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:: Volume 11, Issue 3 (5-2020) ::
Caspian J Intern Med 2020, 11(3): 259-266 Back to browse issues page
Clinician’s and women's perceptions of individual barriers for achieving a vaginal birth after cesarean (VBAC) in Iran: A qualitative content analysis
Robab Latifnejade Roudsari , Mahboobeh Firoozi , Fatemeh Tara , Mohammad Reza Ahanchian
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran , latifnejadR@mums.ac.ir
Abstract:   (762 Views)
Background: High rate of repeat cesarean section and its complications are the results of cesarean tsunami in the last two decades in Iran. Vaginal birth after cesarean (VBAC) is an important alternative for repeat cesarean. However, the rate of VBAC in Iran is very low subject to some organizational and individual barriers is very low. This study explored the clinician’s and womenchr('39')s perceptions of individual barriers to achieve VBAC.
Methods: In this conventional content analysis, 28 semi-structured interviews and one focus group discussion was conducted with health care providers including gynecologists, midwives and family physicians as well as prior cesarean section mothers attended one of the womenchr('39')s hospitals in Mashhad, Iran in 2017. Participants were selected through purposive sampling considering the strategy of maximum variation. Data were analyzed according to Graneheim and Lundman (2004) method using MAXQDA.10 software.
Results: The theme of “obstacles to acceptance and committed actions” emerged from two categories of “psychological barriers” and “operational barriers". Psychological barriers included chr('39')sense of danger”, “financial displeasure" and "negative attitude"; whereas, operational barriers consisted of chr('39')barriers to decision makingchr('39') and chr('39')indolencechr('39').
Conclusion: Improving womenchr('39')s attitude via maternity care promotion, creating supportive environment, informing mothers about choice of birth mode and empowering them in shared decision making could influence womenchr('39')s VBAC request. Also organizing VBAC care team and creating motivations in medical team and hospital directors through reporting of research project outcomes on safety and benefits of VBAC could affect the VBAC rate.
Keywords: Vaginal birth after cesarean section, VBAC, barriers, individual
Full-Text [PDF 243 kb]   (154 Downloads)    
Type of Study: Original Article | Subject: Obstetrics & Gynicology
Received: 2019/09/14 | Accepted: 2020/01/20 | Published: 2020/05/21
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latifnejade Roudsari R, Firoozi M, Tara F, Ahanchian M R. Clinician’s and women's perceptions of individual barriers for achieving a vaginal birth after cesarean (VBAC) in Iran: A qualitative content analysis. Caspian J Intern Med. 2020; 11 (3) :259-266
URL: http://caspjim.com/article-1-2051-en.html


Volume 11, Issue 3 (5-2020) Back to browse issues page
Caspian Journal of Internal Medicine
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