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Pregnancy & children
Making decisions about birth after caesarean
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About the interviews and the DiAMOND trial
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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 11
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She would have liked to attend antenatal classes to refresh her knowledge of labour and pain relief. Women in the parentcraft classes had other intere
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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She thinks women who had a VBAC are the best source of information for pregnant women who want to do it. She got a helpful tip from another woman to u
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 11
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Health professionals need to be aware that women who have had a caesarean without labour may need more information about labour and pain relief than o
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 30 and under
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Susan - Interview 01
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She felt left alone during the first stage of labour, then received several unwanted interventions. She thinks a caesarean could have been avoided if
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 28
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With hindsight, it would have been helpful to know more about the different kinds of pain relief available during labour before a caesarean.
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 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 30 and under
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Susan - Interview 01
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She would caution women that once they have had an intervention, others are likely to follow and choice is likely to be taken out of their hands.
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 13
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She was determined not to have another caesarean. The doctor said she could only push for an hour. Eventually her baby was delivered by suction cup.
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 40 and over
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Interview 02
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The antenatal classes provided her with all the information she felt she needed. The breathing techniques she had learned turned out to be very helpfu
Laboured to 8cm dilation with 1st child. Cord wrapped round baby's neck, had emergency CS under general anaesthetic. Chose VBAC for next birth because of quicker recovery. 2nd child born in 2½ hours, though had to have epidural afterwards to remove placenta.
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 felt reassured in her decision to attempt vaginal birth when the consultant told her she would not be left to labour for as long as she did with h
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 36-39
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Interview 25
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She found her antenatal classes the most useful source of information. They included a visit to the local hospital and information on birth assists an
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.
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