Document Type : Review Article
Authors
1
Assistant Professor, Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2
a) PhD student in Reproductive Health, Department of Midwifery and Reproductive Health, Isfahan Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran b) Lecturer, Islamic Azad University Health Research Center, Isfahan branch (Khorasgan), Isfahan, Iran
3
Professor of Biostatistics, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran
4
Professor of Gynecological Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine Shahid Beheshti Hospital Isfahan University of Medical Sciences, Isfahan, Iran
10.22038/jmrh.2023.74789.2208
Abstract
Background & aim: The cesarean section is a prevalent surgical procedure that is associated with maternal and neonatal complications and a decrease in the total count of childbirths. High cesarean section rates are primarily due to the frequent occurrence of repeated cesarean sections. The World Health Organization aims to reduce repeated cesarean sections in low-risk women by promoting vaginal birth after cesarean (VBAC) as an alternative. The primary objective of this review is to determine the factors that affect the decision to pursue natural childbirth after a cesarean section.
Methods: Two researchers conducted a narrative review using the scale of narrative review articles (SANRA). The researchers consulted various databases, including the ISI, Scopus, PubMed, Cochrane Library, PsycInfo, SID, Magiran, and IranMedex, and keywords such as determinant factors, vaginal birth after cesarean section, repeated cesarean section, trial of labor after cesarean section, and their Persian equivalents. The study, which spanned until June 2023, analyzed 24 qualitatively synthesized articles, excluding those without full-text access, conference papers, short communications, and editorials.
Results: The decision to pursue natural childbirth after a cesarean section is influenced by five primary areas. These areas encompass factors associated with healthcare organizations, gynecologists, midwives, mothers, and the individuals surrounding them. The final decision can be influenced by various factors, either positively or negatively.
Conclusion: The selection of VBAC is influenced by various factors, which should be considered in intervention programs aimed at increasing VBACs and reducing repeated cesarean sections.
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