Knowledge and Attitude of Pregnant Women toward Elective Cesarean Section in Saudi Arabia (original) (raw)
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Cesarean sections rate and maternal knowledge and attitude towards the mode of delivery in Egypt
Menoufia Medical Journal, 2021
Objectives The study was designed to detect the rate of cesarean sections (CS) and assess maternal knowledge and attitudes towards the mode of delivery. Background Cesarean section (CS) was introduced in clinical practice as a life saving procedure both for the mother and the baby, but the increasing rate of births by CS has become an issue of concern in many countries. Maternal beliefs may influence the mode of delivery, and nowadays, CS is performed upon maternal request with no medical cause, so determining maternal knowledge and attitude is an important tool in examining the factors that have contributed to this increase. Methods A cross-sectional study was conducted on 400 mothers who were selected by using a simple random sampling technique from two family health units and one family health center in Benha district. Data were collected through a predesigned questionnaire to determine socioeconomic status, mode of previous delivery, knowledge, attitude, and source of their information about modes of delivery. Results Cesarean sections (CS) rate in Benha district was 55%. Near half of the studied women (46.3%) had intermediate (fair) level of knowledge regarding indications, advantages, and adverse effects of both modes of delivery (vaginal and CS) and 35.0% had negative attitude toward CS. Most of the studied women who were in the lower class socioeconomically (71.4%) had fair knowledge regarding both the modes of delivery. Conclusion The rate of CS in Benha district was 55%, which is much higher than the upper limit suggested by WHO (15%). Most of the studied women had fair knowledge about the modes of delivery. So prompt action is required to reduce the unaccepted high rate of cesarean section deliveries and improve maternal knowledge about its indications and complications.
Knowledge of pregnant women in the southwest Iran about complications of cesarean section, 2009
Pars of Jahrom University of Medical Sciences, 2012
Introduction: Cesarean section delivery is one of indices in mothers' health care planning. The high rate of elective cesarean is a warning for our country's health management. The aim of this study was to determine the mothers' knowledge on complications of cesarean section delivery. Materials and Methods: This cross-sectional study was conducted in 2009. 360 pregnant women (third trimester) were recruited randomly from hospitals in Jahrom, Iran. Data were analyzed using SPSS, version 11.5. Based on their knowledge score, the subjects' level of knowledge was classified into three levels: good knowledge level (score 14-18), moderate knowledge level (score 9-13), and poor knowledge level (score 0-8) Results: The levels of knowledge among the pregnant women about complications of cesarean section was good in 43.2%, average in 38.4% and poor in 18.4% of the mothers. 68.1% of them selected vaginal delivery (NVD) and 31.9% delivered using C/S. There was a significant association between the knowledge of pregnant women about complications of cesarean section and choosing the type of delivery (p=0.04). The main cause of women's tendency toward C/S was fear of labor pain and ease of cesarean section delivery (43.3%). Conclusion: The level of knowledge about complications of cesarean section among the women under the study was good. Also, according to the results of this study fear of labor pain was the important cause for the choice of C/S in pregnant women. It is recommended that painless delivery should be practiced in Jahrom's hospitals and mothers are encouraged to give vaginal birth in their first delivery.
Causes of Cesarean Section from Perspectives of Obstetricians and Midwives: A Qualitative Study
Journal of Postgraduate Medical Institute, 2020
Objective: To investigate the causes of cesarean section from the perspective of midwives and obstetricians. Methodology: This qualitative study was carried out using conceptual content analysis method. In this study, participants were selected via purposive sampling method and this process continued until data saturation. Accordingly, 12 midwives and 7 obstetricians were enrolled into the study. A semi-structured individual interview was conducted with each participant. Data analysis was performed by Cheevakumjon method and conceptual content analysis was used to extract the concepts. After reading the text of the data, key sentences and concepts were derived and finally categorized. Results: Total of three themes, "attitudes of obstetricians and midwives", "social-supportive factors" and "resources" were identified. The identified categories included; attitudes of obstetricians and midwives (negative attitudes toward vaginal birth, positive attitudes towards cesarean section), social-supportive factors (hospitals, community, midwives and obstetricians, negative experiences, authorities' support for the medical team and resources), financial factors, human resource, facilities and equipment, and educational factors. Conclusion: Normal vaginal delivery conditions can be provided for pregnant women by increasing the access of all pregnant women to free health services, appropriate equipment, availability of midwives and obstetricians and existence of International standards on patient-to-physician ratio.
Opinions of Healthcare Professionals About Cesarean Birth in Burdur Province
Turkish Journal of Health Science and Life, 2021
The rate of births by cesarean section (CS) is on the rise globally. Turkish CS rate ranks first with 53.1% in the world. According to Burdur Provincial Health Directorate 2018 and 2019 statistics, 49.2% normal birth, and 50.8% CS rates are seen. This study was planned as a descriptive study in order to determine the deficiencies and suggestions of midwives working in Burdur about in-service trainings to reduce the CS rates. The sociodemographic characteristics, professional experiences and participation in in-service training programs of the 112 midwives who were questioned, and their personal opinions and suggestions were evaluated. Most of the midwives participating in the study are between the ages of 39-45 (n = 46, 41.1%) and their duration of professional experience is mostly 20 years and over (n = 69, 61.6%). While 46.4% of the participants find the cesarean birth-related trainings organized by the Provincial Health Directorate sufficient for them, 52.7% think that the trainings should be improved. When their opinions about the trainings given by the Ministry of Health were evaluated, 60% of the participants stated that the trainings were sufficient, while 40% stated that they should be improved. We think that; reaching all personnel about multidisciplinary in-service trainings on issues such as counseling in prenatal care, providing maternity services and making appropriate interventions for safe delivery; increasing the practices to gain awareness of healthcare personnel and pregnant women; further during these practices, collaborating with the media, community organizations and associations will be effective in reducing CS rates.
Saudi Medical Journal, 2018
Objectives: To study the associated factors for cesarean section (C-section) in a sample of pregnant women and to estimate its frequency at King Abdulaziz Medical City in Riyadh, Kingdom of Saudi Arabia (KAMC-R). Methods: We studied 364 pregnant women who attended the Gynecology and Obstetrics Clinic at KAMC-R between March and June 2017. Results: Our 3-month study had higher rates of C-sections: women with older maternal age; (adjusted risk ratio [aRR]=1.08, p=0.001), lack of education (aRR=1.39, p=0.022), no personal history of vaginal delivery (aRR=1.85, p=0.001), undergoing C-section due to medical indications (aRR=2.28, p=0.001), and willing to repeat a C-section in the absence of medical indications (aRR=1.49, p=0.006). Cesarean section occurred in 27% of the total deliveries in 2016. Conclusion: Cesarean section are very frequent and prevalent in our center, and may be increasing. The frequency of C-sections was significantly higher for women of older maternal age, little education, no personal history of vaginal delivery, undergoing C-sections due to medical indications, and those willing to repeat a C-section in the absence of medical indications.
Reasons for Elective Cesarean Section amongst Pregnant Women; A Qualitative Study
Journal of reproduction & infertility, 2012
A qualitative study was carried out on 200 pregnant women attending obstetric offices and Imam Ali Women's Clinic in Zahedan, Iran during January 2010 to August 2011. Twenty-nine focus group discussions (FGDs) with 5-8 participants in each group were formed. The study included women in the third trimester of pregnancy with the intention or decision to undergo elective cesarean section. The women's views were explored and analyzed in group sessions. Subsequently, the responses were divided into four major categories. The majority (50%) of the opinions expressed were psychological in origin, or stemmed from low perceived behavioral control, improper subjective norms, or wrong attitudes about vaginal delivery. Twenty-nine focus group discussions (FGDs) with 5-8 participants in each group were formed. The study included women in the third trimester of pregnancy with the intention or decision to undergo elective cesarean section. The women's views were explored and analyzed i...
2018
The aim of the study was to assess the relation of knowledge score for cesarean disadvantages and selecting the mode of delivery. In this cross-sectional study, we studied 192 women who referred to obstetrics and gynaecology clinics in Jahrom, Iran. All women and their fetus were healthy without any problems and were in the third trimester of first pregnancy. We used a questionnaire including demographic situations and eighteen questions about disadvantages of cesarean section. The data recorded with using SPSS version 15 and analyzed by chisquare, independent t-test and one-way ANOVA test. Mean knowledge score was lower among mothers that intend to do cesarean section than those selected vaginal deliveries (10.82 ± 4.46 vs. 12.50 ± 4.08, respectively) that there was significantly different (P= 0.025). The most common reason for choosing cesarean section was fear of vaginal delivery (n= 24, 61.6%). The mean knowledge score was higher women who selected cesarean section in comparison...
2014
Background: The increase in the prevalence of cesarean section (C-section) in recent decades has become a public health problem worldwide. Studies of cesarean section in order to identify the causes and form policies and interventions to reduce the incidence of this health problem are necessary. This study was conducted with the aim to investigate the causes of C-sections performed at Niknafs and Ali-Ibn Abi Talib Hospitals in Rafsanjan, Iran, in the second trimester of 2014. Materials and Methods: In this cross-sectional study, 560 pregnant women were selected from among those referred to Niknafs and Ali-Ibn Abi Talib Hospitals in the second trimester of 2014 for cesarean delivery. Information was collected using a researcher-made checklist through interviews with patients and reviewing medical records. Data were analyzed using chi-square or Fisher's exact tests, as required. Results: The mean and standard deviation of age of women was 29.46 ± 5.08 years and most of them (65.0%) were in the age range of 26-36 years and had a diploma (40.7%). Considering delivery history, the highest percentage of women had had a single delivery (38.9%) and over half of the subjects (52.9%) had experienced a previous C-section. The most common causes were repeated C-section (52.9%), elective C-section (on maternal request) (7.5%), meconial stained (6.1%), fetal distress (5.0%), and breech presentation (4.5%). Statistically significant associations were observed between C-section reasons, and age (P < 0.001), number of previous pregnancies (P < 0.001), and previous delivery method (P = 0.010). Conclusions: Repeated C-section, as the most common cause of cesarean, has had a major role in increasing cesarean. Vaginal delivery after cesarean, taking into account the clinical and legal circumstances and providing training programs to acquaint women to the negative consequences of C-section and vaginal delivery benefits would be effective in the choice of delivery and might help in reducing cesarean.
Rising Rate of Caesarean Section – A Global Problem
International Journal of Current Research and Academic Review
Article Info To compare the frequency of Caesarean Section (CS), Emergency and Elective CS, indications of Emergency and Elective CS and obstetrician reasons for supporting women choice for caesarian section between a healthcare setting of Saudi Arabia and Pakistan. The retrospective study analyzed the hospital records of all deliveries during the period January, 2012 till December, 2012 at two settings, Muhammad Medical College Hospital (MMCH), Pakistan and Sabatal Alaya Hospital, Saudi Arabia. Data (demographic information, parity and outcome variables i.e., cesarean section or vaginal delivery, elective cesarean section or emergency cesarean section) from the clinical records were retrieved. Importantly, the indicators for cesarean section mentioned in the clinical notes were also recorded. The present study also included the collection primary data on reasons for supporting women choice for caesarian section from obstetricians of Pakistan and Saudi Arabia. The data was analysed using SPSS version 21 and qualitative variables were compared between women delivered at
Public Health aspects of Cesarean section including overuse and underuse of the procedure
International Research Journal of Public Health, 2019
Research Article IRJPH (2019) 3:30 Public Health aspects of Cesarean section including overuse and underuse of the procedure Caesarean section (CS) is lifesaving medical procedure that is able to avert both maternal and neonatal mortality. However, across the globe an estimated 3.2 million necessary CSs do not happen in low income countries and an estimate of 6.2 million unnecessary CSs happen in middle and high income countries. The overuse and underuse of this procedure driven by both the supply-side (such as resources within the health system, healthcare policy and strategies, health financing systems and perceptions of the healthcare professional) and demand-side (such as socioeconomic status, population preference and perceptions and trust in health system) determinants. There are stark inequities in CS rates between and within regions and countries. Many regions across the globe (Eastern Asia, Northern Europe, Central America, Southern America, Northern America and Oceania) have over double recommended optimal rates, whereas several African regions (Eastern, Middle and Western) have dangerously low rates. Both of these have detrimental impacts on maternal and neonatal outcomes. There is a need now for health policy and decision makers at both national and facility level to try and optimize the CS rates through facilitating strategies that promote positive human relations and encourage standardized evidence based care.