Bhattacharya, Siladitya

Black, Mairead

McLernon, David

Whitelaw, Natalie

English

PubMed

Background: Repeat caesarean sections make a substantial contribution to the overall caesarean section rate. It is

important to understand what influences women to choose this option when the alternative of attempting vaginal

birth after caesarean section is available. As many such women use the internet while seeking information on their

options, the aim of this study was to assess content of websites on birth after previous caesarean and identify

website characteristics which predict content.

Methods: An internet survey of the forty eight most frequently encountered websites retrieved from a search using

various terms relating to birth after caesarean section via a popular search engine was performed. Websites were

assessed for their content supportive of either vaginal birth after caesarean (VBAC) or elective repeat caesarean

section (ERCS), using the RCOG patient information document, ‘Birth after previous caesarean; Information for You’

as a ‘gold standard’. A simple scoring method which categorised information into either supportive of VBAC (14

facts available) or ERCS (10 facts available) was employed and mean scores compared. Poisson regression analysis

was used to assess the extent to which the score was predicted by website funding source, country of origin,

author status and intended audience.

Results: A mean of 42.4% (SD 23.8) of facts supportive of VBAC and 44.8% (SD 25.0) of facts supportive of ERCS

were featured across the 48 websites, with corresponding scores in the five most frequently encountered websites

being 40.0% (SD 13.9) and 66.0% (SD 20.7). Extent of featured information supportive of ERCS was related to

country of origin with the UK having higher scores on average than the US.

Conclusions: Women searching for internet information on birth after previous caesarean are exposed to

incomplete information. Origin of website has a significant effect on website content

Online Research @ Cardiff

Internet information on birth options after caesarean compared to the RCOG patient information leaflet; a web survey

Natalie Whitelaw

Siladitya Bhattacharya

David McLernon

Mairead Black

Springer - Publisher Connector

Research Archive

Internet information on birth options after caesarean compared to the RCOG patient information leaflet : a web survey

file:///data/remote/core/dit/data/Springer-OA/pdf/48f/aHR0cDovL2xpbmsuc3ByaW5nZXIuY29tLzEwLjExODYvMTQ3MS0yMzkzLTE0LTM2MS5wZGY=.pdf

Internet information on birth options after caesarean compared to the RCOG patient information leaflet : a web survey

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Online Research @ Cardiff

Springer - Publisher Connector

Research Archive