Key influences on women’s decisions for vaginal birth following a previous caesarean section: A qualitative study
Year: 2025
Type: article
Abstract: • Problem: There has been a steady increase in caesarean section (CS) rate worldwide despite the World Health Organisation’s statement that CS rate should not exceed 10% to 15% of all live births. • What is already Known: Repeat Caesarean Section (CS) contributes to the rising rate of CS, while vaginal Birth after CS (VBAC) for eligible women is increases normality in childbirth. • What this paper adds: This paper highlights that self-determination and self-confidence informed by women’s level of knowledge, and support from healthcare providers are crucial elements in women’s decision making for mode of birth following previous CS. There remains a steady increase in the caesarean section (CS) rate globally ranging from 5% in sub-Saharan Africa to 42.8% in the Caribbean and Latin America. Vaginal birth after CS (VBAC) is a proven way of increasing normality in childbirth for most women. This study aimed to explore the factors that influence women’s decision-making for VBAC after previous CS. A qualitative design was used. All women with experience of one previous CS, and eligible for VBAC were invited to participate in the study. Data for this study were collected using semi-structured individual interview with 10 women via Zoom following verbal and written consent between March and September 2023. Thematic analysis was employed, and the discussion of the findings was informed by Foucault’s theory of power/knowledge. Findings : Factors that influence women’s decision-making are presented under two main themes – ‘Self-determination,’ and ‘Self-confidence.’ Knowledge, strong will and previous experience, contributed to women’s determination to be in control of their decision. Self–belief, quest to feel better after birth, and support from the care providers had impact on women’s confidence. Most of the participants demonstrated a sense of control and satisfaction with their decision regardless of subsequent mode of birth. The findings highlight the intrinsic link between knowledge and power and the role of these constructs in decision-making. Therefore, women need to be well informed and feel empowered to take control of the decision about their mode of birth following previous caesarean section.
Source: Sexual & Reproductive Healthcare
Authors: Ms Marcella Gavin, Magdalena Ohaja, Linda Biesty
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,850
OpenAlex ID: W4416408269