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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 30 and under
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Susan - Interview 01
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She thinks having access to trustworthy information is particularly important during a first pregnancy, but magazines cannot be relied on to provide o
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 31-35
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Interview 03
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She wanted to keep things as natural as possible and thought a water birth sounded ideal for mother and baby.
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 06
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With her first birth, she went along with whatever the medical team recommended. In her second pregnancy, she felt more prepared to question things.
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 36-39
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Interview 07
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She decided against writing a birth plan because she thought her vision of an 'ideal birth' was unrealistic.
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 31-35
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Interview 09
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The decision to deliver her twins by caesarean was made in consultation with her. It did not feel like an emergency.
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 10
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She sought out as much information as she could with her first pregnancy but thinks in the end nothing can really prepare you.
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 10
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She felt confident that she would have a natural birth because the pregnancy itself went so well.
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 11
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Her antenatal classes did not cover caesarean in detail. At the time she didn't want to ask questions, but with hindsight, more information on reasons
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 36-39
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Interview 12
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Having been told that her baby was large, she would have liked to receive better information and support to prepare for his birth. 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 13
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The information she received on planned caesarean did not prepare her for the difficult recovery she experienced. She would have liked to be told befo
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 36-39
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Interview 15
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Both her sisters had needed caesareans, but she still hoped that she might be able to break 'family tradition' and give birth vaginally.
Went overdue with 1st child and was induced at 42 weeks, but drugs had no effect. Delivered 3 days later by epidural CS. Determined to have planned CS with 2nd child, as felt unlikely she would go into labour. Planned CS was a wonderful experience, far less tiring.
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 feel comfortable stating her preferences too resolutely but thinks she'd be more comfortable talking about them with her next birth.
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 24
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She was keen to keep things natural and have a water birth.
Had planned CS one week pat her due date when it was found that baby had stopped moving. Mother experienced rupture and needed a blood transfusion. Wanted a water birth with 2nd child but advised to have planned CS due to previous complications.
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 bought a book but didn't actually read the section on birth and felt that other women often told her more than she needed to know.
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 31-35
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Interview 20
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She didn't make a detailed birth plan - while she hoped to avoid interventions, she didn't feel that strongly about it.
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 31-35
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Interview 26
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She was admitted to hospital with pre-eclampsia at 30 weeks and went on to have a caesarean under general anaesthetic. She did not see her daughter un
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 27
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She was disappointed to have a planned caesarean because her daughter was breech. But she thought ECV too risky and the hospital did not offer it, any
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 40 and over
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Interview 30
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She was lucky to have the same midwife throughout her pregnancy and birth, so she could build a good rapport.
Wanted waterbirth with 1st child, went overdue. Induced at 42 weeks, did not dilate despite interventions. Baby delivered by emergency CS after heart rate dropped. Trusted medical team and feels no regrets, but hopes to have vaginal birth with 2nd child.
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