Abstract
Background Aim: Complications of cesarean-section are many times more than vaginal birth increase with repeat it, despite mothers don’t choose vaginal birth after CS. Aim: The aim of the present study is to explain why previous cesarean section mothers not to choose VBAC? Methods: A conventional content analysis performed by 25 participants from previous CS mothers (pregnant/non-pregnant) maternal health care providers through semi-structured individual interviews two focus group sessions in Om-Albanin hospital in Mashhad, Iran. The interviews lasted 30 - 90 minutes their content was recorded, transcribed analyzed using Graneheim & Lundman’s method (2004). Data validity was verified by Lincoln Guba criteria. Results: The main category of loneliness, weakness, in emerged from three subcategories: individual-social perspective, inefficient care psychological of childbirth. Sub-subcategories identified as: First sub-subcategory: opposite beliefs to non-supportive community non-supportive individual-social perspective. second includes: inadequate provision of optimal care , inadequate knowledge awareness , Weakness in decision self-efficacy and Weakness in effective counseling third includes: negative experiences of vaginal birth feeling of danger fear . Conclusion: The mothers are conflict in choosing VBAC in three aspects: social, care system individual dimensions. Comprehensive support including: cultural interventions for vaginal birth, planning a supportive special care system for previous CS mothers, increasing knowledge correcting beliefs will help them in decision self-efficacy. It is proposed planning of these strategies assess their effectiveness.
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