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Int J Gynaecol Obstet. 2007 Nov;99(2):113-6. Epub 2007 Jul 27.

Women's experiences following failed vaginal birth after cesarean delivery.

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Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.



To assess the experience of women in whom a trial of vaginal birth after cesarean (VBAC) has failed.


Pretested self-administered questionnaires containing both open- and closed-ended questions were given to the participants while they were waiting for an antenatal check-up. The responses to the closed-ended questions were analyzed with descriptive statistics. Content analysis was used for the responses to the open-ended questions.


The women with a history of a successful vaginal delivery reported a positive experience whereas those with no history of vaginal delivery reported a negative experience. The women found the limited options available to them the most dissatisfying aspect of attempting a VBAC.


An unsuccessful trial of VBAC could have significant adverse effects on women, especially on those who have never given birth vaginally. Adequate antenatal education for women planning a trial of VBAC, postdelivery support following an unsuccessful trial of VBAC, and research aimed at expanding the options available to women as they are attempting VBAC are recommended.

[Indexed for MEDLINE]

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