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Concordance of maternal and paternal decision-making and its effect on choice for vaginal birth after caesarean section

Robson, Stephen; Campbell, Beth; Pell, Gabrielle; Wilson, Anne; Tyson, Kate; De Costa, Caroline; PERMEZEL, Michael; Woods, Cindy

Description

Background: The proportion of women who plan for a repeat elective caesarean section (CS) is one of the major determinants of the overall rate of CS, and programs aiming to reduce the rate of CS have not been greatly successful. To date, there appear to have been no large studies directly addressing paternal influences on decision-making regarding vaginal birth after caesarean (VBAC). This study aimed to compare the reactions of fathers and mothers to the prospect of VBAC. Methods: Couples were...[Show more]

dc.contributor.authorRobson, Stephen
dc.contributor.authorCampbell, Beth
dc.contributor.authorPell, Gabrielle
dc.contributor.authorWilson, Anne
dc.contributor.authorTyson, Kate
dc.contributor.authorDe Costa, Caroline
dc.contributor.authorPERMEZEL, Michael
dc.contributor.authorWoods, Cindy
dc.date.accessioned2016-02-24T22:41:40Z
dc.identifier.issn0004-8666
dc.identifier.urihttp://hdl.handle.net/1885/98770
dc.description.abstractBackground: The proportion of women who plan for a repeat elective caesarean section (CS) is one of the major determinants of the overall rate of CS, and programs aiming to reduce the rate of CS have not been greatly successful. To date, there appear to have been no large studies directly addressing paternal influences on decision-making regarding vaginal birth after caesarean (VBAC). This study aimed to compare the reactions of fathers and mothers to the prospect of VBAC. Methods: Couples were recruited from three Australian hospitals and were eligible with a singleton pregnancy, a normal morphology ultrasound, and where there was no condition in the new pregnancy that would preclude a vaginal birth. Questionnaires were scheduled for 20 weeks' gestation, 32–36 weeks' gestation and six weeks postnatal and were sent separately to each partner. Results: Seventy-five couples completed the full sets of questionnaires during the study period. In total, 31 women (41%) ultimately attempted vaginal delivery, and 44 (59%) were delivered by planned CS. When the paternal rating of risk fell between the second and third trimesters, the couple were likely to attempt VBAC (P < 0.05). Where the maternal rating of importance was 3 or less, 92% had a planned CS compared to 63% for the same paternal scores (P = 0.02). Conclusion: This study suggests that interventions that improve the paternal perceptions of risk during a pregnancy might increase the chance that a couple will attempt VBAC.
dc.publisherBlackwell Publishing Ltd
dc.sourceAustralian and New Zealand Journal of Obstetrics and Gynecology
dc.subjectKeywords: Caesarean section; Decision-making; Paternal; Vaginal birth after caesarean
dc.titleConcordance of maternal and paternal decision-making and its effect on choice for vaginal birth after caesarean section
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume55
dc.date.issued2015
local.identifier.absfor111402 - Obstetrics and Gynaecology
local.identifier.ariespublicationU3488905xPUB7523
local.type.statusPublished Version
local.contributor.affiliationRobson, Stephen, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationCampbell, Beth, Townsville Hospital
local.contributor.affiliationPell, Gabrielle, Mercy Hospital for Women, Melbourne
local.contributor.affiliationWilson, Anne, Calvary John James Hospital
local.contributor.affiliationTyson, Kate, Mercy Hospital for Women, Melbourne
local.contributor.affiliationDe Costa, Caroline, James Cook University
local.contributor.affiliationPERMEZEL, Michael, Mercy Hospital for Women, Melbourne
local.contributor.affiliationWoods, Cindy, James Cook University
local.description.embargo2037-12-31
local.bibliographicCitation.issue3
local.bibliographicCitation.startpage257
local.bibliographicCitation.lastpage261
local.identifier.doi10.1111/ajo.12326
dc.date.updated2022-03-06T07:22:43Z
local.identifier.scopusID2-s2.0-84937024365
local.identifier.thomsonID000356449800011
CollectionsANU Research Publications

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