Decision-making during trial of labour after caesarean; a qualitative study with gynaecologists.

ABSTRACT:

Objective

The attempt of a woman to deliver vaginally after having had a caesarean in a previous pregnancy is increasingly common in current obstetric practice. During a trial of labour after caesarean, gynaecologists consider whether continuing vaginal birth is safe or, alternately, whether a repeat caesarean is advised. There is large variation in the success rates of women with comparable medical risk factors, requiring better insight in how this assessment is made. As a window of opportunity to intervene in this unexplained variation in practice in specific, and in the globally rising caesarean rate in general, our aim was to increase understanding of gynaecologists' decision-making during trial of labour.

Study design

We conducted a constructivist grounded theory study,

SUBMITTER: Rietveld AL 

PROVIDER: S-EPMC6051596 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature