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Vaginal birth aftercaesarean section:why is uptake so low?Insights from ameta-ethnographicsynthesis of women'saccounts of theirbirth choices Mairead BlackVikki EntwistleSiladitya Bhattacharya2016 год

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices
review

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Аннотация:

Objective

To identify what women report influences their preferred mode of birth after caesarean section.

Design

Systematic review of qualitative literature using meta-ethnography.

Data sources

Medline, EMBASE, ASSIA, CINAHL and PsycINFO (1996 until April 2013; updated September 2015). Hand-searched journals, reference lists and abstract authors.

Study selection

Primary qualitative studies reporting women9s accounts of what influenced their preferred mode of birth after caesarean section.

Data extraction and synthesis

Primary data (quotations from study participants) and authors’ interpretations of these were extracted, compared and contrasted between studies, and grouped into themes to support the development of a ‘line of argument’ synthesis.

Results

20 papers reporting the views of 507 women from four countries were included. Distinctive clusters of influences were identified for each of three groups of women. Women who confidently sought vaginal birth after a caesarean section were typically driven by a long-standing anticipation of vaginal birth. Women who sought a repeat caesarean section were strongly influenced by distressing previous birth experiences, and at times, by encouragement from social contacts. Women who were more open to information and professional guidance had fewer strong preconceptions and concerns, and viewed a range of considerations as potentially important.

Conclusions

Women9s attitudes towards birth after caesarean section appear to be shaped by distinct clusters of influences, suggesting that opportunities exist for clinicians to stratify and personalise decision support by addressing relevant ideas, concerns and experiences from the first caesarean section birth onwards.
Год издания: 2016
Авторы: Mairead Black, Vikki Entwistle, Siladitya Bhattacharya, Katie Gillies
Издательство: BMJ
Источник: BMJ Open
Ключевые слова: Maternal and Perinatal Health Interventions, Pelvic floor disorders treatments, Maternal and fetal healthcare
Другие ссылки: BMJ Open (PDF)
BMJ Open (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
Aberdeen University Research Archive (Aberdeen University) (PDF)
Aberdeen University Research Archive (Aberdeen University) (HTML)
PubMed Central (HTML)
ORCA Online Research @Cardiff (Cardiff University) (HTML)
PubMed (HTML)