Preference of Birth Delivery Modes among Women Attending Antenatal and Postnatal Clinics in the Tamale Metropolis of Ghana

Walana, Williams; Acquah, Ekuban Kwabena; Ziem, Juventus B.; Vicar, Ezekiel Kofi; Acquah, Samuel; Muhiba, Abubakar Sidik; Dedume, Justus Bennett; Mashoud, Ibrahim Wunpini; Kolbilla, David Zawumya; Kampo, Sylvanus

doi:10.4172/2376-127x.1000297

Cited by 6 publications

(8 citation statements)

References 21 publications

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“…These women also perceived more barriers as having insurance coverage for VB in private hospitals (68%). This is consistent with the study in Ghana that showed that the most cited reasons given for their preference of vaginal delivery were rapid post-delivery recovery (11.6%), natural and safe (34.7%), simple and easy method (22.9%) [29] . Women who preferred CD believed that by preferring cesarean delivery, they would perceive less susceptibility to abdominal wound infection (87.8%) and long recovery time (97.5%).…”

Section: Discussionsupporting

confidence: 90%

“…Medical insurance coverage is an important factor that affects their decision (91.9%). A study in Ghana about the preference of birth delivery modes among women attending antenatal and postnatal clinics in the Tamale Metropolis of Ghana showed that women who preferred delivery by cesarean-section thought that CD enabled them to avoid the stress and the pain associated with vaginal delivery (Williams Walana et al, 2017). Another study in Turkey about fears associated with childbirth among nulliparous found that fear of labor pain direct women decision to select CD (Serçekuş P and Okumuş H, 2009).…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing the decision-making process regarding mode of delivery among women attending primary health care units in Ismailia district

Darwish¹,

Fiala²,

Refaat³

2019

Int. J. Adv. Community Med.

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Introduction: Women are responsible for taking a decision of choosing between vaginal and cesarean delivery method. There are various factors that play important roles in this selection. In this study, the Health Belief Model (HBM) is adopted to provide a clear theoretical basis for understanding the factors influencing women's delivery decisions. Methods: A cross-section study was carried out in Ismailia district, Egypt among women aged 19 to 49 years, attending the primary health care units for infant vaccination and who had birth within the previous three months. 360infants were selected randomly from those registered for vaccination in the district primary health care centers. Results: Out of 360 recruited women, 36 (37.8%) preferred to have a cesarean section delivery (CD) and 224 (62.2%) preferred to deliver their babies by vaginal delivery. The results show that the two groups of women were concerned about being pregnant at an advanced age, were worried about the health of newborn, abdominal scar, labor pain, anal/urinary incontinence, and perineum tearing, and perceived that CD needs to have medical insurance coverage. Conclusion:The data indicated that the constructs of the Health Belief Model: perceived susceptibility, benefits, perceived severity, and cues to action affect the decision that women make on their mode of delivery.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Factors influencing the decision-making process regarding mode of delivery among women attending primary health care units in Ismailia district

Darwish¹,

Fiala²,

Refaat³

2019

Int. J. Adv. Community Med.

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“…Other researchers have identi ed from the clinician's point of view what factors in uence the decision to perform caesarean section and found these to be the clinician's personal beliefs, health care systems factors and clinician's characteristics which includes con dence, skills and convenience [12]. On the other hand, in patient-initiated caesarean section, women make this decision based on maternal and infantrelated factors, social in uences, the certainty about the timing of the delivery, choosing a lucky day for baby birth and unpleasant experiences with previous vaginal delivery [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing decision-making to accept elective caesarean section in a hospital in Ghana: A descriptive cross-sectional study

Bam

Lomotey

Diji

et al. 2020

Preprint

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Background Elective caesarean section rates are on the rise and socioeconomic status, perceptions of safety, cultural and social influences are contributory factors. Inspite of the benefits of medically-indicated caesarean section, some women refuse this due to a complexity of factors. This study aimed at determining the factors that influence women to accept medically-indicated caesarean section in a district hospital in Ghana.MethodsA descriptive cross-sectional study was conducted among 163 purposively-sampled postnatal women in a hospital. A questionnaire was used for data collection after the women gave their consent to participate. Data was analyzed using SPSS version 25.0, Chi-square test was done to determine the association between the factors that facilitated respondents’ acceptance of caesarean section and the duration of decision-making. ResultsMajor factors influencing their decision-making process were support from their husbands/relatives (39.3%), their baby’s life being at risk (24.5%), history of previous caesarean section and knowledge about the procedure (19.6%). Age (R2 = 0.19, p< 0.001); previous caesarean section (R2 = 0.14, p<0.001) are the major predictors of the duration of the decision-making process.ConclusionMost women will make decisions to accept elective caesarean section within a week’s duration based on consultation with relatives. There is the need to involve relatives during the antenatal care period in order for younger women in particular to be readily supported to make the decision early to avoid any complications and allay their fears.

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“…The phenomenon of patient-initiated elective caesarean section is a touchstone for these trends of increasing maternal choice of birth [4]. An estimated 18.5 million caesarean sections are carried out annually in the world, and in 3.6% the procedure is performed without any medical or surgical indications [7]. The World Health Organization (WHO) recommends caesarean delivery rates should not exceed 10-15%.…”

Section: Introductionmentioning

confidence: 99%

“…Increases in cesarean sections worldwide have been well documented over the past two decades [4]. The increasing trend of CS has generated much controversy regarding the causes of such tendency [7].…”

Section: Introductionmentioning

confidence: 99%

Reasons for Women’s Choice of Elective Caesarian Section in Duayaw Nkwanta Hospital

Konlan

Baku

Japiong

et al. 2019

Journal of Pregnancy

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Background. Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child and in turn reduce maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. This study identified the factors that influence women’s choice of elective cesarean sections in the Duayaw Nkwanta Hospital. Methodology. This study used descriptive cross-sectional survey method to collect data from 78 post-caesarean section women above age 18 years. A whole population sampling method was used to trace respondents to their homes to administer a pretested questionnaire. Data was double-entered into Microsoft Excel spreadsheet, compared, cleaned, and transported to Statistical Package for Social Sciences (SPSS) version 21. Data was analyzed using descriptive statistics with a Pearson correlation test. Results. Post-caesarean section women (37.2%) indicated CS is a pain-free method of birth while 57.1% reported CS is safe for both mother and baby. Others (28.2%) chose CS based on a friend’s advice and 19.2% on religious advice. The relationship between age of respondents and the number of times of having CS showed a weak positive correlation (r= .170, N= 78, p≤0.136, two-tailed test). There was a significant positive correlation between average monthly income of respondents and the number of times of having a CS birth (r= .320, N= 78, p≤ 0.004). Conclusion. It is imperative that there is heightened interest in educating mothers on associated benefit and risk of elective caesarean sections as a method of birthing by nurses and midwives in the antenatal clinics.

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Preference of Birth Delivery Modes among Women Attending Antenatal and Postnatal Clinics in the Tamale Metropolis of Ghana

Cited by 6 publications

References 21 publications

Factors influencing the decision-making process regarding mode of delivery among women attending primary health care units in Ismailia district

Factors influencing the decision-making process regarding mode of delivery among women attending primary health care units in Ismailia district

Factors influencing decision-making to accept elective caesarean section in a hospital in Ghana: A descriptive cross-sectional study

Reasons for Women’s Choice of Elective Caesarian Section in Duayaw Nkwanta Hospital

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