Nilsson Christina, Lalor Joan, Begley Cecily, Carroll Margaret, Gross Mechthild M, Grylka-Baeschlin Susanne, Lundgren Ingela, Matterne Andrea, Morano Sandra, Nicoletti Jane, Healy Patricia
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.
School of Nursing and Midwifery, Trinity College Dublin, Ireland.
Women Birth. 2017 Dec;30(6):481-490. doi: 10.1016/j.wombi.2017.04.009. Epub 2017 May 22.
Vaginal birth after caesarean section is a safe option for the majority of women. Seeking women's views can be of help in understanding factors of importance for achieving vaginal birth in countries where the vaginal birth rates after caesarean is low.
To investigate women's views on important factors to improve the rate of vaginal birth after caesareanin countries where vaginal birth rates after previous caesarean are low.
A qualitative study using content analysis. Data were gathered through focus groups and individual interviews with 51 women, in their native languages, in Germany, Ireland and Italy. The women were asked five questions about vaginal birth after caesarean. Data were translated to English, analysed together and finally validated in each country.
Important factors for the women were that all involved in caring for them were of the same opinion about vaginal birth after caesarean, that they experience shared decision-making with clinicians supportive of vaginal birth, receive correct information, are sufficiently prepared for a vaginal birth, and experience a culture that supports vaginal birth after caesarean.
Women's decision-making about vaginal birth after caesarean in these countries involves a complex, multidimensional interplay of medical, psychosocial, cultural, personal and practical considerations. Further research is needed to explore if the information deficit women report negatively affects their ability to make informed choices, and to understand what matters most to women when making decisions about vaginal birth after a previous caesarean as a mode of birth.
对于大多数女性来说，剖宫产术后经阴道分娩是一种安全的选择。在剖宫产术后阴道分娩率较低的国家，了解女性的观点有助于理解实现阴道分娩的重要因素。
调查在既往剖宫产术后阴道分娩率较低的国家中，女性对提高剖宫产术后阴道分娩率的重要因素的看法。
采用内容分析法进行定性研究。通过焦点小组和对德国、爱尔兰和意大利的51名女性进行母语访谈收集数据。向这些女性询问了五个关于剖宫产术后阴道分娩的问题。数据被翻译成英文，一起进行分析，最后在每个国家进行验证。
对这些女性来说，重要的因素包括所有参与护理她们的人员对剖宫产术后阴道分娩的意见一致，她们体验到与支持阴道分娩的临床医生共同决策，获得正确的信息，为阴道分娩做好充分准备，以及体验到支持剖宫产术后阴道分娩的文化氛围。
在这些国家，女性关于剖宫产术后阴道分娩的决策涉及医疗、心理社会、文化、个人和实际等多方面因素的复杂相互作用。需要进一步研究来探讨女性报告的信息不足是否会对她们做出明智选择的能力产生负面影响，以及在决定将既往剖宫产术后阴道分娩作为一种分娩方式时，对女性来说最重要的是什么。
