'Groping through the fog': a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)

2.50
Hdl Handle:
http://hdl.handle.net/10147/253666
Title:
'Groping through the fog': a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)
Authors:
Lundgren, Ingela; Begley, Cecily; Gross, Mechthild M; Bondas, Terese
Citation:
BMC Pregnancy and Childbirth. 2012 Aug 21;12(1):85
Issue Date:
21-Aug-2012
URI:
http://dx.doi.org/10.1186/1471-2393-12-85; http://hdl.handle.net/10147/253666
Abstract:
Abstract Background Vaginal birth after Caesarean section (VBAC) is a relevant question for a large number of women due to the internationally rising Caesarean section (CS) rate. There is a great deal of research based on quantitative studies but few qualitative studies about women's experiences. Method A metasynthesis based on the interpretative meta ethnography method was conducted. The inclusion criterion was peer-review qualitative articles from different disciplines about women's experiences of VBAC. Eleven articles were checked for quality, and eight articles were included in the synthesis. Results The included studies were from Australia (four), UK (three), and US (one), and studied women's experience in relation to different aspects of VBAC; decision-making whether to give birth vaginally, the influence of health professionals on decision-making, reason for trying a vaginal birth, experiences when choosing VBAC, experiences of giving birth vaginally, and giving birth with CS when preferring VBAC. The main results are presented with the metaphor groping through the fog; for the women the issue of VBAC is like being in a fog, where decision-making and information from the health care system and professionals, both during pregnancy and the birth, is unclear and contrasting. The results are further presented with four themes: ‘to be involved in decision about mode of delivery is difficult but important,’ ‘vaginal birth has several positive aspects mainly described by women,’ ‘vaginal birth after CS is a risky project,’ and ‘own strong responsibility for giving birth vaginally'. Conclusion In order to promote VBAC, more studies are needed from different maternity settings and countries about women's experiences. Women need evidence-based information not only about the risks involved but also positive aspects of VBAC.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorLundgren, Ingela-
dc.contributor.authorBegley, Cecily-
dc.contributor.authorGross, Mechthild M-
dc.contributor.authorBondas, Terese-
dc.date.accessioned2012-11-28T12:33:54Z-
dc.date.available2012-11-28T12:33:54Z-
dc.date.issued2012-08-21-
dc.identifier.citationBMC Pregnancy and Childbirth. 2012 Aug 21;12(1):85-
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2393-12-85-
dc.identifier.urihttp://hdl.handle.net/10147/253666-
dc.description.abstractAbstract Background Vaginal birth after Caesarean section (VBAC) is a relevant question for a large number of women due to the internationally rising Caesarean section (CS) rate. There is a great deal of research based on quantitative studies but few qualitative studies about women's experiences. Method A metasynthesis based on the interpretative meta ethnography method was conducted. The inclusion criterion was peer-review qualitative articles from different disciplines about women's experiences of VBAC. Eleven articles were checked for quality, and eight articles were included in the synthesis. Results The included studies were from Australia (four), UK (three), and US (one), and studied women's experience in relation to different aspects of VBAC; decision-making whether to give birth vaginally, the influence of health professionals on decision-making, reason for trying a vaginal birth, experiences when choosing VBAC, experiences of giving birth vaginally, and giving birth with CS when preferring VBAC. The main results are presented with the metaphor groping through the fog; for the women the issue of VBAC is like being in a fog, where decision-making and information from the health care system and professionals, both during pregnancy and the birth, is unclear and contrasting. The results are further presented with four themes: ‘to be involved in decision about mode of delivery is difficult but important,’ ‘vaginal birth has several positive aspects mainly described by women,’ ‘vaginal birth after CS is a risky project,’ and ‘own strong responsibility for giving birth vaginally'. Conclusion In order to promote VBAC, more studies are needed from different maternity settings and countries about women's experiences. Women need evidence-based information not only about the risks involved but also positive aspects of VBAC.-
dc.title'Groping through the fog': a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderIngela Lundgren et al.; licensee BioMed Central Ltd.-
dc.description.versionPeer Reviewed-
dc.date.updated2012-11-28T06:20:32Z-
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