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Wiley InterScience | ||||||||
  BJOG: An International Journal of Obstetrics & GynaecologyVolume 113 Issue 12, Pages 1438 - 1445 Published Online: 1 Nov 2006 Journal compilation © 2010 RCOG Published on behalf of the Royal College of Obstetricians and Gynaecologists
Abstract | References | Full Text: HTML, PDF (Size: 102K) | Related Articles | Citation Tracking  Women's experience of decision making about mode of delivery after a previous caesarean section: the role of health professionals and information about health risks *The Decision Aids for Mode Of Next Delivery (DiAMOND) study group comprises the following members: Clare Emmett, Tom Fahey, Peter Gregor, Sandra Hollinghurst, Claire Jones, Beverley Lovering, Alan Montgomery, Irene Munro, Deirdre Murphy, Roshni Patel, Tim Peters, Ian Ricketts, Anne Schlegelmilch, Ali Shaw, Kav Vedhara, Kate Warren. Copyright 2006 The Authors Journal compilation KEYWORDS Caesarean section • decision making • qualitative methods • vaginal birth after caesarean ABSTRACTObjective To explore women's experiences of decision making about mode of delivery after previous caesarean section. Design A qualitative interview study. Setting Two city maternity units in southwest England and Eastern Scotland. Sample Twenty-one women who had recently delivered a baby and whose previous child was delivered by caesarean section. Methods Semi-structured interviews analysed using the framework approach. Main outcome measures Women's views on the influence of uncertainty on decision making, issues concerning information provision and decision-making roles. Results Experiences of decision making varied considerably. Some women were certain about choosing either vaginal birth after caesarean or repeat elective caesarean section, others were very uncertain and for some this uncertainty persisted after the birth. Information was most commonly provided by hospital doctors (mainly consultants) and more often related to procedural issues rather than possible health risks and benefits. Women felt they had to actively seek information rather than it being provided routinely. Most women were able to make their own decision about mode of delivery. Health professionals generally took a supportive role whichever mode of delivery was chosen. Although many women were comfortable with this approach, some felt they would have liked more guidance. Conclusion On the whole, women experienced having control over the decision about planned mode of delivery. For many, making this decision was difficult and for some it was the cause of prolonged anxiety. Women were often making the decision without being provided with comprehensive and specific information about possible health risks and benefits. We are currently conducting a randomised controlled trial to investigate whether access to a decision aid is beneficial to women in this situation. Accepted 11 September 2006. Published OnlineEarly 1 November 2006. | 
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