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Design, development, and evaluation of a web-based consultation system for birth after cesarean: a mixed-method study

Fatemeh Jalal Marvi1, Fatemeh Hadizadeh Talasaz2,3, Seyyed Mohammad Tabatabaei4,5,6

  • 1Mashhad University of Medical Sciences, Mashhad, Iran.

BMC Pregnancy and Childbirth
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PubMed
Summary

This study developed a web-based system to help women with prior cesarean sections make informed decisions about vaginal birth after cesarean (VBAC). The system aims to empower women, improve knowledge, and reduce conflict regarding delivery choices.

Keywords:
Caesarean sectionConsultationDecision support systemDeliveryPost cesarean sectionQualitative researchVaginal births after cesarean

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Area of Science:

  • Obstetrics and Gynecology
  • Digital Health
  • Health Informatics

Background:

  • Women with prior cesarean sections often face challenges in delivery mode decisions.
  • Limited knowledge and negative attitudes can lead to elective repeat cesarean sections.
  • Tailored guidance is crucial for informed decision-making regarding vaginal birth after cesarean (VBAC).

Purpose of the Study:

  • To design, develop, and evaluate a web-based counseling system for pregnant women considering VBAC.
  • To empower women to make informed decisions about their mode of delivery.
  • To support shared decision-making between patients and healthcare providers.

Main Methods:

  • A sequential exploratory mixed-methods study in Mashhad, Iran.
  • Phase 1: Qualitative interviews to identify user needs and preferences.
  • Phase 2: Iterative prototype development and expert validation.
  • Phase 3: Randomized controlled trial to evaluate system usability and effectiveness.

Main Results:

  • The study will evaluate the impact of the web-based system on VBAC intention, choices, and actual rates.
  • Secondary outcomes include changes in knowledge, satisfaction, and breastfeeding success.
  • System usability will be assessed using the System Usability Scale.

Conclusions:

  • The web-based VBAC counseling system aims to enhance women's knowledge of delivery options.
  • It is designed to reduce decisional conflict and promote evidence-based choices.
  • The system supports informed and shared decision-making for vaginal birth after cesarean.