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

Abstract

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.

Caesarean section delivery from maternal perspective: An exploratory study in Jordan

“…Most of the respondents didn't have clear knowledge if CS carries risks on the mother (34.7%), and about 31.6% of them thought that the CS carries no risks on mothers' health. Their knowledge about this issue was wrong as CS carries short‐ and long‐term risks on mothers' health 4,10,11 . In a population‐based study, the risk of severe postoperative bleeding is two to three times greater than normal delivery 12 .…”

“…The survey was developed in Arabic after reviewing related studies. 10,11 The questionnaire was divided into five sections as follows: the first section is demographic data, to allow examination of variability in responses according to participant characteristics including age, educational level, place of living, employment, parity, previous abortion and chronic diseases. Section two explored respondents' awareness about CS including the source of participant knowledge about CS.…”

The Bottlenecks in Translating Placenta-Derived Amniotic Epithelial and Mesenchymal Stromal Cells Into the Clinic: Current Discrepancies in Marker Reports

“…It is of importance to notice that preterm amniotic membrane could not be clinically used due to ethical and practical considerations. The amniotic membranes which could be used in the clinic need to be obtained from elective caesarian sections, which are referred to those caesarian sections that are not associated with any medical or surgical indications and have been conducted as per mother's request (Diema Konlan et al, 2019). Normal uncomplicated pregnancies usually reach term and thus preterm placenta of normal pregnancies are not accessible for clinical use.…”

Features of using accelerated rehabilitation protocols in obstetrics: literature review

“…Кесарево сечение сегодня самая частая, ежедневно выполняе мая операция, а гистерэктомия -одна из наиболее частых операций, ежегодно вы полняемых в гинекологической практике во всем мире [1,2]. Ежегодно в мире проводится около 18,5 млн операций кесарева сечения [3]. В Российской Федерации частота кесаре ва сечения достигает 29,3 % (2017), в Брази лии -57,8 %, в США -32,0 % от общего числа родов, причем ежегодно проводится более 1,27 млн таких операций [4][5][6].…”

“…За период 1990-2014 гг. в мире отмечен значительный скачок частоты кесарева се чения с 6,7 до 18,1 %, причем в отдельных странах с 3,1 до 45,8 %, средний показатель увеличения частоты операции в год -4,4 % [2,3,5]. В европейских странах этот показа тель за последние 20 лет вырос с 15 до 22 %.…”