The effect of caesarean section on self-esteem amongst primiparous women in South-Western Nigeria: A case-control study

Loto, Olabisi Morebise; Adewuya, Abiodun O.; Ajenifuja, Olusegun Kayode; Orji, Ernest O.; Owolabi, AT; Ogunniyi, Solomon O.

doi:10.1080/14767050902801660

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…This is against the backdrop of high aversion to cesarean sections and lower cesarean section rates 2,6,7. In addition, women in this region who have had previous cesarean delivery reportedly have poor self-esteem and cesarean sections are sometimes refused in emergency situations 8,9. It is thus an irony that MDCS is reported in this region.…”

Section: Introductionmentioning

confidence: 98%

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

Okonkwo

Ojengbede²,

Morhason-Bello³

et al. 2012

IJWH

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BackgroundContrary to the widely reported aversion to cesarean section in the West African subregion, maternal demand for cesarean section (MDCS) seems to be on the increase, and there is little evidence to explain this trend. The purpose of this study was to determine the perception and attitudes of Nigerian antenatal clients towards MDCS, their willingness to request MDCS, and the relationship between willingness to request MDCS and sociodemographic characteristics.MethodsA cross-sectional survey was undertaken among 843 antenatal clients at Agbongbon/Orayan primary health care centers (PHCs), Adeoyo Maternity Hospital (SHC), and UCH Ibadan (THC), representing the three different levels of health care in Nigeria, ie, primary, secondary, and tertiary.ResultsThe proportion of women aware of MDCS was 39.6%. Predictors of awareness were education and type of health facility. Women from THC and those with tertiary education and above were more likely to be aware of MDCS than others (P = 0.001). Doctors were major sources of information on MDCS (30.8%) as well as friends (24.3%). Common reasons reported for MDCS were fear of labor pains (68.9%), and fear of poor labor outcome (60.1%), and fear of fecal (20.2%) and urinary incontinence (16.8%). More women from the THC than other facilities believed that requests for MDCS should be granted (P < 0.001). However, willingness to request MDCS was low (6.6%). More than 50% of those willing to request MDCS would likely be criticized, mainly by their husbands. On multiple logistic regression, respondents at the THC were significantly more likely than those at the SHC or the PHCs to request cesarean section and to favor a woman’s right of autonomy to choose her mode of delivery.ConclusionThe decision for MDCS is a difficult one, because willingness is low and criticism by partners of those who choose MDCS is high. Provision of epidural anesthesia and improved safety of vaginal delivery is recommended. This may prevent Nigerian women from making a difficult choice for MDCS based on fear of pain and poor labor outcome. The role of the male partner should be taken into consideration in order to make sustainable policies or guidelines for MDCS in developing countries.

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Section: Introductionmentioning

confidence: 98%

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

Okonkwo

Ojengbede²,

Morhason-Bello³

et al. 2012

IJWH

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“…Three studies examined women's self-esteem and EmCS [32,55,56] with all studies reporting consistent findings. A cross sectional study reported that MoD influenced women's mood at one-month postpartum, with an item reading 'I am proud of myself', representing self-esteem, being more likely to have negative results for women with EmCS [32].…”

Section: Self Esteemmentioning

confidence: 77%

“…A cross sectional study reported that MoD influenced women's mood at one-month postpartum, with an item reading 'I am proud of myself', representing self-esteem, being more likely to have negative results for women with EmCS [32]. In two smaller Nigerian studies, women were more likely to report feelings of emotional vulnerability after delivery including feelings of failure, regret, and lower self-esteem [55,56].…”

Section: Self Esteemmentioning

confidence: 99%

Women's Psychosocial Outcomes Following an Emergency Caesarean Section: A Systematic Literature Review

2019

J Paediatrics Child Health

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Background: Given the sudden and unexpected nature of an emergency caesarean section (EmCS) coupled with an increased risk of psychological distress, it is particularly important to understand the psychosocial outcomes for women. The aim of this systematic literature review was to identify, collate and examine the evidence surrounding women's psychosocial outcomes of EmCS worldwide. Methods:The electronic databases of EMBASE, PubMed, Scopus, and PsycINFO were searched between November 2017 and March 2018. To ensure articles were reflective of original and recently published research, the search criteria included peer-reviewed research articles published within the last 20 years (1998 to 2018). All study designs were included if they incorporated an examination of women's psychosocial outcomes after EmCS. Due to inherent heterogeneity of study data, extraction and synthesis of both qualitative and quantitative data pertaining to key psychosocial outcomes were organised into coherent themes and analysis was attempted.Results: In total 17,189 articles were identified. Of these, 208 full text articles were assessed for eligibility. One hundred forty-nine articles were further excluded, resulting in the inclusion of 66 articles in the current systematic literature review. While meta-analyses were not possible due to the nature of the heterogeneity, key psychosocial outcomes identified that were negatively impacted by EmCS included post-traumatic stress, health-related quality of life, experiences, infant-feeding, satisfaction, and self-esteem. Post-traumatic stress was one of the most commonly examined psychosocial outcomes, with a strong consensus that EmCS contributes to both symptoms and diagnosis. Conclusions: EmCS was found to negatively impact several psychosocial outcomes for women in particular post-traumatic stress. While investment in technologies and clinical practice to minimise the number of EmCSs is crucial, further investigations are needed to develop effective strategies to prepare and support women who experience this type of birth.

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“…Notwithstanding the undeniable role of caesarian section in successful childbirth and the safety of the procedure in modern times, Nigerian women have developed aversion to caesarian section for various cultural reasons. Women with Previous caesarian delivery reportedly have poor self-esteem and caesarian section are sometimes refused in emergency situations [23].…”

Section: Aversion For Caesarean Sectionmentioning

confidence: 99%

Maternally requested caesarean delivery: Popularity amongst pregnant women at a South West Nigerian teaching hospital

Omotayo¹,

Logo²,

Adewale³

et al. 2021

Int. J. Sci. Res. Arch.

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Caesarean Section on maternal request is a planned surgery performed without medical indication, where the wish of the woman compensates for the lack of medical reasons. Preferences for caesarean section are often associated with some factors that may be cultural, economic, religious or social. Some women are said to suffer from tocophobia which is the fear of childbirth and may be a major psychological cause for caesarean section due to maternal request (CSMR). This study explored the popularity of maternally requested caesarean section amongst pregnant women in the Antenatal clinic of University of Medical Sciences Teaching Hospital, Akure. Method: It was a cross-sectional descriptive study. Results: Willingness to request for caesarean section if not indicated is found to be low with only about 10% indicating that they can do so. Rather, refusal to undergo caesarean section when medically indicated is found to be relatively high with 43 % of respondents indicating their unwillingness to have caesarean section even if indicated. Fear of adverse occurrence to mother or baby is the major reason for avoiding caesarean section Conclusion: Maternally requested caesarean section is not popular amongst pregnant women while aversion to indicated caesarean section is high in the study area. There is need for massive education and enlightenment on caesarean section in order to improve its acceptability.

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The effect of caesarean section on self-esteem amongst primiparous women in South-Western Nigeria: A case-control study

Abstract: CS in South-Western Nigerian women is associated with lowered self-esteem in the mothers.

Cited by 3 publications

References 8 publications

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

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

Women's Psychosocial Outcomes Following an Emergency Caesarean Section: A Systematic Literature Review

Maternally requested caesarean delivery: Popularity amongst pregnant women at a South West Nigerian teaching hospital

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