if we are to improve the uptake of vaginal birth after CS and the quality of care offered to women during the normal, but major, life event of childbirth.
first_indexed 2025-11-14T07:10:39Z
format Journal Article
id curtin-20.500.11937-15055
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T07:10:39Z
publishDate 2006
publisher Blackwell Publishing Ltd
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-150552018-10-01T03:36:50Z Reframing birth: a consequence of cesarean section Fenwick, Jennifer Gamble, J. Hauck, Yvonne midwifery childbirth expectations vaginal birth after cesarean section empirical research report telephone interviews cesarean section Aim:This paper is a report of a study to describe the childbirth expectations, influences and knowledge of a group of Western Australian women who experienced a cesarean section (CS) and would prefer a CS in a subsequent pregnancy.Background:Evidence suggests that a previous CS is not an indication for an elective CS in a subsequent pregnancy, but western world data indicate high probability of repeat CS.Methods:Community advertisements invited women who had experienced a CS to participate in a telephone interview. The thematic analysis presented in this paper is derived from data collected during 2003/2004 from 49 participants who had initially expected to birth vaginal but had a CS and who had planned a CS in a subsequent pregnancy or stated that they would choose this option in a future pregnancy.Findings:Before the first CS most women expected and wanted to give birth normally. After having a CS, however, many reframed vaginal birth as uncertain, unsafe and unachievable. For this group of women, the medical discourse that promoted CS as the safest option was a major influence on their decisions. As a result, they reconstructed CS as an acceptable alternative that was safer for them and their babies, allowed them to be better prepared, and was convenient.Conclusion:In the present climate, enabling women to keep birth 'fear' in perspective may be an important strategy if we are to improve the uptake of vaginal birth after CS and the quality of care offered to women during the normal, but major, life event of childbirth. 2006 Journal Article http://hdl.handle.net/20.500.11937/15055 10.1111/j.1365-2648.2006.03991_1.x Blackwell Publishing Ltd restricted
spellingShingle midwifery
childbirth expectations
vaginal birth after cesarean section
empirical research report
telephone interviews
cesarean section
Fenwick, Jennifer
Gamble, J.
Hauck, Yvonne
Reframing birth: a consequence of cesarean section
title Reframing birth: a consequence of cesarean section
title_full Reframing birth: a consequence of cesarean section
title_fullStr Reframing birth: a consequence of cesarean section
title_full_unstemmed Reframing birth: a consequence of cesarean section
title_short Reframing birth: a consequence of cesarean section
title_sort reframing birth: a consequence of cesarean section
topic midwifery
childbirth expectations
vaginal birth after cesarean section
empirical research report
telephone interviews
cesarean section
url http://hdl.handle.net/20.500.11937/15055