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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
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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 18
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She felt scared about vaginal birth and was relieved that being pregnant with twins meant that her request for a planned caesarean was granted without
Chose to have planned caesarean with 1st pregnancy as expected twin. Felt fully involved and had 'stress-free' birth experience. Found decision difficult with 2nd pregnancy but decided on repeat CS to avoid complications with lichen sclerosus.
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 23
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Even though she admits that seeking out information about birth and labour can be scary or embarrassing, she'd rather prepare herself as much as she c
Had lengthy labour with 1st child after being induced, taken for emergency CS after baby's heart beat dropped. Explored options early in 2nd pregnancy, decided on VBAC. 2nd child born after 10 hours, painful labour but great sense of achievement.
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 23
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She didn't care what was done to her as long as her son would be alright. The thought of something going wrong at the very end of the pregnancy terrif
Had lengthy labour with 1st child after being induced, taken for emergency CS after baby's heart beat dropped. Explored options early in 2nd pregnancy, decided on VBAC. 2nd child born after 10 hours, painful labour but great sense of achievement.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 13
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After the caesarean, she developed heart palpitations that lasted for several months and which she thinks may have been caused by the stress of the de
1st child was breech, so had planned CS. Various complications made her keen to avoid repeat CS. Asserted herself against doctors' recommendations. 2nd child born after 12 hour labour with help of ventouse. Pleased with experience, recovered much better.
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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Her daughter weighed 1 pound 15 ounces at birth and was kept at the Special Care Baby Unit for several weeks. Having to go home without a baby was ter
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 30 and under
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Interview 16
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Her baby had to stay in special care and she felt very ill. She was grateful to have support from her grandmother and partner, but felt low about need
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 31-35
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Interview 10
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She felt like she had failed as a mother. Breastfeeding was a struggle and when she gave up, it made her feel even more guilty.
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 31-35
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Interview 28
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She experienced postnatal depression for several months after the birth. Her husband's support helped her through it, though she worried that it might
Difficult pregnancy, laboured for 2 days, then found baby was double-breech and had emergency CS. Had trouble breastfeeding and felt very low for 6 months. Uncertain about how to deliver 2nd child, leaned towards planned CS but went into labour early and had VBAC as operating theatre was busy.
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 felt disappointed to have had a child without having gone through labour. It was very different from how she had imagined the birth.
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 03
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She thinks mistakes may have been made in how her labour was managed. Six years on it still upsets her to talk about how her son was born and and how
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 36-39
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Interview 25
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She was grateful to have a healthy baby but couldn't help feeling disappointed about the way she had given birth. She felt her body had let her down,
Wanted intervention-free birth, but was induced when 14 days overdue. Laboured for 19 hours, accepted CS when baby became distressed. Felt involved in decision-making, but disappointed afterwards. Keen to experience vaginal birth with 2nd child.
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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When she found out she was pregnant again she felt happy but also worried that she might experience another episode of postnatal depression.
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 40 and over
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Interview 05
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Her previous birth was so traumatic that she feels very anxious about vaginal delivery. She thinks a repeat caesarean is safer for the baby and will p
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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She was scared about rupture of the scar and did not feel reassured that she would be able to stop labouring and have an emergency caesarean when she
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 30 and under
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Interview 14
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She was very worried about making the wrong decision.
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 31-35
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Interview 13
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She felt anxious when a growth scan at 34 weeks showed her baby to be breech as she did not want for things to be taken out of her control again.
1st child was breech, so had planned CS. Various complications made her keen to avoid repeat CS. Asserted herself against doctors' recommendations. 2nd child born after 12 hour labour with help of ventouse. Pleased with experience, recovered much better.
Pregnancy & children
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Making decisions about birth after caesarean
>>
Aged 30 and under
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Interview 14
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She would have liked her doctor and midwife to tell her which way to go instead of leaving things up to her.
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 36-39
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Interview 12
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She had considered a home birth, but her husband wanted her to have the baby in hospital, because he was concerned about the risk. Played by an actor.
Keen on vaginal birth with 1st child, felt she lost control at hospital, had various interventions and emergency CS. Decided to have VBAC with 2nd child against consultant's advice, but supported by doula and midwife. Very pleased with unassisted birth.
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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It took her some time to realise she had gone into labour. Once at the hospital, staff advised an emergency caesarean. It was a very stressful and fri
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 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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After worrying a lot about the birth of her first child, she made a conscious effort not to get too worked up in her next pregnancy, because it is jus
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 07
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She thinks women should not be put under pressure to attempt vaginal birth if their chances of success are low - it will only make them feel guilty.
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.
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