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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 36-39
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Interview 15
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It is important for consultants to know their patients' individual circumstances so they don't give advice that is irrelevant.
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 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 28
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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
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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 36-39
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Interview 15
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She was disappointed that the consultant she saw at the hospital was just going through standard advice rather than tailoring the information to her p
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 40 and over
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Interview 05
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She thinks the emphasis on natural birth in her NCT classes made it harder for her to come to terms with her first caesarean. Knowing in advance how c
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 40 and over
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Interview 08
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The atmosphere in theatre was relaxed and professional. But it felt a bit as though she was 'a job to be done' in a queue and it was not an experience
Keen on unassisted birth with 1st child. Slow to go into labour and dilate. Had epidural and then CS 2 days after waters broke. Felt cheated at first but adjusted with time. Had planned CS with 2nd child to avoid previous ordeal.
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 advised to have a planned caesarean and had the operation the next day. The experience left her feeling cheated.
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 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 thinks having someone explain to her why things happened the way they did might help her come to terms with the disappointment she still feels.
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 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 30 and under
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Interview 16
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She felt very ill after the operation and took a good month to fully recover. She hadn't realised she would not be able to drive for 6 weeks and had t
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 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 36-39
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Interview 07
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She was disappointed to learn late in her pregnancy that her chances of having a vaginal birth were small. Being shown the birthing pool when she coul
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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