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Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section

BACKGROUND: Caesarean section is rising in the developed world and vaginal birth after caesarean (VBAC) is declining. There are increased reports of women seeking a homebirth following a caesarean section (HBAC) in Australia but little is known about the reasons for this study aimed to explore women...

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Autores principales: Keedle, Hazel, Schmied, Virginia, Burns, Elaine, Dahlen, Hannah G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560080/
https://www.ncbi.nlm.nih.gov/pubmed/26337330
http://dx.doi.org/10.1186/s12884-015-0639-4
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author Keedle, Hazel
Schmied, Virginia
Burns, Elaine
Dahlen, Hannah G
author_facet Keedle, Hazel
Schmied, Virginia
Burns, Elaine
Dahlen, Hannah G
author_sort Keedle, Hazel
collection PubMed
description BACKGROUND: Caesarean section is rising in the developed world and vaginal birth after caesarean (VBAC) is declining. There are increased reports of women seeking a homebirth following a caesarean section (HBAC) in Australia but little is known about the reasons for this study aimed to explore women's reasons for and experiences of choosing a HBAC. METHODS: Twelve women participated in a semi-structured one-to-one interview. The interviews were digitally recorded, then transcribed verbatim. These data were analysed using thematic analysis. RESULTS: The overarching theme that emerged was ‘It’s never happening again’. Women clearly articulated why it [caesarean section] was never happening again under the following sub themes: ‘treated like a piece of meat’, ‘I was traumatised by it for years’, ‘you can smell the fear in the room’, ‘re-traumatised by the system’. They also described how it [caesarean section] was never happening again under the sub themes: ‘getting informed and gaining confidence’, ‘avoiding judgment through selective telling’, ‘preparing for birth’, ‘gathering support’ and ‘all about safety but I came first’. The women then identified the impact of their HBAC under the subthemes ‘I felt like superwoman’ and ‘there is just no comparison’. CONCLUSIONS: Birth intervention may cause physical and emotional trauma that can have a significant impact on some women. Inflexible hospital systems and inflexible attitudes around policy and care led some women to seek other options. Women report that achieving a HBAC has benefits for the relationship with their baby. VBAC policies and practices in hospitals need to be flexible to enable women to negotiate the care that they wish to have.
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spelling pubmed-45600802015-09-05 Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section Keedle, Hazel Schmied, Virginia Burns, Elaine Dahlen, Hannah G BMC Pregnancy Childbirth Research Article BACKGROUND: Caesarean section is rising in the developed world and vaginal birth after caesarean (VBAC) is declining. There are increased reports of women seeking a homebirth following a caesarean section (HBAC) in Australia but little is known about the reasons for this study aimed to explore women's reasons for and experiences of choosing a HBAC. METHODS: Twelve women participated in a semi-structured one-to-one interview. The interviews were digitally recorded, then transcribed verbatim. These data were analysed using thematic analysis. RESULTS: The overarching theme that emerged was ‘It’s never happening again’. Women clearly articulated why it [caesarean section] was never happening again under the following sub themes: ‘treated like a piece of meat’, ‘I was traumatised by it for years’, ‘you can smell the fear in the room’, ‘re-traumatised by the system’. They also described how it [caesarean section] was never happening again under the sub themes: ‘getting informed and gaining confidence’, ‘avoiding judgment through selective telling’, ‘preparing for birth’, ‘gathering support’ and ‘all about safety but I came first’. The women then identified the impact of their HBAC under the subthemes ‘I felt like superwoman’ and ‘there is just no comparison’. CONCLUSIONS: Birth intervention may cause physical and emotional trauma that can have a significant impact on some women. Inflexible hospital systems and inflexible attitudes around policy and care led some women to seek other options. Women report that achieving a HBAC has benefits for the relationship with their baby. VBAC policies and practices in hospitals need to be flexible to enable women to negotiate the care that they wish to have. BioMed Central 2015-09-03 /pmc/articles/PMC4560080/ /pubmed/26337330 http://dx.doi.org/10.1186/s12884-015-0639-4 Text en © Keedle et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Keedle, Hazel
Schmied, Virginia
Burns, Elaine
Dahlen, Hannah G
Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section
title Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section
title_full Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section
title_fullStr Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section
title_full_unstemmed Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section
title_short Women’s reasons for, and experiences of, choosing a homebirth following a caesarean section
title_sort women’s reasons for, and experiences of, choosing a homebirth following a caesarean section
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560080/
https://www.ncbi.nlm.nih.gov/pubmed/26337330
http://dx.doi.org/10.1186/s12884-015-0639-4
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