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- Lundgren, Ingela, 1957, et al.
(author)
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Clinicians views of factors of importance for improving the rate of vaginal births after caesarean section (VBAC) - A study from countries with high and low VBAC-rates
- 2014
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In: Optimising Childbirth Across Europe, 9-10 April 2014. Brussels, Belgium..
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Conference paper (other academic/artistic)abstract
- Introduction: This study is a part of the ongoing 4-year OptiBIRTH project, which is funded by EU and involving eight European countries. The key aim of the project is to promote increased VBAC rates across Europe. Repeat caesarean section (CS) following previous CS is one of the most significant factors contributing to increased CS rates in the EU. Even though VBAC is the recommended option associated with better outcomes for both mothers and babies, vaginal birth rates after CS vary widely through healthcare settings and countries across Europe. It is important to obtain a deeper knowledge about clinician’s views on VBAC in different countries to understand important factors for improving VBAC rates. The findings of this study will assist in the development of educational interventions targeted towards both clinicians and women, and tested in an upcoming randomised trial in three European countries with low VBAC rates. Aim of the study: The aim with this study was to investigate clinicians’ views on important factors for improving the rate of VBAC in women. Research methodology: Individual interviews, telephone interviews and focus groups interviews with clinician’s (doctors and midwives as well as GPs in different maternity care settings and in rural and urban regions) have been conducted in six countries during 2012-2013; Finland, the Netherlands, Sweden (high VBAC rate), Ireland, Italy, Germany (low VBAC rate). In total about 115 clinicians were interviewed. They answered five questions about VBAC and participation in decision-making. The interviews were analysed using content analysis. Ethical approval: Approval was obtained from study sites in each country. Study findings and conclusions: Findings from this ongoing study will be presented at the congress under the domains: important factors for VBAC, barriers for VBAC, views on decision-making, and support for VBAC.
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