Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-cite-them-right
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Cultural perspectives on vaginal birth after previous caesarean sectionin countries with high and low VBAC rates – a hermeneutic study
Show others and affiliations
2019 (English)In: Women & BirthArticle in journal (Refereed) Published
Abstract [en]

Background

Caesarean section (CS) rates are increasing worldwide, an increase that is multifactorial and not well understood. There is considerable variation in the rates of vaginal birth after previous Caesarean section (VBAC). Cultural differences could be one explanation of the varying rates.

Objective

To interpret cultural perspectives on VBAC.

Methods

A hermeneutic approach for analysing findings from four published qualitative studies that were part of the OptiBIRTH study, focusing on clinicians and women’s views of important factors for improving the rate of VBAC. 115 clinicians and 73 women participated in individual interviews and focus group interviews in countries with low rates (Germany, Italy and Ireland) and countries with high rates (Sweden, Finland and the Netherlands), in the original studies.

Results

Three themes demonstrated how the culture differs between the high and low VBAC rate countries; from being an obvious first alternative to an issue dependent on many factors; from something included in the ordinary care to something special; and from obstetrician making the final decision to a choice by the woman. The fourth theme, preparing for a new birth by early follow-up and leaving the last birth behind, reflects coherence between the cultures.

Discussion

The findings deepen our understanding of why the VBAC rates vary across countries and healthcare settings, and can be used for improving the care for women.

Conclusion

In order to improve VBAC rates both maternity care settings and individual professionals need to reflect on their VBAC culture, and make make changes to develop a ‘pro-VBAC culture’.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Vaginal birth after previous caesarean section, Hermeneutic, Caesarean section, Culture
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-22320DOI: 10.1016/j.wombi.2019.07.300PubMedID: 31445846Scopus ID: 2-s2.0-85070939969OAI: oai:DiVA.org:hb-22320DiVA, id: diva2:1381440
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-10Bibliographically approved

Open Access in DiVA

fulltext(878 kB)12 downloads
File information
File name FULLTEXT01.pdfFile size 878 kBChecksum SHA-512
800931526356fde3ab4db13896fc78a7d89c05903dfa49c352181fd3b4bad949f08bd07d810659e3c47e6826bfa638e2641e5b2ffaa73f2bdf8da28c6f15cecc
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Nilsson, Christina
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 12 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 1 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-cite-them-right
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf