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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
>>
Making decisions about birth after caesarean
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Aged 40 and over
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Interview 02
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Her family expected her to need extra support, but she felt so well that she went shopping the day after her caesarean and was told by her midwife to
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
>>
Making decisions about birth after caesarean
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Aged 36-39
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Interview 12
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She was mistaken to expect a quick recovery. Not being able to drive and having no family nearby made things even harder. 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
>>
Making decisions about birth after caesarean
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Aged 40 and over
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Interview 05
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After some initial difficulties, breastfeeding her daughter was not a problem. Having her husband at home with her for the first two weeks was helpful
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 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 30 and under
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Interview 14
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She had felt very ill after her previous caesarean and wanted to avoid another lengthy recovery and the need for extra support.
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 07
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It was a struggle to breastfeed her daughter after the exhausting birth. She had to top up her daughter's feeds with formula milk and stopped breastfe
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
>>
Making decisions about birth after caesarean
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Aged 31-35
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Interview 09
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Her husband is keen for her to have a VBAC because he thinks she will recover more quickly and it would be difficult if she could not drive.
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.
Topic
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Making decisions about birth after caesarean
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Bonding, feeding and support after previous CS
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Bonding, feeding and support after previous CS
Bonding, feeding and support after previous caesarean
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Making decisions about birth after caesarean
>>
Bonding, feeding and support after previous CS
>>
Bonding, feeding and support after previous CS
Bonding, feeding and support after previous caesarean
Pregnancy & children
>>
Making decisions about birth after caesarean
>>
Bonding, feeding and support after previous CS
>>
Bonding, feeding and support after previous CS
Bonding, feeding and support after previous caesarean
Pregnancy & children
>>
Making decisions about birth after caesarean
>>
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
>>
Making decisions about birth after caesarean
>>
Aged 36-39
>>
Interview 12
>>
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
>>
Making decisions about birth after caesarean
>>
Aged 40 and over
>>
Interview 02
>>
Her family expected her to need extra support, but she felt so well that she went shopping the day after her caesarean and was told by her midwife to
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
>>
Making decisions about birth after caesarean
>>
Aged 40 and over
>>
Interview 05
>>
After some initial difficulties, breastfeeding her daughter was not a problem. Having her husband at home with her for the first two weeks was helpful
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
>>
Making decisions about birth after caesarean
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Aged 31-35
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Interview 27
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She needed antibiotics after developing an infection. The pain from her scar made it hard for her to breastfeed and she did not receive much support f
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
>>
Making decisions about birth after caesarean
>>
Aged 30 and under
>>
Interview 14
>>
She had felt very ill after her previous caesarean and wanted to avoid another lengthy recovery and the need for extra support.
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
>>
Making decisions about birth after caesarean
>>
Aged 31-35
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Interview 26
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She always wanted to experience vaginal birth for herself. The support of her partner made her feel confident and secure enough to attempt it.
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
>>
Making decisions about birth after caesarean
>>
Aged 36-39
>>
Interview 12
>>
Her midwife was very supportive of her decision to attempt vaginal birth even though her consultant advised her against VBAC. 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
>>
Making decisions about birth after caesarean
>>
Aged 36-39
>>
Interview 29
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She was surprised that the consultant just asked about her preference rather than engage her in discussion. She had expected more of a two-way process
1st child delivered with forceps and ventouse. Had bad tear, lost lots of blood. Planned caesarean with 2nd child 16 months later on advice of doctors. Struggled to decide how to deliver 3rd child, pessimistic about her chance of having VBAC, feels planned CS is the safer option.
Pregnancy & children
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Making decisions about birth after caesarean
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Aged 31-35
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Interview 19
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She felt very let down by the lack of support she experienced on the hospital ward. It was hard to be dependent on people that seemed unwilling to hel
Her waters broke 10 days past her due date, but contractions did not start. She was induced, didn't dilate, then had CS after 14 hours of labour. Chose to have a planned CS with 2nd child as felt pessimistic about her chances of having a vaginal birth.
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 felt reluctant to ask staff for help, but was glad they convinced her to stay in hospital for a bit longer. Handling the baby with the midwife pre
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.
Pregnancy & children
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Making decisions about birth after caesarean
>>
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
>>
Making decisions about birth after caesarean
>>
Aged 36-39
>>
Interview 29
>>
She does not think there is much point making a birth plan for a planned caesarean. It's more important to have her husband there to support her on th
1st child delivered with forceps and ventouse. Had bad tear, lost lots of blood. Planned caesarean with 2nd child 16 months later on advice of doctors. Struggled to decide how to deliver 3rd child, pessimistic about her chance of having VBAC, feels planned CS is the safer option.
Pregnancy & children
>>
Making decisions about birth after caesarean
>>
Aged 31-35
>>
Interview 28
>>
Health professionals thought that as a second time mother she needed less support, but she would have liked more information and a chance to go to ant
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
>>
Making decisions about birth after caesarean
>>
Aged 31-35
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Interview 13
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She made friends with other women who were keen to attempt vaginal birth through an internet website and found it a supportive experience.
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
>>
Making decisions about birth after caesarean
>>
Aged 31-35
>>
Interview 13
>>
Being able to talk to friends who had faced the same decision was helpful in making up her mind. She thinks women would benefit from having access to
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
>>
Making decisions about birth after caesarean
>>
Aged 36-39
>>
Interview 07
>>
It was a struggle to breastfeed her daughter after the exhausting birth. She had to top up her daughter's feeds with formula milk and stopped breastfe
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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