ArticleBMJ open2019
Questionnaire survey on women's views after a first caesarean delivery in two tertiary centres in Ireland and their preference for involvement in a future randomised trial on mode of birth.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Cesarean section trends in Barrero, Dominican Republic: a community-level analysis of rates, risk factors, and patient motivations.Frontiers in global women's health · 2026Article
- Preferred mode of delivery and its associated factors in pregnant women with a previous cesarean scar at a tertiary care hospital in Ethiopia: institutional-based cross-sectional study.BMC pregnancy and childbirth · 2023Article
- Vaginal birth after Cesarean experience in Romania: A retrospective case-series study and online survey.Experimental and therapeutic medicine · 2021Article
- Design characteristics of studies on medical practice variation of caesarean section rates: a scoping review.BMC pregnancy and childbirth · 2020Article
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Authors and funding
5 authors.
Funding
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Abstract
objectiveTo assess the views of women after a first caesarean section (CS) on their birth experience, preference for future mode of birth and willingness to participate in a randomised controlled trial on mode of birth in a future pregnancy.
designQuestionnaire survey.
settingTwo tertiary maternity centres Ireland, Galway University Hospital, Galwayand the National Maternity Hospital, Dublin.
participantsWomen with one previous CS.
methodsEligible women consented to participate, and postal surveys were forwarded. Results were collected and analysed. Results were compared between women who had elective operations and women who had emergency operations. PRIMARY OUTCOME MEASURES: The satisfaction levels of women after a first caesarean, their preference for mode of birth in a future pregnancy and their willingness to participate in a randomised trial on mode of birth.
resultsThere were 347 completed surveys of 633 women who consented to participate (54.8%), of whom 285 and 62 had emergency and elective caesarean deliveries, respectively. In general, satisfaction ratings with the delivery were greater than 90%, with similar levels of satisfaction with the care received from doctors and midwives. Women who an emergency procedure expressed lower satisfaction levels with the information about the caesarean and the debriefing received afterwards than women who had a planned operation (p<0.05). For future mode of birth, 39.5% expressed a preference for vaginal birth after caesarean (VBAC) in a subsequent pregnancy, and 80% said they would consider involvement in a randomised trial in a future pregnancy.
conclusionDebriefing and counselling women after a CS is an important part of pregnancy care and can significantly impact on a woman's overall birth experience. A significant proportion of this cohort considered VBAC as a future birth option. These data indicate that a randomised trial on mode of birth after caesarean would be viewed positively by women in our population.
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