Cesarean section on maternal request: the viewpoint of expectant women

Akintayo, Akinyemi A.; Ade-Ojo, Idowu Pius; Olagbuji, Biodun Nelson; Akin-Akintayo, Oladunni; Ogundare, O; Olofinbiyi, Babatunde Ajayi

doi:10.1007/s00404-013-3063-x

Cited by 18 publications

(28 citation statements)

References 16 publications

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“…As an interesting comparator, while most studies from Nigeria suggested that patients are not comfortable with CS a few articles from the same country documented the rise of cesarean delivery on maternal request (CDMR). In a study of just over 750 pregnant women, questionnaires were administered to evaluate women’s awareness of CDMR and willingness to request the procedure without the physician’s recommendation [ 58 ]. Author’s found that 6.4 % of patients reported willingness to request CS because they were motivated by fear of losing the fetus during labor and delivery, because they had had trouble conceiving, and because they were afraid of labor pains [ 58 ].…”

Section: Patient Opinionmentioning

confidence: 99%

Cesarean section in sub-Saharan Africa

Harrison

Goldenberg

2016

matern health, neonatol and perinatol

109

105

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Cesarean section is an essential maternal healthcare service. Its role in labor and delivery care in low- and middle-income countries is complex; in many low-resource settings it is underutilized in the most needy of populations and overused by the less needy, without clear methods to ensure that universal access is available. Additionally, even if universal access were available, it is not evident that these countries would have the capacity or the finances to appropriate meet demand for the procedure, or that patients would want to utilize the care. This review summarizes the literature and illustrates the complicated relationship that cesarean section, which is rapidly on the rise around the world, has with individuals, communities, and nations in sub-Saharan Africa.

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Section: Patient Opinionmentioning

confidence: 99%

Cesarean section in sub-Saharan Africa

Harrison

Goldenberg

2016

matern health, neonatol and perinatol

109

105

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“…It has become a public health concern in developed and developing countries (1)(2)(3). C-section refers to removing the fetus, placenta, and membranes by cutting the abdominal wall and uterus (4).…”

Section: Introductionmentioning

confidence: 99%

“…Planned or elective C-section is based on the * maternal request without medical reasons, according to the signs of labor, and is performed within the allotted time. Necessary JOHE, Spring 2014; 3 (2) C-section is performed after the onset of labor pains, when there is a lack of progress in labor by the assumption of the risk of damage to the fetus without any immediate threat. Emergency C-section is performed at the time of any immediate threat to the health of the mother or the fetus (5).…”

Section: Introductionmentioning

confidence: 99%

“…High incidence of C-section in Iran and its negative consequences in unnecessary cases indicated the importance of further studies on this health problem. Investigating the causes of C-section in order to identify the common unnecessary causes and form policies and JOHE, Spring 2014; 3 (2) interventions to reduce its prevalence is necessary. Therefore, this study was conducted with the aim to investigate the causes of Csections performed in Niknafs and Ali-Ibn Abi Talib Hospitals in Rafsanjan, Iran, in the second trimester of 2014.…”

Section: Introductionmentioning

confidence: 99%

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A survey on causes of cesarean sections performed at the university hospitals of Niknafs and Ali-Ibn Abi Talib of Rafsanjan, Iran, in the second trimester of 2014

Sardari

Torkashvand

Karami³

et al. 2014

JOHE

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Received: May 2015, Accepted: September 2015 Background: The increase in the prevalence of cesarean section (C-section) in recent decades has become a public health problem worldwide. Studies of cesarean section in order to identify the causes and form policies and interventions to reduce the incidence of this health problem are necessary. This study was conducted with the aim to investigate the causes of C-sections performed at Niknafs and Ali-Ibn Abi Talib Hospitals in Rafsanjan, Iran, in the second trimester of 2014. Materials and Methods:In this cross-sectional study, 560 pregnant women were selected from among those referred to Niknafs and Ali-Ibn Abi Talib Hospitals in the second trimester of 2014 for cesarean delivery. Information was collected using a researcher-made checklist through interviews with patients and reviewing medical records. Data were analyzed using chi-square or Fisher's exact tests, as required. Results: The mean and standard deviation of age of women was 29.46 ± 5.08 years and most of them (65.0%) were in the age range of 26-36 years and had a diploma (40.7%). Considering delivery history, the highest percentage of women had had a single delivery (38.9%) and over half of the subjects (52.9%) had experienced a previous C-section. The most common causes were repeated Csection (52.9%), elective C-section (on maternal request) (7.5%), meconial stained (6.1%), fetal distress (5.0%), and breech presentation (4.5%). Statistically significant associations were observed between C-section reasons, and age (P < 0.001), number of previous pregnancies (P < 0.001), and previous delivery method (P = 0.010). Conclusions: Repeated C-section, as the most common cause of cesarean, has had a major role in increasing cesarean. Vaginal delivery after cesarean, taking into account the clinical and legal circumstances and providing training programs to acquaint women to the negative consequences of Csection and vaginal delivery benefits would be effective in the choice of delivery and might help in reducing cesarean.

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“…По данным Akintayo A.A., Ade-Ojo I.P., Olagbuji B.N. et al (2013), 6,4% беременных, не имея медицинских показаний к абдоминальному родоразрешению, высказываются в пользу КС «по желанию» [23], не понимая всех возможных последствий данной операции для них и их будущего ребенка. И задача врача разъяснить беременной все возможные риски и последствия.…”

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Children after Caesarean section: how to improve their adaptation and reduce the risk of pathological conditions

2019

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In the article, the authors cite modern data on the frequency of Caesarean section in obstetric practice, report the peculiarities of adaptation of children born by Caesarean section surgery, which is characterized by a high frequency of borderline conditions, pathological loss of body weight, functional disorders of the gastrointestinal tract, higher morbidity in the subsequent period. In addition, the authors note that mothers of these children are more likely to have hypogalactia, which is largely responsible for impaired adaptation in infants and their transfer to artificial feeding. Referring to the published works, the authors offer various options to improve the process of adaptation in this contingent of children.

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Cesarean section on maternal request: the viewpoint of expectant women

Abstract: CSMR is an evolving entity in obstetrics practice in the developing countries. Delay in conception, fear of labor pain and loss of baby during labor appear to be strong motivations.

Cited by 18 publications

References 16 publications

Cesarean section in sub-Saharan Africa

Cesarean section in sub-Saharan Africa

A survey on causes of cesarean sections performed at the university hospitals of Niknafs and Ali-Ibn Abi Talib of Rafsanjan, Iran, in the second trimester of 2014

Children after Caesarean section: how to improve their adaptation and reduce the risk of pathological conditions

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