Evidence map›Paper›PMID 35086509›Full record

ArticleBMC pregnancy and childbirth2022

From coercion to respectful care: women's interactions with health care providers when planning a VBAC.

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

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Hazel KeedleLecturer of Nursing & Midwifery School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, 2751, Penrith, NSW, Australia. h.keedle@westernsydney.edu.au.
Virginia SchmiedSchool of Nursing and Midwifery, Western Sydney University, Penrith, Australia. v.schmied@westernsydney.edu.au.
Elaine BurnsSchool of Nursing and Midwifery, Western Sydney University, Penrith, Australia. e.burns@westernsydney.edu.au.
Hannah Grace DahlenSchool of Nursing and Midwifery, Western Sydney University, Penrith, Australia. h.dahlen@westernsydney.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn many countries caesarean section rates are increasing and this impacts on choices made around mode of birth in subsequent pregnancies. Having a vaginal birth after caesarean (VBAC) can be a safe and empowering experience for women, yet most women have repeat caesareans. High caesarean section rates increase maternal and neonatal morbidity, health costs and burden on hospitals. Women can experience varied support from health care providers when planning a VBAC. The aim of this paper is to explore the nature and impact of the interactions between women planning a VBAC and health care providers from the women's perspective.

methodsA national Australian VBAC survey was undertaken in 2019. In total 559 women participated and provided 721 open-ended responses to six questions. Content analysis was used to categorise respondents' answers to the open-ended questions.

resultsTwo main categories were found capturing the positive and negative interactions women had with health care providers. The first main category, 'Someone in my corner', included the sub-categories 'belief in women birthing', 'supported my decisions' and 'respectful maternity care'. The negative main category 'Fighting for my birthing rights' included the sub-categories 'the odds were against me', 'lack of belief in women giving birth' and 'coercion'. Negative interactions included the use of coercive comments such as threats and demeaning language. Positive interactions included showing support for VBAC and demonstrating respectful maternity care.

conclusionsIn this study women who planned a VBAC experienced a variety of positive and negative interactions. Individualised care and continuity of care are strategies that support the provision of positive respectful maternity care.

Indexed as

Attitude of Health PersonnelProfessional-Patient RelationsAdultAustraliaCoercionDecision MakingFemaleHumansPregnancyQualitative ResearchRespectSurveys and QuestionnairesVaginal Birth after CesareanBirth traumaCoercionContinuity of careMidwiferyObstetric violenceRespectful maternity careVaginal birth after caesareanVBAC

Identifiers

PMID35086509
PMCPMC8793226

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.