Part:1- Vaginal Delivery – Qualitative Study
This study encompasses a series of revelations, which were apparently hidden from medical science. Researchers have advanced that regardless of the consequences emerging from women’s health irregularities, repeating a second cesarean section (CS) birth after a first one is usually the norm among Western countries. However, most experts recommend vaginal birth after Cesarean section except there is marked evidence of cephalo-pelvic disproportion is recommended (Nilsson, van Limbeek, Vehvilainen-Julkunen, & Lundgren, 2017).
Currently, evidence shows that rates are decreasing. They also vary from one maternity organization to the other as well as country. The study being reviewed researched 22 women who experienced vaginal delivery after C-section. They were concerned with how these mothers responded to a vaginal delivery after C-section. Indication for the first C-section was discussed with these mothers allowing them to understand that if they were not diagnosed with a cephalo pelvic disproportion, it was safe that a vaginal delivery be considered for the second and subsequent pregnancies (Dahlen & Homer, 2013).
Countries targeted for this study included populations where rates of vaginal delivery were greatest. For example, in Finland, Netherlands and Sweden a content analysis was applied in gathering data pertaining to this phenomenon. Five categories emerged. They encompassed obtaining information from clinicians supporting the vaginal delivery after C-section idea. The second theme emerging pertained to professional support from midwives/obstetricians who are calm and confident during the birthing process. Besides, these professional must be experts in knowing as well as communicating the advantages of VBAC (Nilsson et.al, 2017)
During the education/communication process mothers must be given information and shown how to develop releasing strategies of the C-section birth to successfully embrace a vaginal delivery. It was very important that healthcare professional involved in the transition process educate mothers concerning vaginal delivery after C-section being a safe alternative, which they should access. Researchers concluded that these findings do not show where in healthcare some women’s needs have been neglected, but that disparities create many sociological factors, which must be seriously considered when making decisions concerning women’s health (Dodd, Crowther, Huertas, Guise & Horey, 2013).
References
Dahlen, G., & Homer, C. (2013). Mother birth or childbirth? A prospective analysis of vaginal
birth after caesarean blogs. Midwifery, 29, 167–173
Dodd, J. Crowther, A. Huertas, E. Guise, J., & Horey, D. (2013). Planned elective repeat
caesarean section versus planned vaginal birth for women with a previous caesarean birth.
Cochrane Database of Systematic Reviews, 12,
Nilsson, C. van Limbeek, E. Vehvilainen-Julkunen, V., & Lundgren,1. (2017). Qualitative
Health Research, 27(3) 325 –340
.
