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Can I read Providers' perspectives on the vaginal birth after cesarean guidelines in Florida, United States: a qualitative study on EtoBox?
Providers' perspectives on the vaginal birth after cesarean guidelines in Florida, United States: a qualitative study by Kim J Cox is a Medicine article available to read on EtoBox.
What is Providers' perspectives on the vaginal birth after cesarean guidelines in Florida, United States: a qualitative study about?
## Background Women's access to vaginal birth after cesarean (VBAC) in the United States has declined steadily since the mid-1990s, with a current rate of 8.2%. In the State of Florida, less than 1% of women with a previous cesarean deliver vaginally. This downturn is thought to be largely related to the American College of Obstetricians and Gynecologists (ACOG) VBAC guidelines, which mandate that a physician and anesthesiologist be "immediately available" during a trial of labor. The aim of this exploratory qualitative study was to explore the barriers associated with the ACOG VBAC guidelines, as well as the strategies that obstetricians and midwives use to minimize their legal risks when offering a trial of labor after cesarean. ## Methods Semi-structured interviews were conducted with 11 obstetricians, 12 midwives, and a hospital administrator (__n__ = 24). Interviews were recorded and transcribed verbatim, and thematic analysis informed the findings. ## Results Fear of liability was a central reason for obstetricians and midwives to avoid attending VBACs. Providers who continued to offer a trial of labor attempted to minimize their legal risks by being highly selective in choos
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- Author
- Kim J Cox
- Publisher
- BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2393)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)