Journal of International Obstetrics and Gynecology ›› 2020, Vol. 47 ›› Issue (3): 276-281.

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A Qualitative Study on Obstetrician′s View on the Implementation of Vaginal Trial Delivery after Cesarean Section

BAI Xiao-ling, LUO Zhong-chen, LI Jian-qiong, SUN Gui-yu, LOU Ting   

  1. Department of Nursing(BAI Xiao-ling, LUO Zhong-chen), Department of Obstetrics(SUN Gui-yu), Comprehensive Wards, Department of Cadres Medical Treatment(LOU Ting), Guizhou Provincial People′s Hospital, Guiyang 550002, China; Chongqing Three Gorges Medical College, Chongqing 404120, China(LI Jian-qiong)
  • Received:2019-08-26 Revised:2019-10-30 Published:2020-06-15 Online:2020-06-23
  • Contact: BAI Xiao-ling, E-mail:baixiaoling2003@163.com E-mail:1327761162@qq.com

Abstract: Objective:To explore the opinions and suggestions of obstetricians on the implementation of vaginal trial delivery after cesarean section, so as to provide a reference for formulating strategies of vaginal trial delivery after cesarean section based on obstetricians′ perspective. Methods:Fourteen obstetricians participated in the semi-structure interviews. Data were analyzed using Colaizzi′s phenomenological procedure. Results:Four themes were concluded: Obstetrician′s attitude towards vaginal delivery after cesarean section, adaptive conditions for vaginal delivery after cesarean section, difficulties in vaginal trial delivery after cesarean section, strategies for promoting vaginal delivery after cesarean section. Conclusions:The departments should pay attention to obstetricians′ attitudes towards the implementation of vaginal trial delivery after cesarean section and the difficulties they are facing, and obstetricians′ suggestions on promoting vaginal trial delivery after cesarean section. Measures should be taken, such as strengthening the knowledge of this type of pregnant women about the mode of delivery, constructing the industry standard for the implementation of vaginal trial delivery, improving the equipment and facilities and human resources required for the implementation of vaginal trial delivery, etc. Provide support and conditions for the implementation of vaginal trial delivery. It urges pregnant women who meet the requirements after cesarean section to choose vaginal trial delivery, so as to promote maternal and infant health. 

Key words: Cesarean section, repeat;, Vaginal birth after cesarean;, Sampling studies