- Title
- Care during the decision-making phase for women who want a vaginal breech birth: experiences from the field
- Creator
- Catling, C.; Petrovska, K.; Watts, N. P.; Bisits, A.; Homer, C. S. E.
- Relation
- Midwifery Vol. 34, Issue March, p. 111-116
- Publisher Link
- http://dx.doi.org/10.1016/j.midw.2015.12.008
- Publisher
- Churchill Livingstone
- Resource Type
- journal article
- Date
- 2016
- Description
- 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.
- Subject
- vaginal breech birth; risk; decision-making; qualitative research; mode of birth
- Identifier
- http://hdl.handle.net/1959.13/1342892
- Identifier
- uon:29054
- Identifier
- ISSN:0266-6138
- Language
- eng
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