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Making decisions about birth after caesarean
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Previous pregnancy and caesarean birth :
After caesarean birth
Recovery & complications after previous caesarean
Bonding, feeding and support after previous CS
Women's feelings about their previous caesarean
Experiences of previous pregnancy & caesarean
Women's expectations for their previous births
Information needs/sources in previous pregnancies
Women's experiences of their previous CS
Next pregnancy and birth after caesarean :
Decisions about how to give birth after caesarean
Reasons for wanting a planned caesarean
Reasons for wanting vaginal birth after caesarean
Women's experiences of making the decision
Roles of health professionals in decision-making
Roles of partners & others in decision-making
Experience of next birth after caesarean
Women's experiences of their next caesarean
Women's experiences of vaginal birth after CS
Preparing for next birth after caesarean
Women's expectations for their next birth
Information needs & attitudes in next pregnancy
Views on information from health professionals
Views on information from other sources
Taking stock of birthing experiences :
Comparing birth experiences and recovery
Women's views on choice about birth
Advice to other women facing decisions about birth
Messages to health professionals
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Making decisions about birth after caesarean
Subject index
Clip
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 26
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She felt slightly self-conscious during her vaginal birth and the pain was intense, but being able to take her baby home the same day was fantastic.
1st child born prematurely at 30 weeks by emergency CS due to preeclampsia. Had good physical recovery but felt 'in shock'. 13 years later felt keen and confident to have VBAC with 2nd child. Had short but intense labour, birth was painful but 'amazing experience'.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 10
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She had worried that she might get postnatal depression again, but her experience of VBAC was so positive that she can easily imagine herself having m
Reached final stage of labour with 1st child, cord wrapped around baby's neck, had last minute CS. Felt cheated and experienced postnatal depression. Determined to have vaginal birth with 2nd child. Had easy labour and 'perfect' birth experience.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 36-39
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Interview 06
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She felt uncomfortable after her VBAC, but it was minor compared to the pain she experienced after her planned caesarean. It was great to come home an
Had planned CS with 1st child due to his expected size. Felt CS was unnecessary, but stress-free way of having baby. Difficult decision with 2nd child, felt both anxious and curious about labour. Now pleased to have had vaginal birth with ventouse.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 11
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Compared to her caesarean, vaginal birth felt lengthy and drawn-out. She had a lot more pain before the birth and found she was not offered the same l
Rushed to have CS after baby passed meconium and stopped moving. Had quick recovery. Keen to experience vaginal birth with 2nd child, laboured for 66 hours. Some complications afterwards but glad to have experienced giving birth both ways.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 20
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She found recovery after her forceps delivery more painful than after her caesarean. It took 10 days before she could sit down without thinking about
Went 8 days overdue with 1st child, laboured for 48 hours. Had epidural and then emergency CS when child became distressed. Easy recovery but felt wrong about having planned CS with 2nd child. Considered it during labour but persevered and had vaginal birth assisted by forceps.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 30 and under
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Susan - Interview 01
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Even though it wasn't what she had wanted, her planned caesarean was a much calmer experience than the first. She felt better prepared physically and
First child born by emergency CS. She felt disappointed with the process and keen to give birth to her 2nd child vaginally, but discovered at her 20 week scan that her placenta covered her cervix (placenta previa) so she would need another CS.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 30 and under
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Interview 14
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She had worried about things going wrong during VBAC, but looking back she thinks bonding with her baby and getting into an independent routine was a
Admitted to hospital with pre-eclampsia, 1st child was born 6 weeks premature and had to spend 10 days in SCBU. Found it very difficult to decide how to give birth to 2nd child, worried about risks either way. Had vaginal birth assisted by ventouse.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 30 and under
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Interview 16
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After her first caesarean she didn't feel like herself and found it harder to bond with her baby.This time, having had the choice, she felt really wel
Had emergency CS after 18 hours of labour due to 1st baby's large size and awkward position. Recovery was difficult, felt low and exhausted for one month. Same problems of size and position with 2nd pregnancy, advised to have planned CS. Planned CS was much better experience.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 36-39
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Interview 07
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The experience of planned caesarean was much better than she had expected. She felt calmer, better informed and more in control than she had done with
Went 14 days overdue with 1st child, was induced, then had CS after 2 days of labour. Advised to have planned CS with 2nd child, booked for 10 days past due date, still hoping to go into labour. Surprised by her positive experience of 2nd caesarean.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 40 and over
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Interview 05
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Her experience in private care was much better than her previous caesarean. Last time she had felt anxious and out of control, but this time the atmos
Had a very traumatic 1st birth, long labour, CS was offered only after baby went into distress. Felt excluded from decisions and treated unsympathetically. Felt pushed into VBAC with 2nd birth. Chose to go private instead and had planned CS.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 27
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The pain she felt after her emergency caesarean was much worse than after her previous section. She also felt let down by the lack of continuity in st
1st child was breech, had planned caesarean. Struggled to breastfeed and felt low for long after. Wanted planned CS with 2nd child, but felt pushed into VBAC by clinicians. Went into labour early and had emergency CS at 38 weeks, found experience worse than previous.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 03
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She thinks it's a good idea to encourage choice as far as possible, but at the same time women need to be aware that things might not go to plan.
Very keen to have intervention-free birth with 1st child, laboured to 9cm, then had CS when baby passed meconium. Felt cheated and upset long after. Wanted VBAC with 2nd child but opted for CS when 2 weeks overdue. Planned CS was much better than expected.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 09
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She went 14 days past her due date. After she was induced she had a short painful labour and delivered within three and a half hours.
Pregnant with twins, had CS when she did not dilate beyond 9cm. Felt happy with her care and recovered well but disliked need for support after the operation. Keen to have vaginal birth with 2nd child. Went two weeks overdue, then delivered very quickly after being induced.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 09
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Her vaginal birth was painful, but she was back on her feet much more quickly and able to hold and feed her daughter comfortably.
Pregnant with twins, had CS when she did not dilate beyond 9cm. Felt happy with her care and recovered well but disliked need for support after the operation. Keen to have vaginal birth with 2nd child. Went two weeks overdue, then delivered very quickly after being induced.
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