'I wanted desperately to have a natural birth': Mothers' insights on vaginal Birth After Caesarean (VBAC)
Emma Phillips
International Program of Psycho-Social Health Research, Central Queensland University, Brisbane QLD
Pam McGrath
International Program of Psycho-Social Health Research, Central Queensland University, Brisbane QLD
Grahame Vaughan
Department of Obstetrics and Gynaecology, Redland Hospital, Bayside Health District, QLD
PP: 077 - 084
Abstract
There is scant research available on the psycho-social aspects of births subsequent to Caesarean Section (CS). In particular, there is little psycho-social research available in regard to women who seek to have a Vaginal Birth After Caesarean (VBAC). To address this lack of information in the literature, this article explores, from a phenomenological perspective, the reasons motivating women to try for a VBAC, from the perspectives of four women who have tried for or achieved a VBAC.
The findings indicate that these mothers differed to other women interviewed in the study who opted for repeat CS. The VBAC mothers expressed a strong belief in the importance of a natural birth as the best start for their infant, strived to reduce where possible drug interventions during labour and birth and believed in the importance of breastfeeding. The VBAC mothers viewed achieving a natural birth as a significant aspect of their femininity and a major life event for a woman.
Keywords
midwifery, caesarean section, VBAC, qualitative research, birth, choice
References
Appleton B, Targett C, Rasmussen M, Readman E, Sale F, Permezel M, et al (2000) Knowledge and attitudes about vaginal birth after Caesarean section in Australian hospitals. Australian and New Zealand Journal of Obstetrics and Gynaecology 40(2), 195-199.
Barnes J, Ram B, Leach P, Altmann L, Sylva K, Malmberg L, et al (2007) Factors associated with negative emotional expression: A study of mothers of young infants. Journal of Reproductive & Infant Psychology 25(2), 122-138.
Dickinson JE (1999) Previous cesarean section. In DK James, PJ Steer, CP Weiner and B Gonik (Eds) High risk pregnancy - Management options 2nd edn. London: WB Saunders.
Dodd JM, Crowther CA, Huertas E, Guise JM and Horey D (2004) Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth (Review) The Cochrane Library 2008, 4, 1-13.
Edozien L (2007) Vaginal birth after Caesarean section: What information should women be given? Clinical Risk 13(4), 127-130.
Fenwick J, Gamble J and Hauck Y (2007) Believing in birth - choosing VBAC: The childbirth expectations of a self-selected cohort of Australian women. Journal of Clinical Nursing 16, 1561-1570.
Fisher J, Astbury J and Smith A (1997) Adverse psychological impact of operative obstetric interventions: A prospective longitudinal study. Australian and New Zealand Journal of Psychiatry 31(5), 728-738.
Holloway I (2008) A-Z of qualitative research in healthcare 2nd edn. Oxford: Blackwell Publishing.
Hundley V, Ryan M and Graham W (2001) Assessing women's preferences for intrapartum care. Birth 28, 254-263.
Kvale S (2007) Doing interviews 2nd edn. Thousand Oaks: Sage.
Landon MB, Hauth JC, Leveno KL, Spong CY, Leindecker S, Varner MW, et al (2005) Maternal and perinatal outcome associated with a trial of labor after prior cesarean delivery. New England Journal of Medicine 351, 2581-2589.
Langdridge D (2007) Phenomenological psychology: Theory, research and method. Harlow: Pearson Education.
Lee A and Kirkman M (2008) Disciplinary discourses: Rates of cesarean section explained by medicine, midwifery, and feminism. Health Care for Women International 29, 448-467.
McGrath P, Phillips E and Vaughan G (2010) Speaking out! Qualitative insights on the experience of mothers who wanted a vaginal birth after a birth by Caesarean Section. The Patient: Patient-Centered Outcomes Research, In Press.
McGrath P and Ray-Barreul G (2009) The easy option? Australian findings on mothers' perception of Elective Caesar as a birth choice after a prior Caesarean Section. International Journal of Nursing Practice 15(4), 271-279.
Meddings F, MacVane Phipps F, Haith-Cooper M and Haigh J (2007) Vaginal birth after caesarean section (VBAC): Exploring women's perceptions. Journal of Clinical Nursing 16, 160-167.
Ridley R, Davis P, Bright J and Sinclair D (2002) What influences a woman to choose vaginal birth after cesarean? Journal of Obstetric, Gynecologic, and Neonatal Nursing 31(6), 665-672.
Sandelowski M (1995) Sample size in qualitative research. Research in Nursing and Health 18, 179-183.
Spiegelberg H (1975) Doing phenomenology. The Hague: Nijhoff.
Van Manen M (1990) Researching lived experience. Ontario: State University of New York Press.
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