“Pulling through”: Women’s experiences of vacuum‑assisted birth at a rural Tanzanian hospital—A qualitative study

Women's experiences of VAB were shaped by the quality of antenatal preparation, provider communication, respectful intrapartum care, and postpartum support. Embedding antenatal education, effective communication, shared decision-making, and postpartum debriefing into training and supervision may enhance acceptability and sustainable use of VAB in low-resource settings.