The Cesarean Decision Survey

Puia, Denise

doi:10.1891/1058-1243.22.4.212

Cited by 13 publications

(23 citation statements)

References 25 publications

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“…The results of this narrative analysis support findings from previous research that first-time mothers having a planned cesarean birth rarely did so because of maternal request (Kingdon et al, 2009;Robson, Tan, Adeyemi, & Dear, 2009;Thompson, 2010). Similar to a previous report (Puia, 2013a), the two women in this study that did request a cesarean believed they had medical concerns that warranted a cesarean birth. As was supported by earlier studies (Declerq, Sakala, Corry, Applebaum, & Herrlich, 2013;Fenwick, Staff, Gamble, Creedy, & Bayes, 2010;Kingdon et al, 2009;Puia, 2013a), the remaining nine participants in this study, all desired a vaginal birth, but felt compelled to have a cesarean birth due to the risks to the baby and/or physician recommendation.…”

Section: Theme 7: Outcomes Ties That Bindsupporting

confidence: 86%

First-Time Mothers’ Experiences of a Planned Cesarean Birth

Puia¹

2018

J Perinat Educ

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Even though a cesarean birth is planned, women may experience physical and psychological difficulties. This qualitative study explored the overall experience of first-time mothers having a planned cesarean birth, which was any cesarean in which the decision was made prior to the onset of labor or labor induction. Eleven primipara postpartum mothers shared their stories. Data were analyzed using Riessman’s method of thematic narrative analysis. Seven overarching themes revealed a need to accept a cesarean birth and create realistic expectations. Education and support specific to planned cesarean births need to be provided to the woman and her support person both before and after the birth. Realistic expectations will improve the adaptation process.

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Section: Theme 7: Outcomes Ties That Bindsupporting

confidence: 86%

First-Time Mothers’ Experiences of a Planned Cesarean Birth

Puia¹

2018

J Perinat Educ

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“…Anesthesia time: the time taken from transfer and immediate start of anesthesia to skin incision [13]. Operation time: the time taken from skin incision to delivery of the fetus [14]. DDI: The time from decision of C/S to fetal delivery [15].…”

Section: Operational Definitionmentioning

confidence: 99%

Evaluation of decision to delivery time interval and its effect on feto-maternal outcomes and associated factors in category-1 emergency caesarean section deliveries: prospective cohort study

Temesgen

Gebregzi

Kasahun

et al. 2020

BMC Pregnancy Childbirth

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Background: Category-1 emergency caesarean section delivery is the commonly performed surgical procedure in pregnant women associated with significant mortality and morbidity both in the mother and fetus. The decision to delivery time interval is recommended to be less than 30 min by the Royal College of Obstetricians and Gynecologists as well as the American College of Obstetricians and Gynecologists. This study was designed to evaluate the decision to delivery time interval and its effect on feto-maternal outcomes and the associated factors during category-1 emergency caesarean section deliveries. Method: A prospective observational cohort study was conducted from March to May 2018 at the University of Gondar Comprehensive Specialized Hospital obstetrics Operation Theater and postnatal ward. A total of 163 clients who were undergone category-1 emergency caesarean section were included in this study. Statistical analysis was performed using SPSS version 20 (IBM Corporate). Bivariate and multivariate logistic regression with a 95% confidence interval was used to determine the association of decision to delivery time interval with predictor variables and feto-maternal outcomes. Results: Only 19.6% of women had a decision to delivery time interval below 30 min. The average decision to delivery time interval was 42 ± 21.4 min, the average time from the decision of category-1 emergency caesarean section arrival to the operation theater was 21.58 ± 19.76 min and from theater to delivery of anesthesia was 11.5 ± 3.6 min. Factors that were associated with prolonged decision to delivery time interval were: time taken to collect surgical materials (AOR = 13.76, CI = 1.12-168.7), time taken from decision and arrival to the operation theater (AOR = 0.75, CI = 0.17-3.25) and time taken from arrival at the operation theater to the immediate start of skin incision (AOR = 0.43, CI = 0.28-0.65). Conclusion: Delivery was not achieved within the recommended time interval in the majority of category-1 emergency caesarean sections. The average decision to delivery time interval was longer than the recommended time but it did not affect feto-maternal outcomes.

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“…It is also a predictor of development of PTSD [ 27 ], which in turn can also have significant repercussions for infant mental health. Furthermore, an increase in caesarean births were associated with maternal requests [ 23 , 28 ]. Women who had previously given birth through caesarean section were more likely to prefer caesarean births again [ 23 , 28 ], even in the absence of any clinical reasons [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, an increase in caesarean births were associated with maternal requests [ 23 , 28 ]. Women who had previously given birth through caesarean section were more likely to prefer caesarean births again [ 23 , 28 ], even in the absence of any clinical reasons [ 23 ]. A review of literature by McCourt and colleagues have also found that aside from clinical reasons, the increase in caesarean births were related to psychological factors, (such as poor care, perceived inequalities in care, fear about giving birth), cultural and social factors (such as auspicious birth dates, association with higher social and economic status), and the perception that caesarean births are a safer option [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of a negative labour and birth experience based on a national survey of Canadian women

Smarandache

Kim

Bohr

et al. 2016

BMC Pregnancy Childbirth

113

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BackgroundA negative birth experience has been shown to have a significant impact on the well-being and future choices of mothers. The objective of this study was to assess the prevalence of, and identify the risk factors associated with a negative birth experience for women in Canada.MethodsThe study was based on secondary data analysis of the Maternity Experiences Survey (MES), a Canadian population database administered to 6,421 Canadian women in 2006. The examined outcome - negative birth experience – was derived from mothers’ self-report of overall labour and birth experience. Independent variables were maternal demographics, health characteristics, pregnancy-related characteristics, and birth characteristics. Multivariable logistic regression analysis was performed to determine the significant predictors of negative birth experience. Adjusted Odds Ratios (AOR) and 95 % Confidence Intervals (CI) are reported.ResultsNegative birth experience was reported among 9.3 % of women. The main significant predictors of a negative birth experience included older age (AOR 2.29, 95 % CI, 1.03–5.07), violence experienced in the past two years (AOR, 1.62, 95 % CI, 1.21–2.18), poor self-perceived health (adjusted OR, 1.95, 95 % CI, 1.36–2.80), prenatal classes attended (adjusted OR, 1.36, 95 % CI, 1.06–1.76), unintended pregnancy (adjusted OR, 1.30, 95 % CI, 1.03–1.63), caesarean birth (AOR, 1.65, 95 % CI, 1.32–2.06), and neonate admission to intensive care (AOR, 1.40, 95 % CI, 1.08–1.82).ConclusionSignificant predictors of a negative labour and birth experience were identified through this study, a first in the Canadian context. These findings suggest future research directions and provide a basis for the design and evaluation of maternal health policy and prevention programs.

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The Cesarean Decision Survey

Cited by 13 publications

References 25 publications

First-Time Mothers’ Experiences of a Planned Cesarean Birth

First-Time Mothers’ Experiences of a Planned Cesarean Birth

Evaluation of decision to delivery time interval and its effect on feto-maternal outcomes and associated factors in category-1 emergency caesarean section deliveries: prospective cohort study

Predictors of a negative labour and birth experience based on a national survey of Canadian women

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