Table 2.

The Process of developing the main category

Code	Sub-category	Main Category
Nonattendance of supportive physicians Absence of attending physicians during childbirth Low number of physicians agreed with Vaginal Birth After Cesarean (VBAC) Lack of providing one-to-one midwifery care	Defective access to specialized services	The climate of restriction, fear and discourage
Lack of pay for performance Lack of incentive mechanisms Midwives’ poor motivation due to not being encouraged Not paying attention to patients’ satisfaction for encouraging birth staff	Insufficient encouragement system
The influence of culture of childbirth on pregnant women Medical staff as role model in choosing cesarean mode of delivery Cesarean as a symbol of higher socio-economic class Imagining cesarean as a norm due to its popularity	Modeling in cesarean section
Physician in the top of hierarchy for VBAC decision making Physician’s acceptance as the main condition Not assignment of VBAC responsibility to anyone by the physicians Dependence of VBAC rate to physicians’ performance Giving priority to the physicians to conduct VBAC	Physician-centeredness in VBAC
Escaping of health care providers from legal responsibilities Unclear legal responsibilities of providing VBAC services Lack of legal support in case of complications occurrence following VBAC	Fear of legal responsibilities
Acceptance of VBAC by mothers due to hospitals policy towards VBAC promotion VBAC as the current population policies, not as the mother’s choice Obligations of governmental hospitals to follow VBAC program	Imposed policies
Restriction of midwife’s role to contribute in decision about VBAC Low authority of midwives to make decision for VBAC Lack of good team collaboration in VBAC	The marginalization of midwives
Negative attitude of birth team Lack of adequate skills in relation to VBAC High workload due to lack of manpower or mismanagement	Unsupportive birth team