Evidence map›Paper›PMID 26337330›Full record

ArticleBMC pregnancy and childbirth2015

Women's reasons for, and experiences of, choosing a homebirth following a caesarean section.

Hazel Keedle, Virginia Schmied, Elaine Burns, Hannah G Dahlen

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
7.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 76 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Hazel KeedleSchool of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia. hazelkeedle@gmail.com.
Virginia SchmiedSchool of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia. v.schmied@uws.edu.au.
Elaine BurnsSchool of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia. e.burns@uws.edu.au.
Hannah G DahlenSchool of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia. h.dahlen@uws.edu.au.
Western Sydney University · AUWaterNSW · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCaesarean section is rising in the developed world and vaginal birth after caesarean (VBAC) is declining. There are increased reports of women seeking a homebirth following a caesarean section (HBAC) in Australia but little is known about the reasons for this study aimed to explore women's reasons for and experiences of choosing a HBAC.

methodsTwelve women participated in a semi-structured one-to-one interview. The interviews were digitally recorded, then transcribed verbatim. These data were analysed using thematic analysis.

resultsThe overarching theme that emerged was 'It's never happening again'. Women clearly articulated why it [caesarean section] was never happening again under the following sub themes: 'treated like a piece of meat', 'I was traumatised by it for years', 'you can smell the fear in the room', 're-traumatised by the system'. They also described how it [caesarean section] was never happening again under the sub themes: 'getting informed and gaining confidence', 'avoiding judgment through selective telling', 'preparing for birth', 'gathering support' and 'all about safety but I came first'. The women then identified the impact of their HBAC under the subthemes 'I felt like superwoman' and 'there is just no comparison'.

conclusionsBirth intervention may cause physical and emotional trauma that can have a significant impact on some women. Inflexible hospital systems and inflexible attitudes around policy and care led some women to seek other options. Women report that achieving a HBAC has benefits for the relationship with their baby. VBAC policies and practices in hospitals need to be flexible to enable women to negotiate the care that they wish to have.

Indexed as

AdultAustraliaCesarean SectionFemaleHome ChildbirthHumansInterviews as TopicMidwiferyPatient PreferencePregnancyQualitative ResearchVaginal Birth after Cesarean

Identifiers

PMID26337330
PMCPMC4560080
OpenAlexW1802252833

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.