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

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.