Concordance of maternal and paternal decision-making and its effect on choice for vaginal birth after caesarean section

Shared decision-making is considered key to influencing women's motivation to choose vaginal birth after caesarean section (VBAC), as when women's self-determination is respected, they are more likely to avoid intervention. However, the shared decision-making conversation can be challenging. This article introduces the ARCS-V (attention, relevance, confidence, satisfaction, volition), an model for understanding and responding to women's motivation to share the decision about VBAC vs repeat caesarean section. Each of the model's components are introduced, including the psychological basis for managing a shared conversation; capturing and holding women's attention on what they need to learn; matching the learning goals with women's personal goals; building their confidence to achieve their optimal birth; and ensuring they are satisfied with decision-making experience. When these educational conditions are met, women are more likely to use shared decision-making conversations to choose optimally.

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Vaginal birth after previous caesarean section in women at Al-Wahda hospital Derna, Libya

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20214625 ◽

2021 ◽

Vol 10 (12) ◽

pp. 4337

Author(s):

Soad Ajroud ◽

Raga A. Elzahaf ◽

Fawzia A. G. Arhaiam

Keyword(s):

Decision Making ◽

Caesarean Section ◽

Observational Study ◽

Prospective Observational Study ◽

Mode Of Delivery ◽

Vaginal Birth ◽

Previous Caesarean Section ◽

Trial Of Labor ◽

High Chance ◽

Vaginal Birth After Caesarean

Background: Vaginal birth after caesarean section is one strategy that has been developed to decrease the rate of caesarean section.Methods: The prospective observational study was carried out over a period of 01 January 2017 to 31 December 2018 years. VBAC was routinely offered at Al-Wahda hospital Derna to women fulfilling the criteria for trial of scar, according to the hospital protocol.Results: A total of 5018 deliveries took place in the study duration, there were 1039 (20.7%) had previous one caesarean section, out of which 319 (30.7%) were the number of underwent repeat caesarean section and 720 (69.3%) were the number of VBAC. The indications for emergency repeat caesarean section at Al-Wahda hospital was (29.3%) malpresentation, (24.45%) FD, (13.47) postdate, (11.59) obstracted lab and abruptiopl (5.95%). Anemia and difficult intubation were observed in repeated caesarean section.Conclusions: This study concluded that there is a high chance of success in a trial of labor. These findings might help clinicians and women in the decision-making for the mode of delivery when it comes to pregnancy with a previous caesarean section. Women are explained about the option of trial of scar and told about the risk associated with a repeat CS, so many CSs can be avoided.

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Birth after previous caesarean section

British Journal of Midwifery ◽

10.12968/bjom.2021.29.11.615 ◽

2021 ◽

Vol 29 (11) ◽

pp. 615-619

Author(s):

Anna-Marie Madeley

Keyword(s):

Decision Making ◽

Clinical Practice ◽

Caesarean Section ◽

Clinical Evidence ◽

Vaginal Birth ◽

Previous Caesarean Section ◽

Vaginal Birth After Caesarean

Midwifery and obstetric involvement in supported decision making and subsequent clinical practice around birth after caesarean section has been much debated and negotiated for some time. This article discusses some of the clinical evidence and factors to be taken into account when providing support and information for women and birthing people considering their options for birth after caesarean. The article focuses on the currently published guidelines to support practice and guide discussions with women and birthing people. In the article, the terms ‘planned vaginal birth’ and ‘vaginal birth after caesarean’ are used interchangeably.

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