en Obstetrics & Gynicology Obstetrics & Gynicology Original Article Original Article <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="color:#0000ff;"><em><strong>Background: </strong></em></span>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&rsquo;s and women&#39;s perceptions of individual barriers to achieve VBAC.<br> <span style="color:#0000ff;"><em><strong>Methods:</strong></em></span> 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 women&#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.<br> <span style="color:#0000ff;"><em><strong>Results:</strong></em></span> The theme of &ldquo;obstacles to acceptance and committed actions&rdquo; emerged from two categories of &ldquo;psychological barriers&rdquo; and &ldquo;operational barriers&quot;. Psychological barriers included &#39;sense of danger&rdquo;, &ldquo;financial displeasure&quot; and &quot;negative attitude&quot;; whereas, operational barriers consisted of &#39;barriers to decision making&#39; and &#39;indolence&#39;.<br> <span style="color:#0000ff;"><em><strong>Conclusion:</strong></em></span> Improving women&#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 women&#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.</span></span> Vaginal birth after cesarean section, VBAC, barriers, individual 259 266 http://caspjim.com/browse.php?a_code=A-10-1564-1&slc_lang=en&sid=1 Robab latifnejade Roudsari latifnejadR@mums.ac.ir 100319475328460023516 100319475328460023516 Yes Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Mahboobeh Firoozi firoozim@mums.ac.ir 100319475328460023517 100319475328460023517 No Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Fatemeh Tara Taraf@mums.ac.ir 100319475328460023518 100319475328460023518 No Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Mohammad Reza Ahanchian Ahanchi@um.ac.ir 100319475328460023519 100319475328460023519 No Ferdowsi university of Mashhad, Mashhad, Iran