Vaginal birth after caesarean (VBAC) is a safe option for most women. In the UK, just over 50% of women with a previous caesarean section opt for a VBAC and repeat caesarean is one of the four main causes of the rising caesarean rate. It is therefore important to review the literature in order to explore the factors which influence women's decision-making, which may increase normal birth rates. A literature search was conducted using of primary, qualitative, peer reviewed, English language research papers. Nine primary research studies were found. The influence of women's beliefs about birth, as well as the attitudes of health professionals were identified as the main factors that influence women's decision-making with regards to VBAC. It is important for practitioners to reflect on their own way of communicating with women about VBAC to increase perceived supportiveness and women's autonomy. Further research is required to better understand the psycho-social aspects of decision-making. Knowledge of the themes identified in the review will give health professionals an insight into the inner ‘lived’ experience of women making decisions regarding VBAC, increasing their awareness of their potential influence on a woman's final decision when planning her birth. The factors found may also be able to be applied to other areas of women's decision-making in maternity care.

Lucy Tolmacheva - Midwife, Homerton University Hospital NHS Foundation Trust, London