Cognitive factors related to childbirth and their effect on women’s delivery preference: a comparison between a private and public hospital in Tehran

Sg, ChoobMasjedi; Hasani, Jafar; khorsandi, mahboobeh; Ghobadzadeh, Maryam

doi:10.26719/2012.18.11.1127

Cited by 7 publications

(5 citation statements)

References 43 publications

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“…Also, regarding postpartum care, the information was not conveyed to them, and this contributed to anxiety and depression, leading to preference to caesarean delivery. This result agrees with similar cognitive factors related to childbirth and their effects on women's delivery preference, that was taken in Tehran [44].…”

Section: Actual Experience Of Caresupporting

confidence: 91%

Perceptions and Experiences of New Mothers Diagnosed With Tokophobia; Regarding the Quality of Maternal Healthcare Services in Public Hospitals: A Qualitative Study

Onchonga

Keraka

MoghaddamHosseini

et al. 2021

Preprint

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Background: Quality of maternal care offered in hospitals significantly determines the health outcomes of expectant women and their newborns. The study aimed at understanding the perceptions and experiences of new mothers diagnosed with tokophobia; regarding the quality of maternal services offered in public hospitals in Kenya.Methods: This was a qualitative study consisting of in-depth interviews with 29 women who had given birth recently in a referral hospital in Kenya; and had been screened and found with high fear of childbirth at 22 weeks’ gestation period. The framework for assessing the quality of care of institutional maternity services developed by the University of Southampton was adopted in this study. Thematic analysis was used in this study. Results: The identified challenges were categorized into two: the provision of care and the actual experience of care. In the provision of care, there were perceptions and experiences relating to human and physical resources, inadequate referral systems, and inadequate management of emergencies. In regards to the actual experience of care, there were perceptions and experiences relating to inadequacies in human and physical resources, lack of cognition, lack of respect, dignity and equity, and inadequacies in emotional support.Conclusion: The study identified systemic challenges related to the provision of maternal care and actual experience of care contributing to tokophobia. In this regard, there is a need to judiciously analyze all the critical steps identified in the framework for assessing the quality of maternal care, as this will reduce the intangible challenges identified in this study.

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Section: Actual Experience Of Caresupporting

confidence: 91%

Perceptions and Experiences of New Mothers Diagnosed With Tokophobia; Regarding the Quality of Maternal Healthcare Services in Public Hospitals: A Qualitative Study

Onchonga

Keraka

MoghaddamHosseini

et al. 2021

Preprint

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“…Additionally, other studies have supported that the women were afraid of pain, inadequate support, losing control and any harmful effects labor may have on their body. [39,[51][52][53] Regarding prevalence of fear among pregnant women, the present study indicated that about half of pregnant women had high fear. The factors for higher levels of fear and higher prevalence in nulliparous women might be associated with the uncertainty of delivery, or because these women are dealing with a great life transition (physically, psychologically and socially) to be a mother.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

El-Aziz

Mansour

Hassan

2016

JNEP

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Background and objective: Childbirth fear is a major problem for women, as it results in avoidance of maternity, women & fetal stress and raise in women requests for cesarean delivery. The aim of this study is to investigate factors associated with fear of childbirth (FOC), and its effect on women's preference for elective cesarean section (CS). Methods: Design: Cross sectional descriptive design. Setting: Study conducted at five obstetrical and gynecological private clinics in El-Mahalla El-Kobra city. Subjects: A purposive sample consisted of 205 pregnant women selected according to the inclusion and exclusion criteria. Tools: Three tools were used for data collection (Structured Interview Questionnaire, Melender (2002) Questionnaire to measure childbirth fear associated factors and Childbirth Attitudes Questionnaire). Results: Revealed that 47.8% of pregnant women preferred elective CS. Fear of vaginal birth, safer mode for the baby, no influence on postpartum sexual life and pain associated with delivery were the most reasons for CS preference. Childbirth factor was the highest factor associated with FOC with mean ± SD 12.439 ± 3.949. Fear of pain, episiotomy and lacerations were the highest sub factors representative for childbirth factor (89.3%, 83.9%, and 82.4% respectively). The highest cause of FOC was negative mood with mean ± SD 13.302 ± 3.500. 50.0% of pregnant women with high FOC preferred CS. Conclusions and recommendations: Childbirth factor was the highest factor associated with FOC. Fear of pain, episiotomy and lacerations were the highest sub factors representative for childbirth factor associated with FOC. Pregnant women with high fear of childbirth preferred cesarean section. Recommendations: Undertaking information, education and communication programs to increase awareness of the women, husbands, health providers and society about childbirth fear and its effect on cesarean section preference in order to decrease elective cesarean section rate.

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“…However, the present study included private hospitals where the likelihood of maternal preferences is acknowledged. Studies conducted in Brazil and Iran suggested that women’s preferences in delivering through CS are higher in private hospitals [29, 30]. The other possible justification would be that Dessie Hospital (the only referral hospital in the catchment population of seven million) receiving referred complicated cases from surrounding health facilities.…”

Section: Discussionmentioning

confidence: 99%

Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia

et al. 2019

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Background One of the key strategies for reducing maternal and perinatal morbidities and mortalities is the provision of skilled intrapartum care. While cesarean section is an important emergency obstetric intervention for saving the lives of mothers and newborns, a study comparing the prevalence of cesarean delivery is not sufficiently available in Ethiopia. This study aimed at assessing the prevalence and associated factors of cesarean delivery among women who gave birth at hospitals in Dessie town, Northeast Ethiopia. Methods A facility based cross-sectional study was conducted between July and October 2013. A total of 520 women who gave birth in four hospitals (public = 1, private = 3) were interviewed. Face-to-face interviews using a pre-tested and structured questionnaire were conducted for primary data collection. Additionally, patients’ charts were reviewed to collect mothers’ clinical data. Bivariate and multiple logistic regressions analyses were conducted. Odds ratios and 95% confidence intervals were computed and a P-value of less than 0.05 was taken to declare the level of significance. Results A total of 512 mothers were included in the final analysis (response rate = 98.4%), the prevalence of cesarean delivery was found to be 47.6% (95% CI: 44.3, 51.1), While 46 (18.2%) of the procedure conducted in public and 198 (76.1%) were in private hospitals. Partograph monitoring [AOR = 3.84 95%CI: 2.24, 6.59], oxytocin administration [AOR = 4. 80 95%CI: 2.87–8.02], previous cesarean delivery [AOR = 2. 86 95%CI: 1.64–5.01] and place of delivery being a private hospital [AOR = 6. 79 95%CI: 4.18–11.01)] were associated with cesarean delivery. Conclusion The prevalence of cesarean delivery was found to be high, and was significantly higher in private hospitals than a public facility. There is a need to conduct cesarean delivery audits to appropriately utilize scarce resources. Further an in-depth exploration of the experiences of women with cesarean delivery is necessary.

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Cognitive factors related to childbirth and their effect on women’s delivery preference: a comparison between a private and public hospital in Tehran

Cited by 7 publications

References 43 publications

Perceptions and Experiences of New Mothers Diagnosed With Tokophobia; Regarding the Quality of Maternal Healthcare Services in Public Hospitals: A Qualitative Study

Perceptions and Experiences of New Mothers Diagnosed With Tokophobia; Regarding the Quality of Maternal Healthcare Services in Public Hospitals: A Qualitative Study

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia

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