BACKGROUND:
The global increase in caesarean section (CS) rates projected to reach 29% by 2030 poses clinical and systemic challenges. In Indonesia, the national CS rate reached 25.9% in 2023, with regional figures surpassing 30%. While Vaginal Birth After Caesarean (VBAC) is a proven and safe alternative for eligible women, it remains underutilized. Little is known about how Indonesian women approach the physical and emotional preparation for a planned VBAC, especially in a context where institutional support is limited.

OBJECTIVES:
This study aimed to explore how women in Indonesia prepare themselves for a planned VBAC, focusing on their strategies, motivations, and reflections on readiness.

METHODS:
A qualitative phenomenological design was adopted, drawing on the approach of Sundler et al. (2009). Eight women who had experienced successful VBACs within the past five years in Bekasi, West Java, were recruited through purposive sampling. In-depth, semi-structured interviews were conducted in Bahasa Indonesia. Data analysis followed a thematic coding process, with reflexive practices embedded throughout to ensure analytical integrity.

RESULTS:
Four core themes emerged from the women’s narratives: (1) maintaining balanced nutrition and body wellness; (2) using movement and positioning to support fetal alignment; (3) practising relaxation and mindfulness techniques; and (4) prioritizing routine antenatal monitoring. These strategies fostered a sense of agency, trust in their bodies, and psychological resilience throughout the pregnancy journey.

CONCLUSIONS:
Women preparing for VBAC emphasized the interplay of physical and mental readiness. Their experiences reflect the need for midwives and maternity providers to integrate personalised, supportive counselling into routine care.

KEY MESSAGE:
VBAC preparation is an intentional, empowering process. Health systems must recognize and reinforce women's autonomy through evidence-based, culturally attuned midwifery care. Poster session 1 (Group A)