Table 3.

The codes, sub-categories, categories and theme emerged from data analysis

Theme	Obstacle s to acceptance and committed actions
Category	Psychological barriers			Operational barriers
Sub-category	Sense of danger	financial displeasure	Negative attitude	Barriers to decision making	Indolence
Code	Fear of VBAC safety	Lack of financial motivation for the physician	Unpleasant caring environment	Lack of effective consultation	Looking for convenience of CS by the physician
	Fear of legal accountability	Lack of financial encouragement for midwife’s	Not important for patient safety	Lack of awareness	Refusing to take care of the mother
	Fear of uterine rupture	The cost is overshadowed by other issues(mother)	Poor VBAC outcome	Being affected by the cultural issues	Less time and energy expenditure
	Concern about health of the neonate	Imbalance between the energy spent and the money earned	Negative perspective towards normal childbirth	unconscious selection of the delivery mode	More comfortable for mother and her relatives
	Fear of death during VBAC		Challenging perspective on VBAC		Ease in scheduling CS
	Non-assurance of birth safety