The burden of caesarean section refusal in a developing country setting

Chigbu, Chibuike O.; Iloabachie, G.C.

doi:10.1111/j.1471-0528.2007.01440.x

Cited by 69 publications

(103 citation statements)

References 12 publications

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“…The fear is majorly as a result of death of a close relative during caesarean section, past unpleasant experiences in previous caesarean sections and unpleasant stories from other women. 8 Our study also shows that 82.0% refuse CS due to family preference to vaginal delivery. This negative acceptance may be due to ignorance and poor educational background.…”

Section: Discussionsupporting

confidence: 55%

“…This finding agrees with Chigbu and Iloabachie who stated that one of the reasons given by women for turning down caesarean section was the desire to experience vaginal delivery. 8 Myles also stated that they feel disappointed not to have experienced a normal delivery and they do not enjoy the accompanying sense of achievement. 3 The study revealed that knowledge and perception of pregnant women towards caesarean section is negative/low with 73% considering CS as dangerous and 63% unaware that a vaginal birth is still possible after CS.…”

Section: Discussionmentioning

confidence: 99%

“…This is in line with the findings of Chigbu and Iloabachie which revealed that family economic pressure in a country with average monthly salary of 58 US dollars would make acceptance of CS difficult. 8 Findings also revealed that the group of respondents who have experienced caesarean section have a more positive perception towards caesarean section than the group that have not experienced caesarean section. The negative perception of pregnant women that had no experience of caesarean section in Edo state, maybe attributed to the wrong perception that caesarean section is an indication of reproductive failure, which agrees with Osula that women may consider caesarean section as mutilation of their body as well as a sign of reproductive failure.…”

mentioning

confidence: 88%

“…1,3,4 The rate of C/S in developed countries are increasing as there has been a higher rate of acceptability over time while developing countries are struggling with the issue of non-acceptance of C/S even in the face of inherent danger/risk. 5 This negative perception has led to underutilization of the procedure. Due to the current safety of the procedure for both the mother and baby, the rates of C/S in developed nations like in North America and Europe has been increasing with the 6 Birth rates via CS vary considerably across Europe, ranging from an average of 15% in Norway and the Netherlands, 17% in Sweden and Finland and increasing to 37.8% in Italy.…”

Section: Introductionmentioning

confidence: 99%

“…10 Women turn down caesarean section for various reasons which includes: maternal fear of death during surgery based on death of close relatives, past unpleasant experiences in previous caesarean sections and unpleasant stories that they had heard from other women, desire to experience vaginal delivery, perception that caesarean section was an indication of reproductive failure, economic factor, inadequate counselling in the course of antenatal care, complaints of uncaring or casual attitude of the doctors when giving the information, religious belief in prophecies given that one would have a normal delivery. 8 This study therefore aimed at identifying the perception of pregnant women attending antenatal clinic in Edo state, Nigeria towards the acceptance of caesarean section.…”

Section: Introductionmentioning

confidence: 99%

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Perception of pregnant women towards caesarean section in Nigeria: a case study of a missionary hospital in EDO, Nigeria

Amiegheme

Adeyemo

Onasoga

2016

Int J Community Med Public Health

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INTRODUCTIONCaesarean section is a surgical procedure in which one or more incisions are made through a mother's abdomen (laparotomy) and uterus (hysterotomy) to deliver one or more babies, or to remove a dead fetus.1 It is one of the most important operations performed in obstetrics and gynaecology. Its life saving value to both mother and fetus has increased over the decades although specific indications for its use have changed. Its purpose of preserving the life of a mother with obstructed labour and delivering a viable infant from a dying mother have gradually expanded to include the rescue of the fetus from subtle dangers.2 If there are no complications, a vaginal birth is safer than a CS. Advantages of having a CS especially when it has been planned over the vaginal births includes: no contraction, minimized risk of prolapse, no vaginal injury and reduced bleeding while its disadvantages includes: increased cost, uterine rupture and increased probability of complications.Various factors such as: prolonged labour, foetal distress, cord prolapse, uterine rupture, placental problems like placenta praevia, placenta accreta, abnormal presentation ABSTRACT Background: The perception of pregnant women towards caesarean section (CS) even in the face of danger has been a major concern. The major objective of the study was to investigate the perception of pregnant women attending a missionary hospital in Edo state, Nigeria. A simple random sampling technique was used to select one hundred pregnant women from the antenatal clinic the hospital. Methods: Data were collected using a structured questionnaire and analyzed using descriptive statistics in form of frequency, percentages and tables, t-test and one way analysis of variance (ANOVA) at the significance level of 5%. Results: Findings revealed that perception of pregnant women towards caesarean sections is negative/low, 79% objected delivery via CS for fear of death while 82% objected due to family preference of vaginal delivery. 60% also objected because of the cost of undergoing CS. Findings further revealed that the group of respondents who have experienced caesarean section have a more positive perception towards caesarean section than the group who haven't. Conclusions: This study clearly indicate that there is a negative perception of pregnant women in this setting and majority of them were clearly adverse to CS. Educational level also significantly influences the perception of pregnant women towards caesarean section. It is therefore recommended that proper education of the masses be done so as to correct the wrong notions about caesarean section.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 88%