Why do pregnant women prefer cesarean birth? A qualitative study in a tertiary care center in Southern Thailand

Abstract Background: Increasing worldwide rates of cesarean section are of global concern. In recent years, cesarean births upon maternal request have become a hotly debated issue. Hence, this study aimed to explore maternal reasons for cesarean preference without medical indications.Methods: A descriptive qualitative study was conducted, using in-depth interviews with 27 pregnant women who preferred cesarean birth, attending antenatal care in Songklanagarind Hospital from September 2018 to June 2019. Data were analyzed using content analysis.Results: Maternal reasons for cesarean preference were classified into six main categories: fear of childbirth, safety concerns related to health risk perceptions, negative previous birth experiences, positive attitudes toward cesarean birth, access to biased information and superstitious beliefs in auspicious birth dates. Most women had more than one reason for opting cesarean birth. Conclusion: Several reasons for cesarean birth preference have been elucidated. One striking reason was superstitious beliefs in auspicious birth dates, which are challengable for obstetricians to deal with. Obstetricians should explore the exact reasons why women request cesarean birth in order to prevent or diminish unnecessary cesarean births.

Download Full-text

Why do pregnant women prefer cesarean birth? A qualitative study in a tertiary care center in Southern Thailand

10.21203/rs.3.rs-27046/v3 ◽

2020 ◽

Author(s):

Chitkasaem Suwanrath ◽

Sopen Chunuan ◽

Phawat Matemanosak ◽

Sutham Pinjaroen

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Risk Perceptions ◽

Care Center ◽

Tertiary Care ◽

Cesarean Birth ◽

Positive Attitudes ◽

Cesarean Births ◽

Medical Indications ◽

Superstitious Beliefs

Abstract AbstractBackground: The increasing worldwide rates of cesarean section are of global concern. In recent years, cesarean births upon maternal request have become a hotly debated issue. Hence, this study aimed to explore maternal reasons for cesarean preference without medical indications.Methods: A descriptive qualitative study was conducted, using in-depth interviews with 27 pregnant women who preferred cesarean birth, attending antenatal care in Songklanagarind Hospital from September 2018 to June 2019. Data were analyzed using content analysis.Results: Maternal reasons for cesarean preference were classified into six main categories: fear of childbirth, safety concerns related to health risk perceptions, negative previous birth experiences, positive attitudes toward cesarean birth, access to biased information and superstitious beliefs in auspicious birth dates. Most women had more than one reason for opting cesarean birth. Conclusion: Several reasons for cesarean birth preference have been elucidated. One striking reason was superstitious beliefs in auspicious birth dates, which are challengable for obstetricians to deal with. Obstetricians should explore the exact reasons why women request cesarean birth, so as to prevent or diminish unnecessary cesarean births.

Download Full-text

Why do pregnant women prefer cesarean birth? A qualitative study in a tertiary care center in Southern Thailand

10.21203/rs.3.rs-27046/v5 ◽

2021 ◽

Author(s):

Chitkasaem Suwanrath ◽

Sopen Chunuan ◽

Phawat Matemanosak ◽

Sutham Pinjaroen

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Risk Perceptions ◽

Care Center ◽

Tertiary Care ◽

Cesarean Birth ◽

Positive Attitudes ◽

Cesarean Births ◽

Medical Indications ◽

Superstitious Beliefs

Abstract Background: Increasing worldwide rates of cesarean section are of global concern. In recent years, cesarean births upon maternal request have become a hotly debated issue. Hence, this study aimed to explore maternal reasons for cesarean preference without medical indications.Methods: A descriptive qualitative study was conducted, using in-depth interviews with 27 pregnant women who preferred cesarean birth, attending antenatal care in Songklanagarind Hospital from September 2018 to June 2019. Data were analyzed using content analysis.Results: Maternal reasons for cesarean preference were classified into six main categories: fear of childbirth, safety concerns related to health risk perceptions, negative previous birth experiences, positive attitudes toward cesarean birth, access to biased information and superstitious beliefs in auspicious birth dates. Most women had more than one reason for opting cesarean birth. Conclusion: Several reasons for cesarean birth preference have been elucidated. One striking reason was superstitious beliefs in auspicious birth dates, which are challengable for obstetricians to deal with. Obstetricians should explore the exact reasons why women request cesarean birth in order to prevent or diminish unnecessary cesarean births.

Download Full-text

Why do pregnant women prefer cesarean birth? : a qualitative study in a tertiary care center in Southern Thailand

10.21203/rs.3.rs-27046/v2 ◽

2020 ◽

Author(s):

Chitkasaem Suwanrath ◽

Sopen Chunuan ◽

Phawat Matemanosak ◽

Sutham Pinjaroen

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

Cesarean Birth ◽

Superstitious Belief ◽

Cesarean Births ◽

Previous Birth ◽

Southern Thailand ◽

Medical Indications

Abstract Background: The increasing worldwide rate of cesarean sections is of global concern. In recent years, cesarean births upon maternal request have become both a hotly debated issue. Hence, this study aimed to explore maternal reasons for cesarean preference without medical indications.Methods: A descriptive qualitative study was conducted, using in-depth interviews with 27 pregnant women, attending antenatal care in Songklanagarind Hospital from September 2018 to June 2019, who preferred cesarean birth. Data were analyzed using content analysis.Results: Maternal reasons for cesarean preference were classified into six main categories including: fear of childbirth, safety concerns related to health risk perception, negative previous birth experience, positive attitude toward cesarean birth, access to biased information and superstitious belief in auspicious birth dates. Most women had more than one reason for opting cesarean birth. Conclusion: Several reasons for cesarean birth preference have been elucidated. One striking reason was a superstitious belief in auspicious birth dates, which is challengable for obstetricians to deal with. Obstetricians should explore the exact reasons why women request cesarean birth, so as to prevent or diminish unnecessary cesarean births.

Download Full-text

Why do pregnant women prefer cesarean delivery?: a qualitative study in a tertiary care center in Southern Thailand

10.21203/rs.3.rs-27046/v1 ◽

2020 ◽

Author(s):

Chitkasaem Suwanrath ◽

Sopen Chunuan ◽

Phawat Matemanosak ◽

Sutham Pinjaroen

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Cesarean Delivery ◽

Care Center ◽

Tertiary Care ◽

Cesarean Sections ◽

Superstitious Belief ◽

Depth Interview ◽

Southern Thailand ◽

Medical Indications

Abstract Background The increasing worldwide rate of cesarean sections is of global concern, and in recent years, cesarean deliveries upon maternal request have become both an interesting and debated issue. Hence, this study aimed to explore the maternal reasons for cesarean preference without medical indications. Methods A descriptive qualitative study was conducted, using an in-depth interview, with 27 pregnant women, attending antenatal care at Songklanagarind Hospital from September, 2018 to June, 2019, who preferred cesarean delivery. Data were analyzed using content analysis. Results Maternal reasons for cesarean preference were classified into 6 main categories including: fear of childbirth, safety concerns related to health risk perception, negative birth experience, a positive attitude toward cesarean delivery, access to biased information resources and superstitious belief in auspicious birth dates. Most women had more than one reason for choosing cesarean delivery. Conclusion Several reasons for cesarean delivery preference emerging from pregnant women have been elucidated. One striking reason was a superstitious belief in auspicious birth dates, which was challengeable for an obstetrician to approach. Obstetricians should explore the exact reasons why women request cesarean delivery, so as to prevent or diminish unnecessary cesarean sections.

Download Full-text

Prevalence and risk factors of anemia among pregnant women attending a high-volume tertiary care center for delivery

Journal of the Turkish-German Gynecological Association ◽

10.5152/jtgga.2015.15071 ◽

2015 ◽

Vol 16 (4) ◽

pp. 231-236 ◽

Cited By ~ 6

Author(s):

Cuneyt Eftal Taner ◽

Atalay Ekin ◽

Ulas Solmaz ◽

Cenk Gezer ◽

Birgul Cetin ◽

...

Keyword(s):

Risk Factors ◽

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

High Volume ◽

Tertiary Care Center

Download Full-text

Vitamin D deficiency in pregnant women and their newborns as seen at a tertiary-care center in Karachi, Pakistan

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2010.07.034 ◽

2010 ◽

Vol 112 (1) ◽

pp. 59-62 ◽

Cited By ~ 23

Author(s):

Saadiya A. Karim ◽

Uzma Nusrat ◽

Sina Aziz

Keyword(s):

Vitamin D ◽

Pregnant Women ◽

Vitamin D Deficiency ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center

Download Full-text

Knowledge, attitude and preferences of pregnant women towards mode of delivery in a tertiary care center

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20163299 ◽

2016 ◽

pp. 4394-4398

Author(s):

Shiny Varghese ◽

Smita Singh ◽

Gagandeep Kour ◽

Tapasya Dhar

Keyword(s):

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

Mode Of Delivery ◽

Tertiary Care Center

Download Full-text

Knowledge and Practices of Pregnant Women regarding Oral Health in A Tertiary Care Hospital in Nepal

Journal of Nepal Medical Association ◽

10.31729/jnma.4420 ◽

2019 ◽

Vol 57 (217) ◽

Author(s):

Neha Gupta ◽

Manisha Chhetry

Keyword(s):

Oral Health ◽

Pregnant Women ◽

Dental Care ◽

Dental Health ◽

Care Center ◽

Tertiary Care ◽

Care Hospital ◽

Perinatal Complications ◽

Institutional Review ◽

In Pregnancy

Introduction: Poor dental hygiene has been associated with various perinatal complications in studiesdone worldwide but few studies in Nepal have explored the knowledge of pregnant ladies regardingdental hygiene. The aim of the study was to know the knowledge and practices of pregnant womenregarding oral health in a tertiary care center in Nepal. Methods: A qualitative study was carried out in Nobel Medical College and Teaching Hospital fromJanuary 15, 2018 to June 15, 2018 after approval from the Institutional Review Committee of NobelMedical College. Convenience sampling was done. Fifty pregnant women admitted in antenatalward were interviewed regarding their knowledge of dental care in pregnancy, the common dentalproblems they faced and the treatment taken. A predesigned proforma was used and results wereanalyzed using SPSS version 17. Results: Twenty two (44%) patients reported dental problems during pregnancy. Bleeding gumswas seen in 7 (14%) and toothache in 7 (14%) were commonly reported dental problems. Forty seven(94%) patients acknowledged that routine dental care was needed for health, only 6 (12%) wereaware that poor dental health could affect baby weight. Oral health not seen as priority in 24 (48%)was the main barrier to seeking dental care in pregnancy followed by costs of treatment in 18 (36%)and safety concerns in pregnancy in 8 (16%) cases. Conclusions: Though dental problems were a common occurrence in pregnancy, utilization ofservices was low for the same. The participants reported significant barriers to obtaining dental careincluding lack of knowledge about the importance of maternal oral health and the treatment costs.

Download Full-text

Maternal Attitude and Knowledge towards Modes of Delivery

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v16i2.1225 ◽

2018 ◽

Vol 16 (2) ◽

pp. 209-214

Author(s):

Anshumala Joshi ◽

Meeta Thapa ◽

Om Biju Panta

Keyword(s):

Pregnant Women ◽

Vaginal Delivery ◽

Caesarean Delivery ◽

Care Center ◽

Tertiary Care ◽

Mode Of Delivery ◽

College Teaching ◽

Cross Sectional ◽

Medical College ◽

Acceptable Method

Background: Whether a mother should be allowed to choose between the modes of delivery is a matter of concern among practicing obstetricians. This study aims to explore the knowledge of the Nepalese women attending a tertiary care center about the benefits and complications of vaginal and caesarean delivery and their attitude and preference for the method of delivery.Methods: The study was a hospital based cross sectional questionnaire survey conducted in Nepal Medical College teaching Hospital, Jorpati from 1stShrawan 2074 to 31st Ashoj 2074. All pregnant women who were 36 weeks or more in gestation attending the clinic during the study period were included in the study. A questionnaire was made of 10 questions for knowledge assessment regarding mode of delivery consisting of the indications, the possible complications and advantages of vaginal and caesarean delivery. Results: A total of 256 pregnant women participated in the study. The knowledge of the mode of delivery, their benefit and complications was medium to good in approximately 90% of the mothers attending the antenatal OPD. Overall attitude for vaginal delivery was positive in 93% of women and negative or neutral in 6.6%.Overall attitude for caesarean delivery was positive in 24% and negative or neutral in 75.8%.Conclusions: Women in our setup agree that vaginal delivery is a natural and acceptable method of delivery and would prefer to have a vaginal delivery. Keywords: Attitude; knowledge; modes of delivery; women.

Download Full-text