Caesarean Delivery: Why The Aversion?

Ezechi, Oliver; Fasubaa, Olushola B; Kalu, B E K; Nwokoro, C A; Obiesie, L O

doi:10.4314/tjog.v21i2.14494

Cited by 23 publications

(29 citation statements)

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“…This is expected as this represents the reproductive age group commonly seen in the antenatal clinics and it concurred with most studies used in this review [4][5][6][7][10][11][12][13][14][15]]. …”

Section: Discussionsupporting

confidence: 84%

“…In Nigeria, the CS rate from some tertiary institutions which serve as referral centers range from 20.8% to 34.5% [10][11][12], while CS rate in a private hospital in Lagos, Nigeria revealed a rate of 34.6% [13]. However, there is a broadly held belief that sub-Saharan African women have an aversion for CS delivery [14]. Some women see it as a failure or inability to deliver vaginally or as a threat to the family financial stability [15].…”

Section: Introductionmentioning

confidence: 99%

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WomenÂ’s Perception and Experience of Caesarean Delivery in Ogbomoso, Southwest Nigeria

Owonikoko¹

2015

J Preg Child Health

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

WomenÂ’s Perception and Experience of Caesarean Delivery in Ogbomoso, Southwest Nigeria

Owonikoko¹

2015

J Preg Child Health

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“…Many of them do not have designated delivery rooms and their clients are usually women of relatively low socio-economic and educational status [37]. While factors such as distribution of facilities, cost and quality of services are all relevant influences on women's choice of place of birth, some Nigerian women appear to prefer TBAs because they are said to 'never cut any woman open'; that is they are not associated with CS [21,24,38]. Furthermore, religious providers seem to be re-shaping the ANC and delivery landscape by promising outcomes based on 'faith' and 'divine protection' rather than on child birthing skills [39,40].…”

Section: Introductionmentioning

confidence: 94%

Socio-cultural factors, gender roles and religious ideologies contributing to Caesarian-section refusal in Nigeria

Ugwu¹,

Kok

2015

Reprod Health

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BackgroundThe death of women from pregnancy-related causes is a serious challenge that international development initiatives, including the Millennium Development Goals, have been trying to redress for decades. The majority of these pregnancy-related deaths occur in developing countries especially in Sub-Saharan Africa. The provision of Emergency Obstetric Care (EmOC), including Caesarean section (CS) has been identified as one of the key ingredients necessary for the reduction of high maternal mortality ratios. However, it appears that creating access to EmOC facilities is not all that is required to reduce maternal mortality: socio-cultural issues in Sub-Saharan countries including Nigeria seem to deter women from accepting CS. This study seeks to explore some of the socio-cultural concerns that reinforce delays and non-acceptance of CS in a Nigerian community.MethodsThis is a mixed method study that combined both qualitative and quantitative strategies of enquiry. The hospital’s delivery records from 2006–2010 provided data for quantitative analysis. This quantitative data was supplemented with prospective data collected during one month. Semi-structured interviews, focus group discussions (FGD) and informal observations served as the sources of data on the qualitative end.ResultsIn total, 22 % of maternity clients refused CS and more than 90 % of the CSs in the focal hospital were emergencies which may indicate late arrival at the hospital after seeking assistance elsewhere. The qualitative analysis reveals that socio-cultural meanings informed by gender and religious ideologies, the relational consequences of having a C-section, and the role of alternative providers are some key factors which influence when, where and whether women will accept C-section or not.ConclusionThere is need to find means of facilitating necessary CS by addressing the prevailing socio-cultural norms and expectations that hinder its acceptance. Engaging and guiding alternative providers (traditional birth attendants and faith healers) who wield much power in their communities, will be important to minimize delays and improve cultural acceptability of CS.

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“…In such situations, caesarean section provides an alternative route of delivery, which has been proven to be safe for both the mother and her infant [7]. Even though caesarean section has a higher risk of maternal morbidity and mortality when compared to vaginal delivery, this risk has been reduced to the barest minimum due to the evolution of safe surgical technique, safe and effective anaesthesia, as well as potent antibiotics and safe blood transfusion [8,9,10].…”

Section: Introductionmentioning

confidence: 99%

Motherhood Choices of women attending Antenatal Care in a Tertiary Level Hospital in the Niger Delta Region of Nigeria

Inyang-Etoh¹,

Umoiyoho²

2017

IOSR JDMS

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Caesarean Delivery: Why The Aversion?

Cited by 23 publications

References 0 publications

WomenÂ’s Perception and Experience of Caesarean Delivery in Ogbomoso, Southwest Nigeria

WomenÂ’s Perception and Experience of Caesarean Delivery in Ogbomoso, Southwest Nigeria

Socio-cultural factors, gender roles and religious ideologies contributing to Caesarian-section refusal in Nigeria

Motherhood Choices of women attending Antenatal Care in a Tertiary Level Hospital in the Niger Delta Region of Nigeria

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