Table 1.
Characteristics of Study Participants, Information about Previous C-section and Current Pregnancy
| Previous C-Section | Current Pregnancy | |||||||
|---|---|---|---|---|---|---|---|---|
| No. | Nickname, Age in Years | Reason | Feelings (Summary) | Predelivery-Decision Making Process | Predelivery Decision | Predelivery Preference for Mode of Delivery | Final Mode of Delivery | Reason for Change in Delivery Mode |
| 1 | Elizabeth, 27 | Breech presentation | Worried and scared because it was my first baby | Physician did not explain both delivery options | Participant made the decision | TOLAC | CD | Participant did not start labor |
| 2 | Rocio, 27 | Macrosomia (large baby) | Calm because the doctor told me it was nothing risky | Physician only explained risks of a repeat C-section | Participant made the decision | ERCD | ERCD | No change |
| 3 | Luisa, 24 | Pre-eclampsia | Afraid and I was only 17 years old, but my mom talked to me and calmed me down | Physician explained both delivery options | Participant made the decision | ERCD | ERCD | No change |
| 4 | Giovana, 39 | Nuchal cord | Afraid because I had never had surgery before | Physician only explained risks of vaginal delivery | Joint: physician indicated C-section due to gestational diabetes, and woman agreed | ERCD | ERCD | No change |
| 5 | Lorena, 30 | Macrosomia | Normal because I knew that the baby was big | Physician explained situation (baby’s size and weight) and both delivery options | Joint: physician indicated C-section due to macrosomia, and woman agreed | ERCD | ERCD | No change |
| 6 | Monica, 32 | >40 weeks gestational age | Worried because I had been told that a C-section is painful | Physician did not explain both delivery options | Participant made the decision | TOLAC | CD | Oligohydramnios (reduced amount of amniotic fluid) |
| 7 | Nancy, 25 | Fetal distress | Scared because I wanted a normal delivery because its hurts only during delivery | Physician explained both delivery options and allowed 1 week for a vaginal delivery | Physician indicated C-section due to risk of fetal distress, woman disagreed | TOLAC | TOLAC/CDa | Fetal distress |
| 8 | Carla, 27 | Nuchal cord | Scared because I was told that if I wanted to save the life of my daughter, I had to do it | Physician did not explain both delivery options | Participant made the decision | TOLAC | TOLAC/CDa | Fetal distress |
| 9 | Jessica, 20 | Membrane rupture and fever | Nervous because it is an operation and the epidural is a bit dangerous | Physician did not explain both delivery options | Joint: physician indicated C-section due to macrosomia, and woman agreed | ERCD | TOLAC/VBACa | Participant started labor and surgery room was not available |
| 10 | Telma, 24 | Breech presentation and pre-eclampsia | Afraid because it was my first baby and it is an operation; you can lose blood and sometimes die | Physician did not explain both delivery options | Physician indicated C-section due to transverse lie presentation, woman disagreed | TOLAC | ERCD | Transverse position |
| 11 | Rosario, 38 | Macrosomia | Normal; it was better for me because the physician gave me anesthesia and I did not feel pain | Physician explained both delivery options | Participant made the decision | ERCD | ERCD | No change |
| 12 | Claudia, 35 | Fetal distress | I just wanted to have my baby, because I lost a baby before and did not want to lose this baby | Physician explained both delivery options | Participant made the decision | TOLAC | TOLAC/VBACa | No change |
| 13 | Hilda, 24 | Pre-eclampsia | Scared because I did not know what it was like | Physician explained both delivery options | Participant made the decision | TOLAC | TOLAC/CDa | Excessive pain with vaginal delivery |
| 14 | Cynthia, 28 | Membrane rupture and fetal tachycardia | Calm because at least I was in the hospital, I felt protected | Physician explained both delivery options | Participant made the decision | TOLAC | ERCD | Participant was at 40 weeks of gestational age |
| 15 | Paola, 31 | Fetal distress | Bad because I wanted a vaginal delivery | Physician explained both delivery options | Physician indicated C-section due to risk of not starting labor, and woman disagreed | TOLAC | TOLAC/VBACa | No change |
| 16 | Sofia, 28 | Pre-eclampsia | I did not feel calm; I felt scared | Physician did not explain both delivery options | Participant made the decision | TOLAC | ERCD | Participant was at 42 weeks of gestational age |
| 17 | Rosa, 23 | Pre-eclampsia | Normal, at that time | Physician explained both delivery options | Participant made the decision | ERCD | ERCD | No change |
Note: CD = cesarean delivery; ERCD = elective repeated cesarean delivery; TOLAC = trial of labor after cesarean delivery; VBAC = vaginal birth after cesarean.
a.
“Final decision regarding mode of delivery”/“Final mode of delivery.”