Maternal autonomy on health in a community as assessed by signing of consent for caesarean section and its sociodemographic correlates

Enabudoso, Ehigha; Igbarumah, S

doi:10.3109/14767058.2012.668588

Cited by 5 publications

(13 citation statements)

References 14 publications

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“…Studies of women’s autonomy in developing countries first emerged in the context of reproductive health, women’s nutritional status and child health outcomes (immunization and nutrition) (Gage, 1995; Al Riyami et al ., 2004; Becker et al ., 2006; Acharya et al ., 2010; Thapa & Neihof, 2013). In contrast, few studies (Kritz & Makinwa-Adebusoye, 1999; Enabudoso & Igbarumah, 2012) have focused on women’s decision-making autonomy in the context of their own health care needs that are unrelated to reproductive health.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Women’s Health Care Decision-Making Autonomy: Empirical Evidence From Nigeria

Osamor

Grady

2017

J. Biosoc. Sci.

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Summary Women’s decision-making autonomy has been poorly studied in most developing countries. The few existing studies suggest that it is closely linked to women’s socio-demographic characteristics and the social settings in which they live. This study examined Nigerian women’s perceived decision-making autonomy about their own health care using nationally representative data from the 2013 Nigerian Demographic and Health Survey. The study sample consisted of 27,135 women aged 15–49 years who lived with their husbands/partners. Responses to questions about who usually makes decisions about the respondent’s health care were analysed. Factors associated with women’s health care decision-making were investigated using logistic regression models. Only 6.2% of the women reported making their own decisions about health care. For most women (61.1%), this decision was made by their husband/partner alone and 32.7% reported joint decision-making with their husband/partner. Factors independently associated with decision-making by the woman included: geographical region, rural/urban residence, age, education, religion, wealth index, occupation, home ownership and husband’s occupation. A strong association between women making their own health care decision was seen with region of residence (χ2 = 3221.48, p < 0.0001), even after controlling for other factors. Notably, women from the South West region were 8.3 times more likely to make their own health care decisions than women from the North West region. Factors that were significantly associated with joint health care decision-making were also significantly associated with decision-making by the woman alone. The study found that individual-level factors were significantly associated with Nigerian women’s decision-making autonomy, as well as other factors, in particular geographic region. The findings provide an important perspective on women’s health care decision-making autonomy in a developing country.

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Section: Discussionmentioning

confidence: 99%

Factors Associated With Women’s Health Care Decision-Making Autonomy: Empirical Evidence From Nigeria

Osamor

Grady

2017

J. Biosoc. Sci.

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“…The papers in this review suggest paternalism, cultural and gender norms all undermine women's voluntariness because they facilitate the transfer of women's decision‐making power from themselves to their husbands, families, and HCPs 22,25,27,31,32 . Women affected by these barriers were more likely to have a low level of education and therefore, more likely to receive partial disclosure of information from HCPs and to have husbands and family consent on their behalf 22–25 . As a result, women's low level of education, paternalism, and cultural and gender norms are barriers to all three of Beauchamp and Childress's domains of informed consent.…”

Section: Discussionmentioning

confidence: 99%

“…22 A southern Nigerian study found women without a tertiary education were more likely to hold the belief that men, as heads of families, should make the decision to have a CS on their behalf compared with women with a tertiary education. 23 Malawian and Tanzanian studies found women with low levels of education were uninformed about their rights and, therefore, expected…”

Section: Low Level Of Educationmentioning

confidence: 99%

“…Women's low level of education was the most commonly reported apparent barrier to informed consent identified in the included studies. [22][23][24][25] Time constraints and labor pain were reported as barriers to informed consent in the context of emergency CS, as any delay to CS could be life-threatening and women are likely to be in labor. 24,26 This is reflected by the qualitative findings that nonconsented emergency CS was common and women who underwent this procedure were more dissatisfied with the counseling they received compared with women who underwent planned CS.…”

Section: Afulani Et Al (2019)mentioning

confidence: 99%

“…22,25,27,31,32 Women affected by these barriers were more likely to have a low level of education and therefore, more likely to receive partial disclosure of information from HCPs and to have husbands and family consent on their behalf. [22][23][24][25] As a result, women's low level of education, paternalism, and cultural and gender norms are barriers to all three of Beauchamp and Childress's domains of informed consent.…”

Section: Barriersmentioning

confidence: 99%

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Counseling, informed consent, and debriefing for cesarean section in sub‐Saharan Africa: A scoping review

Faysal,

Penn‐Kekana,

Day

et al. 2023

Intl J Gynecology & Obste

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BackgroundCounseling as part of the informed consent process is a prerequisite for cesarean section (CS). Postnatal debriefing allows women to explore their CS with their healthcare providers (HCPs).ObjectivesTo describe the practices and experiences of counseling and debriefing, the barriers and facilitators to informed consent for CS; and to document the effectiveness of the interventions used to improve informed consent found in the peer‐reviewed literature.Search StrategyThe databases searched were PubMed, EMBASE, PsycINFO, Africa‐wide information, African Index Medicus, IMSEAR and LILACS.Selection CriteriaEnglish‐language papers focusing on consent for CS, published between 2011 and 2022, and assessed to be of medium to high quality were included.Data Collection and AnalysisA narrative synthesis was conducted using Beauchamp and Childress's elements of informed consent as a framework.Main ResultsAmong the 21 included studies reporting on consent for CS, 12 papers reported on counseling for CS, while only one reported on debriefing. Barriers were identified at the service, woman, provider, and societal levels. Facilitators all operated at the provider level and interventions operated at the service or provider levels.ConclusionsThere is a paucity of research on informed consent, counseling, and debriefing for CS in sub‐Saharan Africa.

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Informed Consent During Labour: Patient and Physician Perspectives

Smith

Levy

Yudin

2018

Journal of Obstetrics and Gynaecology Canada

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Maternal autonomy on health in a community as assessed by signing of consent for caesarean section and its sociodemographic correlates

Abstract: The level of maternal autonomy on reproductive health issues based on this simple survey is less than satisfactory. However, this study has provided baseline data for surveillance and follow-up studies of this important variable.

Cited by 5 publications

References 14 publications

Factors Associated With Women’s Health Care Decision-Making Autonomy: Empirical Evidence From Nigeria

Factors Associated With Women’s Health Care Decision-Making Autonomy: Empirical Evidence From Nigeria

Counseling, informed consent, and debriefing for cesarean section in sub‐Saharan Africa: A scoping review

Informed Consent During Labour: Patient and Physician Perspectives

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