Clinician’ s and women's perceptions of individual barriers to vaginal birth after cesarean in Iran: A qualitative inquiry

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Firoozi Mahboobeh; TARA FATEMEH; AHANCHIAN MOHAMMAD REZA; LATIFNEJAD ROUDSARI ROBAB

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Journal Paper

Paper Information

Journal: Caspian Journal of Internal Medicine Year:2020 | Volume:11 | Issue:3 Page(s): 259-266

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Title

Clinician’ s and women's perceptions of individual barriers to vaginal birth after cesarean in Iran: A qualitative inquiry

Author(s)

Firoozi Mahboobeh | TARA FATEMEH | AHANCHIAN MOHAMMAD REZA | LATIFNEJAD ROUDSARI ROBAB | Issue Writer Certificate

Keywords

Vaginal birth after cesarean

Clinicians

Women

Barriers

qualitative

Abstract

Background: High rate of repeat cesarean section and its complications are the results of cesarean tsunami in the last two decades in Iran. Vaginal birth after cesarean (VBAC) is an important alternative for repeat cesarean. However, the rate of VBAC in Iran is very low subject to some organizational and individual Barriers is very low. This study explored the clinician’ s and Women's perceptions of individual Barriers to achieve VBAC. Methods: In this conventional content analysis, 28 semi-structured interviews and one focus group discussion was conducted with health care providers including gynecologists, midwives and family physicians as well as prior cesarean section mothers attended one of the Women's hospitals in Mashhad, Iran in 2017. Participants were selected through purposive sampling considering the strategy of maximum variation. Data were analyzed according to Graneheim and Lundman (2004) method using MAXQDA. 10 software. Results: The theme of “ obstacles to acceptance and committed actions” emerged from two categories of “ psychological Barriers” and “ operational Barriers". Psychological Barriers included 'sense of danger” , “ financial displeasure" and "negative attitude"; whereas, operational Barriers consisted of 'Barriers to decision making' and 'indolence'. Conclusion: Improving Women's attitude via maternity care promotion, creating supportive environment, informing mothers about choice of birth mode and empowering them in shared decision making could influence Women's VBAC request. Also organizing VBAC care team and creating motivations in medical team and hospital directors through reporting of research project outcomes on safety and benefits of VBAC could affect the VBAC rate.

Cites

Neonatal and maternal complications of vaginal birth after cesarean in Khatam Al-Anbia hospital in 2019-2020

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APA: Copy

Firoozi, Mahboobeh, TARA, FATEMEH, AHANCHIAN, MOHAMMAD REZA, & LATIFNEJAD ROUDSARI, ROBAB. (2020). Clinician’ s and women's perceptions of individual barriers to vaginal birth after cesarean in Iran: A qualitative inquiry. CASPIAN JOURNAL OF INTERNAL MEDICINE, 11(3), 259-266. SID. https://sid.ir/paper/756130/en

Vancouver: Copy

Firoozi Mahboobeh, TARA FATEMEH, AHANCHIAN MOHAMMAD REZA, LATIFNEJAD ROUDSARI ROBAB. Clinician’ s and women's perceptions of individual barriers to vaginal birth after cesarean in Iran: A qualitative inquiry. CASPIAN JOURNAL OF INTERNAL MEDICINE[Internet]. 2020;11(3):259-266. Available from: https://sid.ir/paper/756130/en

IEEE: Copy

Mahboobeh Firoozi, FATEMEH TARA, MOHAMMAD REZA AHANCHIAN, and ROBAB LATIFNEJAD ROUDSARI, “Clinician’ s and women's perceptions of individual barriers to vaginal birth after cesarean in Iran: A qualitative inquiry,” CASPIAN JOURNAL OF INTERNAL MEDICINE, vol. 11, no. 3, pp. 259–266, 2020, [Online]. Available: https://sid.ir/paper/756130/en

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