Care during the decision-making phase for women who want a vaginal breech birth: Experiences from the field

Catling, C; Petrovska, K; Watts, NP; Bisits, A; Homer, CSE

Care during the decision-making phase for women who want a vaginal breech birth: Experiences from the field

Catling, C

Petrovska, K Watts, NP

Bisits, A Homer, CSE

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Publication Type:: Journal Article
Citation:: Midwifery, 2016, 34 pp. 111 - 116
Issue Date:: 2016-03-01

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Field	Value	Language
dc.contributor.author	Catling, C https://orcid.org/0000-0001-7352-2879	en_US
dc.contributor.author	Petrovska, K	en_US
dc.contributor.author	Watts, NP https://orcid.org/0000-0002-4577-7951	en_US
dc.contributor.author	Bisits, A	en_US
dc.contributor.author	Homer, CSE https://orcid.org/0000-0002-7454-3011	en_US
dc.date.available	2020-05-25T19:09:24Z
dc.date.issued	2016-03-01	en_US
dc.identifier.citation	Midwifery, 2016, 34 pp. 111 - 116	en_US
dc.identifier.issn	0266-6138	en_US
dc.identifier.uri	http://hdl.handle.net/10453/41430
dc.description.abstract	© 2015 Elsevier Ltd. Background: few women are given the option of a vaginal breech birth in Australia, unless the clinicians feel confident and have the skills to facilitate this mode of birth. Few studies describe how clinicians provide care during the decision-making phase for women who choose a vaginal breech birth. The aim of this study was to explore how experienced clinicians facilitated decisions about external cephalic version and mode of birth for women who have a breech presentation. Methods: a descriptive exploratory design was undertaken with nine experienced clinicians (obstetricians and midwives) from two tertiary hospitals in Australia. Data were collected through face to face interviews and analysed thematically. Findings: five obstetricians and four midwives participated in this study. All were experienced in caring for women having a vaginal breech birth and were currently involved in providing such a service. The themes that arose from the data were: Pitching the discussion, Discussing safety and risk, Being calm and Providing continuity of care. Conclusions: caring for women who seek a vaginal breech birth includes careful selection of appropriate women, full discussions outlining the risks involved, and undertaking care with a calm manner, ensuring continuity of care. Health services considering establishing a vaginal breech service should consider that these elements are included in the establishment and implementation processes.	en_US
dc.relation.ispartof	Midwifery	en_US
dc.relation.isbasedon	10.1016/j.midw.2015.12.008	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Breech Presentation	en_US
dc.subject.mesh	Prenatal Care	en_US
dc.subject.mesh	Delivery, Obstetric	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Decision Making	en_US
dc.subject.mesh	Midwifery	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Physicians	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.title	Care during the decision-making phase for women who want a vaginal breech birth: Experiences from the field	en_US
dc.type	Journal Article
utslib.citation.volume	34	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access
pubs.publication-status	Published	en_US
pubs.volume	34	en_US

Abstract:

© 2015 Elsevier Ltd. Background: few women are given the option of a vaginal breech birth in Australia, unless the clinicians feel confident and have the skills to facilitate this mode of birth. Few studies describe how clinicians provide care during the decision-making phase for women who choose a vaginal breech birth. The aim of this study was to explore how experienced clinicians facilitated decisions about external cephalic version and mode of birth for women who have a breech presentation. Methods: a descriptive exploratory design was undertaken with nine experienced clinicians (obstetricians and midwives) from two tertiary hospitals in Australia. Data were collected through face to face interviews and analysed thematically. Findings: five obstetricians and four midwives participated in this study. All were experienced in caring for women having a vaginal breech birth and were currently involved in providing such a service. The themes that arose from the data were: Pitching the discussion, Discussing safety and risk, Being calm and Providing continuity of care. Conclusions: caring for women who seek a vaginal breech birth includes careful selection of appropriate women, full discussions outlining the risks involved, and undertaking care with a calm manner, ensuring continuity of care. Health services considering establishing a vaginal breech service should consider that these elements are included in the establishment and implementation processes.

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http://hdl.handle.net/10453/41430