'It will dictate how many children I will have"- Women's decision-making in pregnancy following a previous caesarean birth (CB)

dc.check.date2023-11-05
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorMonis, Malitha
dc.contributor.authorO'Connell, Rhona
dc.contributor.authorAndrews, Tom
dc.date.accessioned2022-12-21T09:33:22Z
dc.date.available2022-12-21T09:33:22Z
dc.date.issued2022-11-05
dc.date.updated2022-12-21T09:19:51Z
dc.description.abstractVaginal birth after caesarean (VBAC) is supported in systematic reviews (Wu et al., 2019) and national guidelines (RCOG, 2015) and women are expected to be involved in the decision-making process for either a repeat caesarean birth or planned VBAC. Aim: To develop a Grounded Theory (GT) of women's decision making of their birth choices in pregnancy following a previous caesarean birth (CB) Objective: To explore what determines women's birth choice and their decision making for birth following a previous CB. Design: Semi structured interviews with pregnant women were undertaken in order to develop a Glasserian Grounded Theory. Setting: Antenatal clinics and wards in a large tertiary level maternity hospital. Findings: The theory of 'Mentalizing Possibilities' is a substantive theory which explains pregnant women's decision making about their birth choices after a previous CB. Women's main concern is to achieve a positive experience. The core category of 'Mentalizing Possibilities' explains how women process their previous experience, adapt to uncertainty and deal with the decisional conflict. There are behavioural and cognitive strategies which women use to go through this process. Conclusion: Women want a positive birth experience after a previous CB and require support and continuity in decision making to help them decide the optimal birth choice for their current pregnancy.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid103533en
dc.identifier.citationMonis, M., O'Connell, R. and Andrews, T. (2022) ''It will dictate how many children I will have - Women's decision-making in pregnancy following a previous caesarean birth (CB)', Midwifery, 116, 103533 (7pp). doi: 10.1016/j.midw.2022.103533en
dc.identifier.doi10.1016/j.midw.2022.103533en
dc.identifier.eissn1532-3099
dc.identifier.endpage7en
dc.identifier.issn0266-6138
dc.identifier.journaltitleMidwiferyen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/13996
dc.identifier.volume116en
dc.language.isoenen
dc.publisherElsevier Ltd.en
dc.rights© 2022, Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectDecision-makingen
dc.subjectBirth-choice uncertaintyen
dc.subjectVBAC (Vaginal birth after Caesarean)en
dc.subjectCS (Caesarean Section)en
dc.subjectPrevious caesarean birth (CB)en
dc.subjectGrounded theory (GTen
dc.subjectWomen's experiencesen
dc.title'It will dictate how many children I will have"- Women's decision-making in pregnancy following a previous caesarean birth (CB)en
dc.typeArticle (peer-reviewed)en
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