Table 1.
Phase 2 Theme | Phase 2 Quote | Examples of survey questions |
---|---|---|
Control - how ‘in control’ the woman felt over her decisions, choices and outcomes | “because I think apart from that I was in control the whole way. There was at no point somebody said to me, “No, you can’t do that, ... I think the continuity of care, having this same midwife for every single appointment, she stayed with me from the moment I laboured until I went to recovery and so that made a huge difference.” (Arabelle, PN, MGP). |
• Did you have a birth plan? • Did your maternity care provider support all of your birth plan? • Did you feel in control of your decision making? • MADM scores • Birth trauma questions |
Confidence - includes the woman’s belief in her ability to have a VBAC but also how confident she felt her health care provider was in her ability to have a VBAC | “I found it really encouraging that she’s, she agrees with me and she’s confident as well that I can get a relatively medicine free VBAC which is awesome because you don’t often get that from many other places, so that made me feel a bit better.” (Bianca, 38/40, PPM) |
• How confident did you feel in your body’s ability to have a VBAC? • Do you feel your maternity care provider was confident in your ability to have a VBAC during your pregnancy? • Do you feel your maternity care provider was confident in your ability to have a VBAC during labour and birth? • Did your maternity care provider think you should or should not schedule another caesarean? • MADM scores |
Relationship – how respected and supported she felt from her health care provider and the quality and continuity of that support | “I didn’t really have an appointment with my midwife as such, but I’ve been in contact with her quite a bit over the last 2 days and I’ve spoken to her for over 1/2 an hour today so in my eyes it’s pretty close to what you would do in an appointment anyway.” (Calista, 38/40, MGP) |
• On average, how long were your prenatal visits? • Did you experience any positive support from maternity care providers when planning a VBAC? • Did you feel that your primary maternity care provider protected you from negativity within the health care team due to your birth choices? • Did you receive any unhelpful or hurtful comments from a maternity care provider while planning a VBAC? • MORi scores |
Active labour - whether the woman was able to stay active in labour, including minimising interventions, and how this impacted her experience | “I had hot water like fall off on my back and that was really it. I kind of just used water for the most part, water and quietness” (Bianca, PN, PPM). |
• What position did you birth your baby? • How active were you in labour? • Did your maternity care provider encourage you to be active or vocal in labour? • When you were admitted to the hospital (or at home) and had your first internal vaginal exam, how many centimetres was your cervix dilated (opened)? • Did your maternity care provider try to induce your labour? |