Women's opinions and experiences with induction of labor and cesarean delivery on request in south eastern Nigeria

Chigbu, Chibuike O.; Ezenyeaku, Cyril C.

doi:10.1016/j.ijgo.2008.06.006

Cited by 11 publications

(8 citation statements)

References 10 publications

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“…Awareness of MDCS was 39.6% compared with 15.1% noted from a previous survey5 suggesting increasing awareness of MDCS in developing countries. Awareness seems to be driven by higher levels of educational and professional attainment.…”

Section: Discussionmentioning

confidence: 56%

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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: Discussionmentioning

confidence: 56%

“…The trend of maternal demand for cesareans (MDCS) has also been noted recently in the West African subregion 4,5. This is against the backdrop of high aversion to cesarean sections and lower cesarean section rates 2,6,7.…”

Section: Introductionmentioning

confidence: 87%

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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show abstract

“…These mothers more frequently wanted to have only one child, felt they had less support during delivery, and were worried about damage to or death of the infant . Another study shows that with high maternal age, requests for CS increase …”

Section: Discussionmentioning

confidence: 99%

“…In a study in Nigeria, 15% of pregnant women who presented for prenatal care were aware of their rights to request CS, but only 2.4% had requested a CS. Their reasons for this request were: long‐term infertility, repeated miscarriages, and high maternal age at first pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Women's knowledge and attitude towards mode of delivery and frequency of cesarean section on mother's request in six public and private hospitals in Tehran, Iran, 2012

Ghotbi

Sene

Azargashb

et al. 2014

J of Obstet and Gynaecol

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“…Th ere is the likelihood that willingness to re-experience the procedures is infl uenced by the recommendations of doctors whose knowledge may completely overwhelm maternal desires. Maternal autonomy has been found to be infl uenced by fear of physician ' s reaction to refusal or adverse consequences based on the doctor ' s advice (Chigbu and Ezenyeaku 2008). For this study, specifi c items were utilised to evaluate perception.…”

Section: Discussionmentioning

confidence: 99%

Cervical ripening and induction of labour-awareness, knowledge and perception of antenatal attendees in Ibadan, Nigeria

Enabor

Olayemi

Bello

et al. 2012

Journal of Obstetrics and Gynaecology

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The levels of awareness, knowledge and the perceptions of women about cervical ripening and induction of labour were assessed in a cross-sectional questionnaire-based interview of 265 antenatal attendees of the University College Hospital, Ibadan, Nigeria from 1 March to 30 April 2009. Questions included evaluated sociodemographic data, obstetric history, awareness of both procedures and knowledge of specific methods. Data analysis was done using SPSS v.14.0 for Windows; frequency tables were utilised to determine proportions and significant variables from χ(2) analysis were entered into a logistic regression model. The majority of respondents were between 26 and 34 years; 56.4% were nulliparous. Awareness of cervical ripening and induction of labour was found in 71% of respondents. Knowledge of misoprostol and Foley's catheter however, was present in 25% and 13% of all women, respectively. Both procedures were perceived to prevent caesarean section or reduce burden of health workers in 16% of respondents. No significant predictor of knowledge was found but history of previous induction was a predictor of awareness (p < 0.05). Improved counselling is required to further increase knowledge of methods for induction and correct wrong perceptions, particularly in women at risk of labour induction.

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Women's opinions and experiences with induction of labor and cesarean delivery on request in south eastern Nigeria

Cited by 11 publications

References 10 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 knowledge and attitude towards mode of delivery and frequency of cesarean section on mother's request in six public and private hospitals in Tehran, Iran, 2012

Cervical ripening and induction of labour-awareness, knowledge and perception of antenatal attendees in Ibadan, Nigeria

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