{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T21:17:44Z","timestamp":1773350264715,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2007,7,25]],"date-time":"2007-07-25T00:00:00Z","timestamp":1185321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2007,8]]},"abstract":"<jats:p><jats:bold>Aim.\u2002<\/jats:bold> This study explored the childbirth expectations and knowledge of women who had experienced a caesarean and would prefer a vaginal birth in a subsequent pregnancy.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> Vaginal birth after caesarean is considered best practice. However, in most western world countries, despite the inherent risks of caesarean for both mother and baby, the number of women labouring after a previous caesarean is declining.<\/jats:p><jats:p><jats:bold>Methods.\u2002<\/jats:bold> Newspaper advertisements were used to recruit Western Australian women who had experienced a caesarean. Thematic analysis was used to analyse the interview data collected from women who attempted a vaginal birth (<jats:italic>n<\/jats:italic>\u2003=\u200324), or stated they would choose this option, in a subsequent pregnancy (<jats:italic>n<\/jats:italic>\u2003=\u200311).<\/jats:p><jats:p><jats:bold>Findings.\u2002<\/jats:bold> For this cohort of women, their caesarean experience reinforced their previously held expectations about birthing naturally. The women held strong views about the importance of working with their bodies to achieve a vaginal birth, which was considered an integral part of being a woman and mother. Positive support from family and friends and a reluctance to undergo another caesarean was also influential. Women articulated the risks of caesarean and considered vaginal birth enhanced the health and well\u2010being of the mother and baby, promoted maternal infant connection and the eased the transition to motherhood.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold> This study documents how the importance of birth, as a significant life event, remained the focus of these women's childbirth expectations influencing future decisions on birth mode and mediating against the \u2018pressure\u2019 of medical discourse promoting caesarean.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> Knowledge and appreciation of the multiple dimensions that contribute to women's decisions after a caesarean provides valuable information on which service providers and researchers can draw as they investigate interventions that enhance the uptake and success of women birthing vaginally after a caesarean.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2006.01747.x","type":"journal-article","created":{"date-parts":[[2007,7,26]],"date-time":"2007-07-26T04:01:46Z","timestamp":1185422506000},"page":"1561-1570","source":"Crossref","is-referenced-by-count":50,"title":["Believing in birth \u2013 choosing VBAC: the childbirth expectations of a self\u2010selected cohort of Australian women"],"prefix":"10.1111","volume":"16","author":[{"given":"Jennifer","family":"Fenwick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"Gamble","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Hauck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,7,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2002.00189.x"},{"key":"e_1_2_9_3_1","first-page":"59","volume-title":"Normal Childbirth Evidence and Debate","author":"Beech BL","year":"2004"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01706.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.07106.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1624\/105812401X88192"},{"key":"e_1_2_9_7_1","volume-title":"The Practice of Nursing Research: Conduct, Critiques & Utilization","author":"Burns N","year":"2001"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/089801019901700305"},{"key":"e_1_2_9_9_1","volume-title":"Doing Qualitative Research","author":"Crabtree BF","year":"1999"},{"key":"e_1_2_9_10_1","volume-title":"The context of women's childbirth decision regarding vaginal birth after caesarean section","author":"Disney JA","year":"1998"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2003.00226.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.1994.tb01877.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2004.07.001"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.03991_1.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/00048679709062687"},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1111\/j.0730-7659.2005.00340.x","article-title":"Effectiveness of a counselling intervention after a traumatic childbirth: a randomised controlled trial","volume":"32","author":"Gamble J","year":"2005","journal-title":"Birth"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2001.00101.x"},{"key":"e_1_2_9_18_1","volume-title":"Perinatal Statistics in Western Australia, 2003. 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