Awareness, Attitudes and Perception of Antenatal Patients to Caesarean Section: The Jos, Nigeria Experience (original) (raw)
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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 Community Medicine and Public Health, 2016
Background: The perception of pregnant women towards caesarean section (CS) even in the face of danger has been a major concern. The major objective of the study was to investigate the perception of pregnant women attending a missionary hospital in Edo state, Nigeria. A simple random sampling technique was used to select one hundred pregnant women from the antenatal clinic the hospital. Methods: Data were collected using a structured questionnaire and analyzed using descriptive statistics in form of frequency, percentages and tables, t-test and one way analysis of variance (ANOVA) at the significance level of 5%. Results: Findings revealed that perception of pregnant women towards caesarean sections is negative/low, 79% objected delivery via CS for fear of death while 82% objected due to family preference of vaginal delivery. 60% also objected because of the cost of undergoing CS. Findings further revealed that the group of respondents who have experienced caesarean section have a more positive perception towards caesarean section than the group who haven't. Conclusions: This study clearly indicate that there is a negative perception of pregnant women in this setting and majority of them were clearly adverse to CS. Educational level also significantly influences the perception of pregnant women towards caesarean section. It is therefore recommended that proper education of the masses be done so as to correct the wrong notions about caesarean section.
International Journal of Women's Health and Reproduction Sciences
Objectives: Globally, caesarean section (CS) has immensely contributed to improved obstetric outcome in circumstances where vaginal delivery is not feasible. However, in some low-income countries, there is aversion to the procedure. The aim of this study was to determine the level of awareness and socio-cultural barriers to the acceptance of CS. Materials and Methods: A cross-sectional study was conducted among 344 parturients at Federal Teaching Hospital in Abakaliki, from October 1 to November 30, 2016. Data were collated using a self-administered questionnaire and was analyzed using SPSS version 20.0 and conclusions were drawn by means of descriptive statistics. Results: All the respondents were aware of CS as an operative abdominal procedure for delivery; of these, over one-tenth (14.0%; 48/344) had experienced the procedure previously. Over four-fifths (82.3%; 283/344) of those who have had a previous CS were wellinformed about the indications. About one-fifth (20.3%; 70/344) d...
Attitude of pregnant women in south western Nigeria towards caesarean section as a method of birth
Background: Choice of the method of birth is an essential decision for pregnant women and the spouse. This choice is sometimes based on a number of factors. This study assesses knowledge of pregnant women about caesarean section, their attitude towards it and level of acceptance of the methods of birth among women. Methods: This descriptive study was carried out in a government owned hospital in south western Nigeria. Respondents were selected using accidental sampling techniques. Questionnaire whose validity and reliability has been previously ascertained was the instrument used for data collection. Data generated was analysed using SPSS. Results: Results show that 17.1% of the women have good knowledge of caesarean section as a method of birth. Majority of the respondents agreed that vaginal delivery creates more mother-baby relationship than caesarean section. 69.5% of the respondents agreed that caesarean section is preferable to vaginal delivery as the pain in vaginal delivery is usually unpleasant, 66.0%) disagreed that babies born through caesarean section are more healthy than their other counterpart that are born through vaginal delivery. Only 6.9% accept caesarean section. Conclusions: Mothers should therefore be educated on the process involved in caesarean birth and the advantage of this method of birth over other birth method.
Over the years, caesarean section has become increasingly safe and remains one of the most commonly performed surgeries in obstetric practice worldwide. Even though there is an increased rate of Caesarean section in both developed and developing countries, some studies have suggested that African women have an aversion for it. We therefore set out to assess the knowledge, attitude and perceptions of Ghanaian women towards caesarean section. A descriptive cross sectional study was conducted in the University of Cape Coast Hospital. A structured questionnaire was used to assess the knowledge, attitude and perception of 412 pregnant women towards caesarean section. Total knowledge was categorized as inadequate (<50%) and adequate (≥50%). All the 412 respondents were aware of caesarean section. There was, however, a low level of adequate knowledge (39.6%) among the respondents. Majority of the women (94%) preferred vaginal delivery to caesarean section as their primary mode of delivery. Although 40% perceived that most women undergoing CS may die, 95.7% were willing to undergo the operation when indicated. However, 4.3% of the pregnant women would refuse the surgery even if indicated. Formal education (p=0.018), parity (p=0.035) and a previous experience of caesarean section (p<0.0001) were significantly associated with adequacy of knowledge on caesarean section. Even though there was a high awareness among the pregnant women, there was a low level of knowledge on caesarean section in our setting. Educational messages on caesarean section should be prepared to address especially issues on safety of the procedure and how post-operative pain is managed. Doctors should actively get involved in the education on caesarean section at the antenatal clinics, probably this will increase the knowledge of antenatal clinic attendants on CS.
2017
Over the years, caesarean section has become increasingly safe and remains one of the most commonly performed surgeries in obstetric practice worldwide. Even though there is an increased rate of Caesarean section in both developed and developing countries, some studies have suggested that African women have an aversion for it. We therefore set out to assess the knowledge, attitude and perceptions of Ghanaian women towards caesarean section. A descriptive cross sectional study was conducted in the University of Cape Coast Hospital. A structured questionnaire was used to assess the knowledge, attitude and perception of 412 pregnant women towards caesarean section. Total knowledge was categorized as inadequate (<50%) and adequate (≥50%). All the 412 respondents were aware of caesarean section. There was, however, a low level of adequate knowledge (39.6%) among the respondents. Majority of the women (94%) preferred vaginal delivery to caesarean section as their primary mode of delive...
Perception of Caesarean Section among Pregnant Women in a Rural Missionary Hospital
Advances in reproductive sciences, 2017
Introduction: Caesarean section is the delivery of a foetus through an incision made on the uterus. It is useful in situations where vaginal delivery is not feasible. Women in our setting usually see it as a reproductive failure and a sign of weakness. Our aim was to evaluate the perception of caesarean section among pregnant women attending antenatal clinic in a rural missionary hospital. Methodology: This was a cross-sectional study conducted at Mile 4 missionary hospital, Abakaliki among women attending routine antenatal clinic. Information was obtained from respondents with the aid of a questionnaire. Ethical clearance was obtained for the study. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 21. Results: A total of 209 pregnant women participated in this study. Their age ranged from 14 to 43 with a mean age of 27 ± 5 years. One hundred and seventy two women (82.3%) have heard of caesarean section in the past. Eighteen (8.6%) have had caesarean section in the past while 5 were not willing to undergo the procedure again. Sixty (28.7%) are not willing to undergo caesarean section even when it is indicated. Conclusion: Despite awareness of caesarean section, women do not appear to have a positive attitude towards the procedure.
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.
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.