'Motherbirth or childbirth'? A prospective analysis of vaginal birth after caesarean blogs

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dc.contributor.author Dahlen, HG
dc.contributor.author Homer, CSE
dc.date.accessioned 2014-04-03T01:53:29Z
dc.date.issued 2013
dc.identifier.citation Midwifery, 2013, 29 (2), pp. 167 - 173
dc.identifier.issn 0266-6138
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/23439
dc.description.abstract Objective: vaginal birth after caesarean (VBAC) is a controversial issue with strong opinions for and against. The means in which women work through the different opinions and options using the internet should be of interest to midwives, obstetricians and policy makers. The aim of this study was to examine how women use English language internet blog sites to discuss the option of VBAC and what factors influence these women's decision to have a VBAC or repeat caesarean section. Design: a qualitative study using internet blog sites as the source of data was undertaken. Google alerts were created to search for the term VBAC in internet blogs. These alerts were sent to the first author's email account daily for a one-year period (November 2007 to October 2008) and downloaded. The content was analysed using thematic analysis. Findings: there were 311 blogs mentioning the word VBAC in the one-year period. Most of the blog sites and discussion originated from the USA. There were more blogs written during the Northern Hemisphere winter months than during other seasons. The main theme identified was a dichotomy in philosophical framework women held about birth; that is a 'motherbirth' or 'childbirth' framework. Whether women eventually wrote that they chose a VBAC or repeat caesarean or the extent to which they pursued their birth choice depended on whether they came from a perspective that a 'good parent sacrifices themselves for their baby (prioritises the baby) and takes no risks' (childbirth) or that 'giving birth matters to the woman and a happy, healthy mother is a happy healthy baby (mother and baby have equal priority)' (motherbirth). Several themes were identified including: surviving the damage; inadequate bodies; choice and control; fearing and trusting birth; negotiating the system; and minimising or overestimating risk. Key conclusion: women filtered their decision making regarding VBAC through a belief system that prioritises according to their personal approaches. Implications for clinical practice: blogging may be providing a valuable insight into factors that inform decision making and may provide a forum of information and support for women who have experienced a caesarean section. © 2011 Elsevier Ltd.
dc.language eng
dc.relation.isbasedon 10.1016/j.midw.2011.11.007
dc.title 'Motherbirth or childbirth'? A prospective analysis of vaginal birth after caesarean blogs
dc.type Journal Article
dc.parent Midwifery
dc.journal.volume 2
dc.journal.volume 29
dc.journal.number en_US
dc.publocation Edinburgh, UK en_US
dc.identifier.startpage 167 en_US
dc.identifier.endpage 173 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.for 1114 Paediatrics and Reproductive Medicine
dc.for 1110 Nursing
dc.personcode 995146
dc.personcode 101996
dc.percentage 34 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Blogs
dc.description.keywords Caesarean
dc.description.keywords VBAC
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history Closed (ID: 3)

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