Attitudes of antenatal patients at a tertiary hospital in Southern Nigeria towards caesarean section (original) (raw)
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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.
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.
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.
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.
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.
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...
Open journal of obstetrics and gynecology, 2024
Caesarean section remains one of the most common obstetric and major operations performed on women during pregnancy and has contributed to improving maternal and foetal health. Consequently, significant mortality and morbidity from pregnancy and labour-related causes can be eliminated by a timely caesarean section. The acceptance of the life-saving procedure remains unsatisfactory in most sub-Saharan nations. The study aimed to assess the acceptability of caesarean section and associated factors among pregnant women seeking antenatal care at Women and Newborn Hospital-University Teaching Hospitals in Lusaka Zambia. The study utilised a quantitative crosssectional analytical study design involving 420 pregnant women selected using systematic random sampling at Women and Newborn Hospital-University Teaching Hospitals Lusaka Zambia. Data was obtained using an Interview schedule and analysed using R software version 4.3.2. Chi-square, Fisher's exact test, Wilcoxon rank sum test and binary logistic regression for statistical analysis at a 5% level of significance. The study found that the acceptability of Caesarean section as a mode of delivery was low (29%) among respondents at Women and Newborn Hospital-University Teaching Hospitals. This was influenced by marital status (P = 0.002), socioeconomic status (P = 0.050), parity (P = 0.004), gestation age (P = 0.008), previous history of caesarean section (P = 0.003), knowledge (P < 0.001), attitude (P < 0.001), and sociocultural beliefs (P = 0.045). Low acceptability of Caesarean section delivery is common among women at Women and Newborn Hospital-University Teaching Hospitals, despite its potential benefits for maternal and neonatal health. Socio-demographic and maternal characteristics, knowledge, attitude, perception, and socio-cultural beliefs play a major role in determining acceptabil-How to cite this paper:
2023
Cesarean Section is a procedure undertaken to aid delivery and reduce the incidence of maternal and fetal mortality and morbidity. Maternal perceptions and acceptance of cesarean section could contribute to delayed presentation of women for emergency obstetric care. Therefore, this study aimed to determine the perception and acceptance of Caesarean Section among pregnant women in a rural community of Enugu State, Southeast, Nigeria. A descriptive survey was done among a sample of 273 subjects determined using Taro Yamane's Formula. A convenience sampling technique was used in the study with a pre-tested questionnaire designed by the researchers for data collection. Data analysis was completed using descriptive and inferential statistical analysis. Results from the study revealed that the overall perception of Caesarean Section was negative (202;75.4%); less than half (126; 47%) of the women will even accept it for medical reasons. The possible factors that influence women's acceptance were Baby's safety (188;70.1%), mother's safety (180;57.2%), and doctor's advice (172;64.2%); while the factors affecting non-acceptance were majorly fear of death (165;61.6%), fear of the operation (160;59.7%) and high cost of the procedure (153;57.1%). Also, results showed that women with positive perceptions were associated more with acceptance than those with negative perceptions (x² 8.085; p 004). The government and healthcare providers should regularly educate the public and women of childbearing age on the importance of cesarean section in the reduction of maternal and fetal mortality and morbidity, dispelling unfounded fears and misconceptions
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.
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...