‘A caesarean section is like you've never delivered a baby’: a mixed methods study of the experience of childbirth among French women

Schantz, Clémence; Pantelias, Anne-Charlotte; Loenzien, Myriam de; Ravit, Marion; Rozenberg, Patrick; Louis-Sylvestre, Christine; Goyet, Sophie

doi:10.1016/j.rbms.2020.10.003

Cited by 10 publications

(19 citation statements)

References 31 publications

(34 reference statements)

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“…Finding 1: Deep rooted fears regarding vaginal birth (High confidence). Some women experienced strong fear of pain and injuries to the mother and child during labor and birth [24,29,30,33,36,41,49,50,52,55,[58][59][60][61]65,[67][68][69][70][71][72]74]. It was described consistently as a reason for CS on maternal request.…”

Section: Summary Of Main Findingsmentioning

confidence: 99%

“…Finding 4: Vaginal birth is the natural way to give birth (High confidence). There was a strong conviction among women who preferred vaginal births that this was the natural way to give birth after a normal pregnancy and that this is the way the bodies were designed [35,38,39,43,44,48,53,59,62,63,66,67,71,72]. Moreover, discomfort was considered as part of becoming a mother, and although most women desired minimal pain, they also welcomed this sensation as a unique and intrinsic part of being a mother.…”

Section: Plos Onementioning

confidence: 99%

“…Considering perceived positive outcomes related to vaginal birth, women preferring vaginal birth believed that by not interfering with nature, they would have a quick recovery thereby avoiding postsurgical complications and becoming self-sufficient faster after birth [32,34,44,48,53,57,65,67,72].…”

Section: Plos Onementioning

confidence: 99%

“…Among positive health consequences, vaginal birth was perceived to be good for mother's health [31,32,72,41,46,50,52,55,57,58,64]. It was considered that the process of vaginal birth provides benefits to women's body.…”

Section: Plos Onementioning

confidence: 99%

“…Positive health consequences were also considered for baby's health [31,46,50,55,63,72]. Some studies described women considerations regarding the benefits of vaginal birth for babies.…”

Section: Plos Onementioning

confidence: 99%

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Do women prefer caesarean sections? A qualitative evidence synthesis of their views and experiences

Colomar¹,

Opiyo

Kingdon

et al. 2021

PLoS ONE

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Background Caesarean sections (CS) continue to increase worldwide. Multiple and complex factors are contributing to the increase, including non-clinical factors related to individual women, families and their interactions with health providers. This global qualitative evidence synthesis explores women’s preferences for mode of birth and factors underlying preferences for CS. Methods Systematic database searches (MEDLINE, EMBASE, CINAHL, PsycINFO) were conducted in December 2016 and updated in May 2019 and February 2021. Studies conducted across all resource settings were eligible for inclusion, except those from China and Taiwan which have been reported in a companion publication. Phenomena of interest were opinions, views and perspectives of women regarding preferences for mode of birth, attributes of CS, societal and cultural beliefs about modes of birth, and right to choose mode of birth. Thematic synthesis of data was conducted. Confidence in findings was assessed using GRADE-CERQual. Results We included 52 studies, from 28 countries, encompassing the views and perspectives of pregnant women, non-pregnant women, women with previous CS, postpartum women, and women’s partners. Most of the studies were conducted in high-income countries and published between 2011 and 2021. Factors underlying women preferences for CS had to do mainly with strong fear of pain and injuries to the mother and child during labour or birth (High confidence), uncertainty regarding vaginal birth (High confidence), and positive views or perceived advantages of CS (High confidence). Women who preferred CS expressed resoluteness about it, but there were also many women who had a clear preference for vaginal birth and those who even developed strategies to keep their birth plans in environments that were not supportive of vaginal births (High confidence). The findings also identified that social, cultural and personal factors as well as attributes related to health systems impact on the reasons underlying women preferences for various modes of birth (High confidence). Conclusions A wide variety of factors underlie women’s preferences for CS in the absence of medical indications. Major factors contributing to perceptions of CS as preferable include fear of pain, uncertainty with vaginal birth and positive views on CS. Interventions need to address these factors to reduce unnecessary CS.

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Section: Summary Of Main Findingsmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

“…Positive health consequences were also considered for baby's health [31,46,50,55,63,72]. Some studies described women considerations regarding the benefits of vaginal birth for babies.…”

Section: Plos Onementioning

confidence: 99%

See 3 more Smart Citations

Do women prefer caesarean sections? A qualitative evidence synthesis of their views and experiences

Colomar¹,

Opiyo

Kingdon

et al. 2021

PLoS ONE

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Womenʼs assessment of the quality of hospital‐based perinatal care by mode of birth in Romania during the COVID‐19 pandemic: Results from the IMAgiNE EURO study

Oțelea

Simionescu

Mariani

et al. 2022

Intl J Gynecology & Obste

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Objective: To assess women's perceptions of the quality of maternal and newborn care (QMNC) received in hospitals in Romania during the COVID-19 pandemic by mode of birth. Methods:A validated anonymous online questionnaire based on WHO quality measures. Subgroup analysis of spontaneous vaginal birth (SVB), emergency cesarean, and elective cesarean and multivariate analyses were performed, and QMNC indexes were calculated. Maternal age, educational level, year of birth, mother born in Romania, parity, type of hospital, and type of professionals assisting the birth were used for multivariate analysis.Results: A total of 620 women completed the survey. Overall, several quality measures suggested gaps in QMNC in Romania, with the lowest QMNC indexes reported for provision of care and availability of resources. Women who had either elective or emergency cesarean compared with those who had SVB more frequently lacked early breastfeeding (OR 2.04 and 2.13, respectively), skin-to-skin contact (OR 1.73 and 1.75, respectively), rooming-in (OR 2.07 and 1.96, respectively), and exclusive breastfeeding at discharge (OR 2.27 and 1.64, respectively). Compared with elective cesarean, emergency cesarean had higher odds of ineffective communication by healthcare providers (OR 1.65), lack of involvement in choices (OR 1.58), insufficient emotional support (OR 2.07), and no privacy (OR 2.06). Compared with other modes of birth, a trend for lower QMNC indexes for emergency cesarean was observed for all domains, while for elective cesarean the QMNC index for provision of care was significantly lower. Conclusion: Quality indicators of perinatal care remain behind targets in Romania, with births by cesarean the most affected. ClinicalTrials.gov identifier: NCT04847336 | 127 OTELEA et al.

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Reasons for rejecting hormonal contraception in Western countries: A systematic review

Guen

Schantz

Régnier‐Loilier

et al. 2021

Social Science & Medicine

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‘A caesarean section is like you've never delivered a baby’: a mixed methods study of the experience of childbirth among French women

Cited by 10 publications

References 31 publications

Do women prefer caesarean sections? A qualitative evidence synthesis of their views and experiences

Do women prefer caesarean sections? A qualitative evidence synthesis of their views and experiences

Womenʼs assessment of the quality of hospital‐based perinatal care by mode of birth in Romania during the COVID‐19 pandemic: Results from the IMAgiNE EURO study

Reasons for rejecting hormonal contraception in Western countries: A systematic review

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