Women's knowledge and attitude towards caesarean section in Imphal west district, Manipur (original) (raw)
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International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Caesarean section is life-saving, but rising rates are a cause for concern. Perceptions surrounding caesarean delivery may play a significant role in the shared-decision making process. Objective of this study was to explore the perceptions of caesarean section among antenatal, postnatal women and healthcare providers in a rural maternity hospital in Ramanagara district, Karnataka.Methods: Qualitative research methodology was adopted to explore perceptions regarding preferred birthing mode, caesarean and its perceived complications. Focus group discussions and in-depth interviews were conducted with antenatal and postnatal women, their caregivers and health care providers. Inductive coding approach and thematic framework analysis was done.Results: Five major themes emerged regarding perceptions of caesarean section among women in a rural area of Karnataka: understanding, fears, decision making, after-care and prevention. Women had a strong preference for normal vaginal b...
Beliefs About Caesarean Section amongst Women of Child Bearing Age in
This study was conducted to find the beliefs about caesarean section amongst women of childbearing age in UCTH Calabar, Cross River State, Nigeria. In the course of the study, five research questions and five hypotheses were formulated to direct the study. A survey method was used which is indicative in interview and discussions with people to obtain facts. The population of study was 853 pregnant women who came for antennal clinic in UCTH Calabar within the month of January 2017 with sampling size of 85 women. Accidental sampling method was used with a structured questionnaire—'Questionnaires on beliefs about caesarean section among women of child bearing age in UCTH Calabar, Cross River State, Nigeria'. Same was administered by the researcher and his assistant and the data was analysed with mean, standard deviation, chi-square and One-way analysis of variance (ANOVA). The result revealed that there are significant influences of traditional and religious beliefs on caesarean section amongst women of childbearing age. The result further showed that there is significant difference in belief about caesarean section amongst women of childbearing age based on their educational qualifications, income status and number of children. It was recommended that there should be proper enlightenment of pregnant women over the relevance of caesarean section in the churches, communities and schools.
Hospital practice (1995), 2017
There is increasing prevalence of caesarean sections (CS) worldwide; however, there are concerns about their rates in some countries, including potential fears. Consequently, we aimed to determine the frequency of CS, and explore patient's perception towards CS attending public hospitals in Pakistan, to provide future guidance. A two-phased study design (retrospective and cross sectional) was adopted. A retrospective study was conducted to assess the frequency of CS over one year among four public hospitals. A cross sectional study was subsequently conducted to determine patients' perception towards CS attending the four tertiary care public hospitals in Quetta city, Pakistan, which is where most births take place. Overall prevalence of CS was 13.1% across the four hospitals. 728 patients were approached and 717 responded to the survey. Although 78.8% perceived CS as dangerous, influenced by education (p=0.004), locality (p=0.001) and employment status (p=0.001), 74.5% of pa...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019
of the important indicators of emergency obstetric care is CS rate (World Health Organization 2009). A woman's socioeconomic characteristics have been reported to be associated with her risk of CS, although the direction of the association has not been unambiguous. The rapid rise of CS rate all around the world has become a grievous public health issue. It is ABSTRACT Background: Many studies have attempted to examine and evaluate the changes in population characteristics that may have contributed to the observed increase in CS rate. The aim of this study was to determine the caesarean section rate and demographic characteristics of women undergoing caesarean section in our rural tertiary health centre of central India. Methods: This prospective study was conducted in department of obstetrics and gynecology. The study instrument comprised a pre-structured data collection proforma which had various sections; social demographic characteristics, obstetric history and gestation details. Results: The overall caesarean section rate (CSR) was 36.88%. Maximum women (39.62%) who underwent Caesarean section were of age group 25-29 years. 58.05% from rural while 41.95% from urban area. CS was more in women of lower middle (22.80%) and upper lower (20.80%) class. Majority of women who had caesarean section were educated till higher school (31.87%) or were graduate (22.61%), 5.85% were illiterate. Majority of women (56.40%) were housewives. CSR was 70.83% in referred and 28.31% in booked. 52.86% women were nulliparous. Caesarean section was maximum (83%) in term, 16.92% preterm women and 0.08% post term women. 38.69% were referred from other health facilities. Maximum referrals 43.21% were from the district hospital. Conclusions: It was noted that the preference for caesarean section is more in women of 25-29 years, lower middle and upper middle class, rural women, educated upto high school and housewives at our centre. This hospital also serves as referral centre from surrounding health facilities increasing the caesarean section rate of the institute.
International Journal of Community Medicine and Public Health, 2016
Background: During the last few decades there has been an alarming rise in the incidence of caesarean section (CS). CS is one of the most common major surgical procedures in private health sector. This rise is of immediate concern and a major public health issue to address. Methods: A community based cross sectional study was done wherein 100 women were selected from Yenkapally and Peddamangalaram villages by household survey by convenient sampling technique. A pre designed, pre tested questionnaire was used to get the relevant information by adopting interview technique. Results: Present study found that the total caesarean section rate was found to be 62% of which primary caesarean section rate was 23%. Thirty seven (59.6%) had emergency caesarean section and twenty five (40.4%) had elective caesarean section. The most common indication for emergency section was failed induction (29.7%) and for elective section it was previous caesarean section (84%). Higher socio economic status, higher birth order and associated health problems during delivery were significantly associated with caesarean section (p<0.05). Conclusions: Present study found a high caesarean section rate with majority sections occurred in private sector hospitals.
Women's Knowledge, Perceptions, and Potential Demand Towards Caesarean Section
2011
In today’s situation when the access to obstetric care is growing day by day there has been a concern over the rising caesarean rates over the world. A cross-sectional study was undertaken with an objective to determine the level of knowledge, attitudes, and perceptions about CS among pregnant women. All pregnant women, attending antenatal clinic, were interviewed with a structured questionnaire. Data analysis was done by using Epi info software. Of the total 247 women, participated in this study, the potential demand for CS was low and majority of women preferred vaginal delivery (91.5%). The majority of women (65.1%) were found to have very little knowledge. Overall, women preferring caesarean birth were multiparous (P<0.05), and were more likely to have had previous caesarean delivery (P<0.001), but there were otherwise no differences in age, parity, income, or education. However, most are still in favor of CS if it is necessary to protect their health or that of their infa...
Attitudes of antenatal patients at a tertiary hospital in Southern Nigeria towards caesarean section
Journal of Public Health and Epidemiology, 2011
Caesarean section has contributed immensely to improved obstetric care throughout the world. In developing countries especially the sub-Saharan Africa, there is a great aversion to caesarean section. This study aims to assess the attitudes of antenatal patients at the University of Port-Harcourt Teaching Hospital towards caesarean section. A cross-sectional study was conducted among 400 antenatal clients seen at the University of Port Harcourt Teaching Hospital between 1st and 31st September 2009. Information on their socio-demographic characteristics, knowledge, beliefs and attitudes were sought. The response rate was 100%. Data management was carried out with SPSS 15.0 statistical software. Chi-square tests were used to compare the groups as appropriate. P value of <0.05 was assumed to be statistically significant. Out of 400 women studied, 68.5% favoured caesarean section while 31.5% were averse to it. About 59% of them knew what caesarean section was. Increasing maternal level of education and age were associated with increased knowledge and support for caesarean section (X 2 =11.8, P = 0.0006). Eighty percent of the women believed caesarean section is done for medical reasons. If caesarean section is indicated in the index pregnancy, 65% would accept that the procedure be done, 19% would want to discuss with their husbands while 7.5% would default. Of the 82 women who had previous caesarean section, 73.2% would readily accept to undergo a repeat caesarean section if necessary in the index pregnancy compared to 200 (62.9%) of 318 women who had not undergone caesarean section. The difference was not significant. (X 2 = 3.03, P = 0.08). There is a high level of knowledge and acceptance of caesarean section in this study. This acceptance is directly linked with the educational status of the women. However, one third of the women were still averse to caesarean section.
Background: Caesarean delivery is the most widely performed major obstetric surgery globally and the incidence is rising. Aim: To document the views of pregnant women in two tertiary institutions in Nigeria towards caesarean delivery on maternal request. Methods: A cross-sectional study of pregnant women who attended the antenatal clinics of the University of Maiduguri Teaching Hospital and Federal Medical Centre, Yola from August to October 2009. Results: A total of 254 women were interviewed. The age ranged from 18-43 years with a mean of 28.56+5.60 years. The mean parity was 2.71+1.96. Majority, 204 (80.3%) respondents were aware of caesarean delivery with 90 (44.1%) of the information obtained from friends. Sixteen (6.3%) believed that having caesarean section was due to failure of reproductive function of a woman, with 106 (41.7%) citing destiny as reason for caesarean delivery. Most, 226 (89.0%), would not request for caesarean section. The commonest reason for caesarean section on maternal request was avoidance of labour pain, 16 (57.1%). Education ( 2 =33.561, P=0.000) and occupation ( 2 =26.205, P=0.003) had influence on knowledge of caesarean delivery. Education however, had no influence on maternal request for caesarean delivery ( 2 =5.810, P=0.121). Although majority ( 2 =2.589, P=0.000) would prefer vaginal delivery, none of the respondents would decline caesarean delivery if indicated. Conclusion: The knowledge, perception and attitude toward caesarean delivery are encouraging. The low number of maternal request for caesarean will serve as a benchmark for the future especially with the increasing penchant for smaller family sizes among the urban educated elites.
International Journal of Advanced Research in Gynaecology and Obstetrics, 2018
Background: Caesarean section (CS) rates have been increasing steadily globally. Although caesarean section is becoming increasingly safe, women still have aversion for caesarean section in our environment. Objective: To determine the perception, knowledge and attitude of antenatal clinic (ANC) attendants in Jos University Teaching Hospital towards caesarean section as a mode of delivery. Method: This was a descriptive cross-sectional study. A pre-tested structured questionnaire was administered to pregnant women who receive care at the antenatal clinic of the Jos University Teaching Hospital between 1 st December 2013 to 31st January 2014. Results: The average age of the respondents was 29.06±6.00 years, while the average income per month was 6786 ± 1053.92 naira. Fifty-five (24.2%) of the respondents did not know any indication for caesarean section while one hundred and seventy-two knew at least one correct indication out of which four (1.8%) knew three correct indications for caesarean section. Caesarean section was considered to be dangerous by 55.1%. The commonest reason given was that the mother could die (47.37%). Vaginal delivery was preferred by 88.5%, 6.20% had no preference while 5.30% preferred caesarean section. The commonest reason given for preference for vaginal delivery was that it is safer (32.34%). Eleven out of 12 respondents that preferred caesarean section preferred it because the stress of labour is eliminated. The commonest reasons for aversion to caesarean section was fear of operation (48.98%), lack of finance (30.61%) and fear of being stigmatized (26.53%). There was statistical significant relationship between income, religion and willingness to undergo caesarean section. Conclusion: There is a high level of awareness of caesarean delivery among ANC attendants at the Jos University Teaching Hospital. Client education is necessary to address some concerns on safety of the operation, indications for the operation, and stigmatisation.
BMJ Open
ObjectiveOur objective was to describe trends in caesarean section (CS) rates, characteristics of women delivering by CS, reasons for CS and impact of CS on perinatal mortality, in a rural Indian population.DesignSecondary data analysis using a prospective population-based registry.SettingFour districts in Eastern Maharashtra, India, 2010 to 2013.Participants39 026 pregnant women undergoing labour and delivery.Main outcomesCS, single most likely reason, perinatal mortality.ResultsOverall, 20% of the women delivered by CS. Rates increased from 17.4% in 2010 to 22.7% in 2013 (p<0.001) with an absolute risk increase from 1% to 5% during this time-period. Women aged 25+ years old, being nulliparous, having at least a secondary school education, a body mass index 25+ and a multiple gestation pregnancy were more likely to deliver by CS. Perinatal mortality was higher among babies delivered vaginally than those delivered by CS (4.5% vs 2.7%, p<0.001). Prolonged and obstructed labour ...