Maternal demand for cesarean section: perception and willingness to request by Nigerian antenatal clients

Okonkwo, Ngozi S.; Ojengbede, Oladosu; Morhason-Bello, Imran O.; Adedokun, Babatunde

doi:10.2147/ijwh.s10325

Cited by 32 publications

(27 citation statements)

References 25 publications

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“…[3][4][5] The reason for this marked increase has not been completely evaluated but the possible explanations are the use of electronic fetal monitoring which helps in early detection of fetal distress and results in increased number of caesarean section, increasing use of caesarean section for most of the breeches and practice of repeat caesarean section. [6][7][8] In this study, we intended to review the caesarean section LQFLGHQFH DQG SUR¿OHV RI WKH SDUWXULHQWV YLVLWLQJ DW Kirtipur Hospital.…”

Section: Introductionmentioning

confidence: 99%

Profile of Caesarean Section in Kirtipur Hospital

Pradhan¹,

Shrestha²,

Rajbhandari³

et al. 2014

Nepal j. obstet. gynaecol.

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Aims: 7KLV VWXG\ ZDV GRQH WR ¿QG RXW WKH LQFLGHQFH DQG RXWFRPH RI FDHVDUHDQ VHFWLRQV GRQH DW .LUWLSXU +RVSLWDOMethods: 7KLV ZDV D UHWURVSHFWLYH VWXG\ FRQGXFWHG IURP VW -DQXDU\ WR VW 'HFHPEHU &DVH ¿OHV RI SDWLHQWV who underwent caesarean section for various indications were analyzed for incidence, indication of caesarean section, booking status, parity, and maternal and fetal outcomes. Results: 2XW RI GHOLYHULHV Q KDG FDHVDUHDQ VHFWLRQ 0RVW RI WKH FDHVDUHDQ VHFWLRQ ZDV GRQH IRU IHWDO GLVWUHVV Q DQG RQ DFFRXQW RI SUHYLRXV KLVWRU\ RI FDHVDUHDQ VHFWLRQ Q 0DMRULW\ RI FDHVDUHDQ VHFWLRQ Q ZDV GRQH LQ DJH JURXS RI \HDUV $PRQJ WKHP Q ZHUH QXOOLSDURXV 7KHUH ZHUH Q ERRNHG FDVHV (PHUJHQF\ FDHVDUHDQ VHFWLRQV ZHUH SHUIRUPHG LQ Q FDVHV 0DWHUQDO PRUELGLW\ ZDV OHVV Q Conclusions:The study showed high rate of caesarean section. The most common indication was fetal distress. Post-operative complications and fetal outcome were within acceptable range..H\ZRUGV caesarean section; indication of caesarean section; maternal and fetal outcomes.

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Section: Introductionmentioning

confidence: 99%

Profile of Caesarean Section in Kirtipur Hospital

Pradhan¹,

Shrestha²,

Rajbhandari³

et al. 2014

Nepal j. obstet. gynaecol.

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“…[18] The strategies necessary for reducing maternal and perinatal mortality include adequate antenatal care and appropriate caesarean intervention as part of Comprehensive Emergency Obstetric Care (CEoC). [19,20] At MNH, there are no clear guidelines relating to indications for CS. This has led to subjective indications for CS, including prior recurrent fetal loss, history of infertility and in vitro fertilisation, meconium-stained liquor, and non-assuring fetal heart traces.…”

mentioning

confidence: 99%

Factors associated with women’s intention to request caesarean delivery in Dar es Salaam, Tanzania

et al. 2017

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Background. In the past decade, the rate of caesarean section (CS) has increased dramatically in many parts of the world. At Muhimbili National Hospital (MNH) there has been a dramatic rise in the caesarean section rate over the past decade. Objective. To determine the incidence of maternal request for CS and factors associated with intention to request caesarean section at the MNH antenatal clinic. Methods. We conducted a cross-sectional study from August to October 2014. A structured questionnaire gathered participants' background and obstetric information, perceptions and opinions regarding a request for caesarean section, and the respective reasons for the request. Confidence intervals were calculated and a p-value <0.05 was considered significant. Results. The incidence of CS on maternal request was about 6%. The intention to request for CS in the index pregnancy was 8%. Higher-level education and formal-sector employment had higher odds for requesting CS (p=0.01 and p=0.05, respectively). Half of the participants agreed that maternal request for CS should be allowed; more private patients agreed that it could affect the doctor-patient relationship (p=0.02); more private patients agreed that request for CS was due to fear of losing a child (p=0.03). Previous history of CS was an independent predictor of maternal request for caesarean section (OR 1.7; 95% CI 1.7-15.4) and (OR 5.8; 95% CI 1.6-20.1), respectively. Conclusion. Maternal requests for CS exist at the national referral hospital in Tanzania. This was associated with factors other than women's preferences, including perceived fear of child loss and events associated with previous CS.

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“…Compare to other facility users, most women who get THC services ask for MDCS to be granted but only a few were willing to ask for MDCS (6.6%) because 50% of those who asked for MDCS to be granted were not permitted by their husbands. In multiple logistic regression, compared to SHC or PHC, respondents at THC were significantly more likely to request cesarean section and to defend women's freedom to choose the way they like to give birth (Okonkwo, Ojengbede, Morhason-Bello, & Adedokun, 2012) .…”

Section: Relationship Between Mother's Demand and Delivery Of Caesarementioning

confidence: 97%

Correlation between mother’s demand and cesarean section delivery in Pku Muhammadiyah Hospital Bantul Yogyakarta

Mastina¹,

Kurniawati²

2019

Int. Journal Health Scie. Tech.

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World Health Organization (WHO) found the number of Cesarean Section delivery in the world at 25.7% in 2004-2008 which was 27.3% in Asia, 19.0% in Europe, 29.2% in Latin America and the highest number was in China at the rate of 46.2% (Wang, Hellerstein, Hou, Zou, Ruan, & Zhang, 2017). Rates determined by WHO for each country were 10-15% (WHO, 2015). WHO (2015) stated that the causative factor that can be delivered by Cesarean section is when vaginal delivery may have a risk to the mother and baby such as taking too much time for delivery and fetal disorders. Another cause was because of abnormal position. This study aims to determine the relationship between mother’s demand and Cesarean section delivery at PKU Muhammadiyah Hospital Bantul. The type of research used in this study is quantitative research with Cross Sectional approach using secondary data, namely medical record data of PKU Muhammadiyah Hospital Bantul in 2017. Chi-Square with P value 0.05 and CI 95% was used as data analysis. The bivariate results obtained were mother’s demand associated with delivery of Cesarean section with p value of 0.000 which means that the mother's demand had a significant relationship with the section Cesarean delivery. Based on the analysis of health technology assessment (HTA), the selection efforts at Cesarean section delivery were very beneficial for the mother and family, in terms of maternal health, economy and other factors.

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Maternal demand for cesarean section: perception and willingness to request by Nigerian antenatal clients

Cited by 32 publications

References 25 publications

Profile of Caesarean Section in Kirtipur Hospital

Profile of Caesarean Section in Kirtipur Hospital

Factors associated with women’s intention to request caesarean delivery in Dar es Salaam, Tanzania

Correlation between mother’s demand and cesarean section delivery in Pku Muhammadiyah Hospital Bantul Yogyakarta

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