Why women choose to have a repeat caesarean section

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Abstract
Rising caesarean section rates may be partly attributed to women choosing to have a repeat caesarean section. This study explores factors influencing women who chose to have an elective caesarean section following a previous emergency caesarean section. The views of women who had experienced one previous emergency caesarean section were explored during the antenatal phase of a subsequent pregnancy. In-depth, semi-structured interviews involved a purposive sample of 10 women. Analysis used an interpretative approach that searched for recurrent themes and categories. Verification of interpretation was obtained from the women. The study found that women were concerned about safety, and feared vaginal birth as the unknown. Control over childbirth was important to them and the decision on mode of birth happened either shortly after their first birth or early during their current pregnancy. The women relied on discussions with relatives, friends or women who had similar experience rather than on detailed information from health care professionals. The women would have welcomed more and consistent information, which may have altered their decision.