Clinicians’ views regarding caesarean section rates in Switzerland: A cross-sectional web-based survey

Mauri, Fabio; Schumacher, Fanny; Weber, Marta; Gayet-Ageron, Angèle; Tejada, Begoña Martínez de

doi:10.1016/j.eurox.2023.100182

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…The postpartum period presents a critical juncture where women have the opportunity to reflect on their birthing experience, make sense of their emotions, and share their narratives [25][26][27]. By delving into the lived experiences and perspectives of these women, this research aims to shed light on various aspects investigating the extent to which women perceive cesarean sections as medically necessary, their emotional responses, social and cultural influences, birth preparedness and decision-making, and implications for maternal health, preferences, and decisions for future childbirth [28][29][30][31]. By unraveling the multifaceted perceptions towards cesarean sections among women who have experienced this mode of delivery in Nigerian health facilities, this study aims to contribute to the existing body of knowledge on maternal health, inform policy discussions, and ultimately enhance the quality of care provided to women during the perinatal period in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Exploring Perceptions of Cesarean Sections among Postpartum Women in Nigeria: A Qualitative Study

Michael,

Agbana,

Naidoo

2024

Women

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Cesarean sections have become increasingly common globally, including in Nigeria. This qualitative study explores the perceptions and experiences of postpartum women who underwent cesarean sections within the distinct contexts of Ibadan in Oyo State, Nigeria. In-depth interviews and focus group discussions were conducted with 24 postpartum women in selected health facilities in urban and rural areas. A diverse sample was purposively selected to capture a range of experiences based on age, residence, education, and cultural backgrounds. Thematic analysis was employed to identify patterns and themes within the data. The findings revealed diverse emotional responses among participants, ranging from relief and gratitude to disappointment and feelings of loss for not experiencing a vaginal birth. Societal pressures and cultural expectations played a significant role in influencing women’s perceptions and experiences of cesarean sections. Future childbirth preferences and support systems, including healthcare provider–patient relationships and community support, were identified as crucial factors impacting postoperative recovery. This study contributes to the understanding of women’s perceptions of cesarean sections within the local context of Ibadan, Nigeria. The findings underscore the importance of culturally sensitive healthcare practices, clear communication, and support systems to enhance the birthing experiences of women undergoing cesarean sections.

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Section: Introductionmentioning

confidence: 99%

Exploring Perceptions of Cesarean Sections among Postpartum Women in Nigeria: A Qualitative Study

Michael,

Agbana,

Naidoo

2024

Women

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Assessment of fetal resistance to hypoxia using the Stange test as an adjunct to Apgar scale assessment of neonatal health status

Shabanov,

Urakov,

Urakova

2024

Medical academic journal

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It has been established that the cause of biological death of fetuses in stillbirths and the cause of neonatal encephalopathies in live births is hypoxic brain cell damage in fetuses. Timely cesarean section remains the most effective way to preserve fetal life and health in the face of lethal intrauterine hypoxia. However, there is no universally recognized methodology for assessing fetal adaptation reserves to hypoxia and no methodology for selecting the type of delivery in order to perform a timely cesarean section if necessary. The Apgar score, which has been used since 1952, allows assessment of neonatal health at 1 and 5 minutes after birth, but this assessment is made without taking into account the health of the fetus before delivery. In recent years, it has been established that the outcome of fetal hypoxia is determined not only by its duration, but also by the amount of adaptive reserves available in the fetus to hypoxia. It was found that the duration of fetal immobility during apnea of a pregnant woman is an indicator of fetal resistance to hypoxia. In 2011, a method of assessing fetal resistance to intrauterine hypoxia based on the Stange test was developed in Russia. It has been found that the maximum duration of fetal immobility during maternal apnea is normally more than 30 seconds, while in the presence of fetal signs of fetoplacental insufficiency it does not reach 30 seconds, and in the presence of signs of severe fetoplacental insufficiency it does not reach 10 seconds. Therefore, it was proposed to consider good fetal resistance to hypoxia as an indication for vaginal delivery, and poor fetal resistance to hypoxia as an indication for cesarean section. A technique for assessing fetal resistance to hypoxia is described that has been developed for independent use by every pregnant woman. It is shown that it is sufficient for her to have a stopwatch and to be able to record the maximum period of fetal immobility during voluntary apnea. It is hoped that a measure of fetal resistance to hypoxia could be a meaningful complement to the Apgar score of neonatal health. It is envisioned that the use of a modified Stange test could help physicians prevent stillbirths and neonatal encephalopathies.

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Clinicians’ views regarding caesarean section rates in Switzerland: A cross-sectional web-based survey

Cited by 2 publications

References 30 publications

Exploring Perceptions of Cesarean Sections among Postpartum Women in Nigeria: A Qualitative Study

Exploring Perceptions of Cesarean Sections among Postpartum Women in Nigeria: A Qualitative Study

Assessment of fetal resistance to hypoxia using the Stange test as an adjunct to Apgar scale assessment of neonatal health status

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