Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC)
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 PART...
| Main Authors: | , , , |
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| Format: | Journal Article |
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Springer
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/20492 |
| _version_ | 1848750319789408256 |
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| author | Kelly, G. Hauck, Yvonne Bayes, Sara Hardwick, T. |
| author_facet | Kelly, G. Hauck, Yvonne Bayes, Sara Hardwick, T. |
| author_sort | Kelly, G. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T07:34:57Z |
| format | Journal Article |
| id | curtin-20.500.11937-20492 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:34:57Z |
| publishDate | 2013 |
| publisher | Springer |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-204922017-09-13T13:50:23Z Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC) Kelly, G. Hauck, Yvonne Bayes, Sara Hardwick, T. VBAC childbirth qualitative evaluation perception 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. 2013 Journal Article http://hdl.handle.net/20.500.11937/20492 10.1891/2156-5287.3.2.106 Springer fulltext |
| spellingShingle | VBAC childbirth qualitative evaluation perception Kelly, G. Hauck, Yvonne Bayes, Sara Hardwick, T. Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC) |
| title | Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC) |
| title_full | Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC) |
| title_fullStr | Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC) |
| title_full_unstemmed | Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC) |
| title_short | Women's Perceptions of Contributory Factors for Not Achieving a Vaginal Birth After Cesarean (VBAC) |
| title_sort | women's perceptions of contributory factors for not achieving a vaginal birth after cesarean (vbac) |
| topic | VBAC childbirth qualitative evaluation perception |
| url | http://hdl.handle.net/20.500.11937/20492 |