What are VBAC Women Seeking and Sharing? A Content Analysis of Online Discussion Boards

Birth. 2015 Sep;42(3):277-82. doi: 10.1111/birt.12167. Epub 2015 May 29.

Abstract

Background: In the United States, one-third of pregnancies result in a cesarean delivery. In subsequent pregnancies, mothers must decide whether to pursue a vaginal birth after a cesarean (VBAC) or a repeat cesarean delivery. Pregnant women frequently turn to the Internet for support and information.

Methods: We analyzed 300 posts from a popular online discussion board created for pregnant women who are in the process of deciding to have a VBAC and compared them to 300 posts from a discussion board for pregnant women in general.

Results: Women contemplating a VBAC sought more information on health care providers, more information about labor and delivery, and actively sought birth narratives from other women. Over one-third of VBAC posters shared a birth story, whereas this activity was rare on the general discussion board. Activity on the VBAC board suggested more involvement in the online community (longer entries and more feedback).

Conclusions: Many women considering VBAC seek a substantial amount of information and emotional support from online discussion boards. Knowledge of information sought can assist health care providers in more fully meeting the needs of VBAC candidates.

Keywords: Internet; cesarean; content analysis; online discussion boards; pregnant women; vaginal birth after a cesarean.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cesarean Section / psychology*
  • Female
  • Humans
  • Information Seeking Behavior*
  • Internet
  • Labor, Obstetric
  • Pregnancy
  • Pregnant People / psychology*
  • Social Networking*
  • United States
  • Vaginal Birth after Cesarean / psychology*