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"I did it": a phenomenological study of women's experiences of midwife-supported vaginal birth after cesarean sections in South Korea.

Created on 12 Oct 2026

Authors

Uri Bang, Hyun Kyoung Kim

Published in

Women's health nursing (Seoul, Korea). Volume 32. Issue 3. Pages 205-217. Epub Sep 29, 2026.

Abstract

This study explored the meaning of women's choices regarding mode of birth and the birth experiences of women in the Republic of Korea who had a vaginal birth after cesarean (VBAC) within the previous 3 months.
This descriptive phenomenological study used Colaizzi's framework. Nine postpartum women who had experienced midwife-supported VBAC at three obstetric hospitals in Seoul were recruited through purposive sampling. Data were collected through in-depth interviews from March 1, 2025, to May 7, 2026. Each participant completed a videoconference interview, and two participants completed an additional telephone interview. Data were analyzed using Colaizzi's seven-step method, including extraction of significant statements, formulation of meanings, organization into themes, and member checking of the essential structure.
Three categories and 12 theme clusters were identified: "Trauma and lasting impressions of cesarean delivery," "Motives and barriers affecting VBAC decisions," and "Supportive relationships and transformation of the birth experience." Respect for autonomy, a positive birth environment, and family support helped transform birth from an experience of alienation to one of participation. The statement "I did it" expressed a sense of accomplishment and recovery of the agency participants felt they had lost during previous births.
This study suggests that, for these participants, VBAC involved more than a choice of mode of birth; it was experienced as a process of rewriting the birth narrative and recovering agency and self-efficacy. These findings may inform midwives and nurses seeking to understand and support the psychosocial experiences of women pursuing VBAC.

PMID:
42860283
Bibliographic data and abstract were imported from PubMed on 12 Oct 2026.

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