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Repeat cesarean births. Social and psychological issues.
JOGN Nursing; Journal of Obstetric, Gynecologic, and Neonatal Nursing
|May 1, 1984
Summary
Routine repeat cesarean births contribute significantly to the overall cesarean rate. This review examines social, psychological, and decision-making factors for women considering vaginal birth after cesarean (VBAC).
Area of Science:
- Obstetrics
- Maternal Health
- Reproductive Medicine
Background:
- Routine repeat cesarean births account for up to 30% of the current cesarean birth rate in America.
- Social and psychological factors influence decisions regarding repeat cesarean births and vaginal birth after cesarean (VBAC).
Purpose of the Study:
- To review the social and psychological issues surrounding repeat cesarean birth and VBAC.
- To describe current trends in obstetrics and consumer preferences.
- To discuss factors influencing decision-making for future births and provide guidance for healthcare professionals.
Main Methods:
- Literature review of social and psychological issues related to cesarean birth and VBAC.
- Analysis of current trends in obstetrics and consumer attitudes.
- Discussion of decision-making factors and recommendations for nursing practice.
Main Results:
- Repeat cesarean births are a significant contributor to the overall cesarean rate.
- Social and psychological factors play a crucial role in the choice between repeat cesarean and VBAC.
- Understanding these factors is essential for informed decision-making.
Conclusions:
- Addressing social and psychological aspects is vital for supporting women undergoing repeat cesarean or VBAC.
- Nurses require updated knowledge and strategies to assist women with previous cesareans in planning future births.
- Informed decision-making can help optimize maternal and infant outcomes.