Women's decision-making about mode of birth after a previous caesarean section. (2nd February 2020)

• Record Type: Journal Article
• Authors: Fumagalli, Simona; Colciago, Elisabetta; Antolini, Laura; Perego, Sofia; Fiorasi, Micaela; Fossati, Valeria; Nespoli, Antonella; Vergani, Patrizia
• Is Part Of: British journal of midwifery. Volume 28:Number 2(2020)
• Page Start: 104
• Page End: 113
• Publication Date: 2020-02-02
• Subjects: Vaginal birth after caesarean -- Caesarean section -- Maternal decision-making -- Midwifery care -- Antenatal counselling; Midwifery -- Periodicals; Women's health services -- Periodicals; Maternity nursing -- Periodicals; 618.2
• DOI: 10.12968/bjom.2020.28.2.104
• Languages: English
• ISSNs: 0969-4900

Abstract

Abstract : Background: Evidence on the safety and appropriateness of vaginal birth after caesarean (VBAC) appears clear, but knowledge about women's choice towards this mode of birth is limited. Aims: To identify variables related to women's decision-making about whether to try for VBAC. Method and findings: Cross-sectional study was conducted. Feelings of body failure towards the previous birth and the desire to have a vaginal birth were associated with maternal choice of VBAC. Women who perceived a repeated section as being dangerous for them opted for a VBAC ( p =0.030). Opinion of women with the same experience and information found online were implicated into maternal decision-making. Conclusion: This is the first Italian study to confirm that maternal choice is complex and involves many factors. Midwives and obstetricians should strive to provide an evidence-based midwifery care, in order to offer a VBAC as a safe birth option.