Few women wish to be delivered by caesarean section

Hildingsson, Ingegerd; Rådestad, Ingela; Rubertsson, Christine; Waldenström, Ulla

doi:10.1111/j.1471-0528.2002.01393.x

Cited by 240 publications

(194 citation statements)

References 17 publications

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“…The finding that 6.2% of unselected pregnant women stated a preference for CS is low but comparable to previous Scandinavian research [22,24,[26][27]. According to a review that included 38 studies worldwide (including few Asian and African studies), the overall pooled preference was 15.6% [28], with the highest rates in the Americas.…”

Section: Discussionsupporting

confidence: 77%

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

Ryding

Lukasse

Kristjansdottir

et al. 2016

Journal of Psychosomatic Obstetrics & Gynecology

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Introduction: The rate of cesarean section (CS) for non-medical reasons has risen and is a concern for health care. Women's preferences may vary across countries for psychosocial or obstetric reasons.Methods: A prospective cohort study of 6,549 women in routine antenatal care, giving birth in Belgium, Iceland, Denmark, Estonia, Norway or Sweden. Preference for mode of birth was self-reported in mid-pregnancy. Birth outcome data were collected from hospital records.Results: A CS was preferred by 3.5% of primiparous women and 8.7% of the multiparous women. Preference for CS was associated with severe fear of childbirth, with a negative birth experience in multiparous women, and with depressive symptoms in the primiparous. Women were somewhat more prone to prefer a cesarean in Iceland, OR 1.70(1.02-2.83), adjusted for age, education, depression, fear of childbirth, history of abuse, previous cesarean and previous negative birth experience. Out of the 404 women who preferred CS during pregnancy, 286 (70.8%) were delivered by CS, mostly for a medical indication. A total of 9% of the cesareans in the cohort had a non-medical indication only.Conclusions: Women's preference for cesarean section often seems to be due to health concerns. Both medical and psychological factors need to be addressed in antenatal counseling. Obstetricians need to convey accurately to women the risks and benefits of CS in her specific case. Maternity professionals should identify and explore psychosocial reasons for women's preferences.

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Section: Discussionsupporting

confidence: 77%

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

Ryding

Lukasse

Kristjansdottir

et al. 2016

Journal of Psychosomatic Obstetrics & Gynecology

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“…It influences daily life activities, the decision on a cesarean section delivery, and sometimes even the postponement of pregnancy (Melender, 2002;Hildingsson, Rådestad, Rubertsson & Waldenstrom, 2002;Bahl, Strachan & Murphy, 2004;Nilsson & Lundgren, 2009). During childbirth, fear leads to an increased perception of pain (Lang, Sorrell, Rodgers & Lebeck, 2006), potentially causing the woman to request an elective caesarean section (Saisto, Salmela-Aro, Nurmi, & Halmesmäki, 2001;Hildingsson et al, 2002;Saisto, & Halmesmäki. 2003;Bahl et al, 2004), prolong labour, and contribute to a negative birth experience and low satisfaction levels with childbirth (Larsen, O'Hara, Brewer, & Wenzel, 2001;Hildingsson et al, 2002;Johnson, & Slade 2002;Melender, 2002;Hofberg, & Ward, 2003;Saisto, & Halmesmäki, 2003;Wax Cartin, Pinette, & Blackstone, 2004;Waldenstrom, Lang et al, 2006;Hildingsson, 2008;Rouhe, Salmela-Aro, Halmesmäki, & Saisto, 2008;Nilsson & Lundgren, 2009;Fenwick, Gamble, Nathan, Bayes, & Hauck, 2009).…”

mentioning

confidence: 99%

The Fear of Childbirth: A Study in the North of Portugal

Prata¹,

Santos²,

Santos³

et al. 2016

European Proceedings of Social &Amp; Behavioural Sciences

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Childbirth is a universal phenomenon and a meaningful experience that has the potential to trigger developmental transitions, stress, anxiety and/or fear, which, at times, can negatively impact future childbirth experiences. An exploratory and descriptive study was conducted aiming to identify the levels of fear experienced by pregnant women associated with childbirth and their main causes. A convenience sample was selected. Data collection were carried out in an outpatient obstetric hospital in the northern region of Portugal, between July 2010 and July 2012. To evaluate the intensity of fear of childbirth a visual analogic scale of 10 points was applied. Interviews were conducted in order to identify the main causes of fear. Ethical approval and informed consent were obtained. Regarding the level of fear, the majority (98%) of pregnant women had fear of childbirth, 60.2% reported moderate fear and 28% intense fear. Anxiety, primiparity and lack of knowledge related to birthing were also found to increase the fear of childbirth. Some of the main causes of fear identified were: complications during childbirth; pain/suffering; not knowing how to cope with pain; not able to give birth; baby with malformation/disease and/or suffering. Most women feel moderate or intense fear of childbirth and this is associated to well identified causes with high impact on the woman and family. To minimize the effects of fear, an early intervention has to be considered, including childbirth education classes where nurses can address and work women's fear in order to minimize it and promote a more positive experience.

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“…CS on maternal request rose by 80 % between 1990 and 2001 but still only counts for a small percentage of the total number of CS (Kallén K et al 2005). In a Swedish study from 2002 with only Swedish speaking women only 8,2 % of these said they would prefer to be delivered by CS (Hildingsson I et al 2002). Thus, CS on demand does not seem to be the major explanatory factor for the increasing CS rate.…”

Section: Introductionmentioning

confidence: 93%

Attitudes towards mode of birth among Swedish midwives

et al. 2010

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Short running title: Attitudes towards mode of delivery2 Attitudes towards mode of delivery 2 Abstract Objective: To investigate midwives' attitudes and opinions on mode of delivery Design: Exploratory descriptive study. Data were collected via study specific questionnaires.Setting: South-eastern Sweden.Participants: All midwives working in two counties. Findings:Regardless of age, experience and working field the midwives considered a reasonable caesarean section (CS) rate to be around 11.5 %. None of the participants thought that the CS rate was too low. Midwives younger than 50 years of age tended to consider the current rate of CS to be too high (p = 0.059). Midwives working at a delivery ward stated that they thought the current CS rate was too high compared with midwives who worked at the antenatal care clinics (ACC) (p< 0. 001).Midwives working at a ACC agreed to the statements "One should agree to a woman's right to have an elective CS" (p<0.001) and "elective CS is the best choice for a woman with fear of delivery" (p = 0.046) to a higher degree than their colleagues at the delivery wards, no matter of age or working experience. Key conclusions and implications for practice:Midwives in the ACC setting are more willing to accept CS at the woman's request and for women with fear of delivery. It is of importance that ACC caregivers and the professionals at the delivery ward increase their collaboration with one another in an attempt to reach a consensus. 3Attitudes towards mode of delivery 3

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Few women wish to be delivered by caesarean section

Abstract: Relatively few women wish to have a caesarean section when asked in early pregnancy, and these women seem to be a vulnerable group.

Cited by 240 publications

References 17 publications

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

The Fear of Childbirth: A Study in the North of Portugal

Attitudes towards mode of birth among Swedish midwives

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