Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction

Anjum, Sagheera; Husain, Ayesha; Naseem, Aliya

doi:10.36570/jduhs.2018.2.584

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…The overall status of women's involvement in shared decision-making among mothers was 135 (35.3%) with a mean of 3.62 with a std. deviation of 2.484. this nding is lower than the studies conducted in Sidama region public hospitals, south Ethiopia, Dar-ul-sehat Hospital, Karachi, and sub-Saharan Africa (27,29,31,32). this variation might be due to the difference between the study design, sample size, and sociodemographic status.…”

Section: Discussionmentioning

confidence: 59%

“…this variation might be due to the difference between the study design, sample size, and sociodemographic status. The variation might be due to sampling technique difference as a nonprobability type of purposive sampling was used -ul-Sehat Hospital, Karachi (29). it might be due to the difference in the educational status of the mother, a study conducted in Sub-Saharan Africa shows that the majority of the participants 65.4%of mothers' secondary school completed, were as in our study majority of the mothers were able to read, and write (43.5%) (32).…”

Section: Discussionmentioning

confidence: 99%

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Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

SEID,

yazie

2024

Preprint

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Introduction: - "Shared decision-making" refers to a collaborative approach to healthcare that elevates the bar for medical judgments. However, not much research has been done on Ethiopian women's involvement in shared decision-making after cesarean sections. Objective: Factors correlating to women's involvement in shared decision-making following cesarean sections in Amhara region referral hospitals, Ethiopia, 2023. Methods: The institutional-based cross-sectional study design was directed amongst participants who underwent a cesarean section at Amhara region referral hospitals from June 1 to 30, 2023. A total of 398 postnatal mothers were included through a systematic random sampling method. The files were composed of a semi-structured interview-guided questionnaire. After checking for completeness, data were coded and entered into EPI INFO version 7 and analyzed using SPSS version 23. Multivariable logistics regression analysis was used to identify factors associated with women's involvement in shared decision-making. Statistical significance was declared at a P-value of < 0.05. Result: Around, 382 women were included making a response rate of 95.97%. The overall prevalence of mothers' involvement in shared decision-making was (35.3%) with a mean of 3.62 and std. deviation of 2.484. %. respondents who had ANC contact4 and above (AOR=2.046, 95% CI: 1.19, 3.493), having information about shared decisions (AOR=2.34, 95% CI: 1.13, 4.83), and respondents who had information about cesarean section (AOR=7.9, 95% CI: 3.71, 17.19) were factors significantly associated with involvement in shared decision-making. Conclusion and recommendation: - when compared to other studies, the outcome of these investigations was low participation in decision-making had a significant impact on knowing about shared decisions and knowledge about cesarean sections. Consequently, it is critical to focus on raising women's understanding of shared decision-making to improve patient satisfaction and care quality. Referral hospitals and the Amhara Region health office collaborate to improve collaborative decision-making.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

SEID,

yazie

2024

Preprint

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“…This finding is inconsistent with studies conducted in Pakistan (92.5%) and Nigeria (88.4%). 4 , 28 This discrepancy could be related to the sample size, study settings, demographic characteristics, and sampling technique. Also, private tertiary care centres and women’s had better educational and economic statuses were included in Pakistan.…”

Section: Discussionmentioning

confidence: 99%

“…This result is different from research done in Pakistan. 28 This might be due to sampling technique, study area, and population; they used a non-probability convenience sampling technique and a tertiary private care centre.…”

Section: Discussionmentioning

confidence: 99%

Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study

Getu Wondimu,

Dadhi,

Gesisa

et al. 2023

IJWH

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Background A caesarean delivery without maternal involvement in decision-making reduces the quality of health care and breaks women’s autonomy. However, the involvement of women in decision-making to have a caesarean delivery is minimal. Still, now paternalism is widely practised. The study aims to assess women’s involvement in decision-making and associated factors among women who underwent a caesarean delivery. Methods Institutional-based cross-sectional study was conducted in Sidama region Public hospitals from June 22/2022-August 5/2022, among women who underwent a caesarean delivery. The total sample size was 457. The collected data was exported from the ODK toolbox server to excel and then to SPSS version 26 for further data cleaning and analysis. The variables with a p-value ≤ 0.25 in the bivariable analysis were included in a multivariable ordinal logistic regression model to control possible confounders. The resulting odds ratio and 95% confidence interval were computed, and a p-value of less than 0.05 is considered statistically significant. Results Women’s agreed decision-making involvement to have a caesarean delivery is 165(37.9%). Women who had an scheduled caesarean delivery [AOR: 7.6; 95% CI: 3.3, 17.8], had adequate information about caesarean delivery [AOR: 5.7; 95% CI:3.3, 10.0], had adequate time for decision-making [AOR: 4.6; 95% CI:2.09, 6.4], language of consent [AOR: 1.9; 95% CI: 1.2, 3.1], and women-healthcare providers relationship [AOR: 5.2; 95% CI: 3.2, 8.6]are higher odds of being involved in decision-making, but women’s being primary school [AOR: 0.53; 95% CI: 0.3,0.97] are lower odds of involvement in decision-making to have a caesarean delivery. Conclusion and recommendation In this study, women’s agreed decision-making involvement to have a caesarean delivery is low compared with other studies. Women-healthcare providers’ relationship and an unscheduled caesarean delivery are highly affect their involvement in decision-making. Therefore, hospitals should translate and prepare the consent form in an understandable way for women and families, and healthcare providers should develop good relationship and encourage her involvement.

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“…Satis ed mothers are more likely to adhere to obstetric and gynecological management, have a good attachment with their infant, participate actively in their care, use healthcare services in the future, and stick with a particular healthcare provider. Due to the woman's dissatisfaction with her birthing process, she may develop postpartum depression, negative emotions against the baby, breastfeeding problems, and subsequent undesired pregnancies(5) (6).…”

Section: Introductionmentioning

confidence: 99%

Maternal satisfaction with shared decision-making among women who underwent caesarean section in Sidama region South Ethiopia: Facility-based cross-sectional study

Wondimu,

Sisay,

Aga

et al. 2023

Preprint

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Background:- Maternal satisfaction with shared decision-making is one of the most important aspects of the healthcare delivery system that aims at providing quality services that meet the expectations of the mothers. In Ethiopia have been limited studies of maternal satisfaction with shared decision-making. Therefore, the study aims to explore maternal satisfaction with involvement in decision-making to identify the key influencing factors. Methods:- Facility-based cross-sectional study was conducted from June 01/2022-July 01/2022 in Sidama region Public Hospitals, among women who underwent a caesarean section. The total sample size was 416. A simple random sampling technique was used to select the study participant. Bivariate and multivariable binary logistic regression was carried out. The strength of the association of outcome and predictor variables was presented by crude and adjusted odds ratio at a 95% confidence interval. Variables with a p-value of < 0.05 were considered statistically significant. Result:-In this study, among total study participants, 174 (41.8%) respondents were satisfied with shared decision-making during a caesarean section. Urban residence [AOR 1.7 (95% CI: 1.02, 2.7)], explaining the procedure in the mother tongue [AOR 2.4 (95% CI: 1.5, 3.9)], provision adequate information [AOR 3.2 (95% CI: 1.87, 5.3)] and spent sufficient time with care providers [AOR 1.8(95% CI: 1.08, 2.9)]were positively associated with maternal satisfaction. Conclusion and recommendation:-Maternal satisfaction with shared decision-making are relatively low. Therefore, healthcare providers need to do more to increase mothers' satisfaction with collaborative decision-making during the procedure.

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Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction

Cited by 5 publications

References 10 publications

Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023

Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study

Maternal satisfaction with shared decision-making among women who underwent caesarean section in Sidama region South Ethiopia: Facility-based cross-sectional study

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