Factors influencing decision-making to accept elective caesarean section in a hospital in Ghana: A descriptive cross-sectional study

Abstract Background Elective caesarean section rates are on the rise and socioeconomic status, perceptions of safety, cultural and social influences are contributory factors. Inspite of the benefits of medically-indicated caesarean section, some women refuse this due to a complexity of factors. This study aimed at determining the factors that influence women to accept medically-indicated caesarean section in a district hospital in Ghana.MethodsA descriptive cross-sectional study was conducted among 163 purposively-sampled postnatal women in a hospital. A questionnaire was used for data collection after the women gave their consent to participate. Data was analyzed using SPSS version 25.0, Chi-square test was done to determine the association between the factors that facilitated respondents’ acceptance of caesarean section and the duration of decision-making. ResultsMajor factors influencing their decision-making process were support from their husbands/relatives (39.3%), their baby’s life being at risk (24.5%), history of previous caesarean section and knowledge about the procedure (19.6%). Age (R2 = 0.19, p< 0.001); previous caesarean section (R2 = 0.14, p<0.001) are the major predictors of the duration of the decision-making process.ConclusionMost women will make decisions to accept elective caesarean section within a week’s duration based on consultation with relatives. There is the need to involve relatives during the antenatal care period in order for younger women in particular to be readily supported to make the decision early to avoid any complications and allay their fears.

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Factors influencing decision-making to accept elective caesarean section: A descriptive cross-sectional study

Heliyon ◽

10.1016/j.heliyon.2021.e07755 ◽

2021 ◽

pp. e07755

Author(s):

Victoria Bam ◽

Alberta Yemotsoo Lomotey ◽

Abigail Kusi-Amponsah Diji ◽

Hayford Isaac Budu ◽

Dorothy Bamfo-Ennin ◽

...

Keyword(s):

Decision Making ◽

Caesarean Section ◽

Elective Caesarean Section ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Influencing

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Discrimination by parity is a prerequisite for assessing induction of labour outcome – cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03334-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Branko Denona ◽

Michael Foley ◽

Rhona Mahony ◽

Michael Robson

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Induction Of Labour ◽

Previous Caesarean Section ◽

Sectional Study ◽

Cross Sectional ◽

Nulliparous Women ◽

Significant Difference ◽

Multiparous Women ◽

Group 3

Abstract Background To demonstrate that studies on induction of labour should be analyzed by parity as there is a significant difference in the labour outcome among induced nulliparous and multiparous women. Methods Obstetric outcome, specifically caesarean section rates, among induced term nulliparous and multiparous women without a previous caesarean section were analyzed in this cross-sectional study using the Robson 10 group classification for the year 2016. Results In the total number of 8851 women delivered in 2016, the caesarean section rates among nulliparous women in spontaneous and induced labour, Robson groups 1 and 2A, were 7.84% (151/1925) and 32.63% (437/1339) respectively and among multiparous (excluding those women with a previous caesarean section), Robson group 3 and 4A were 1%(24/2389) and 4.37% (44/1005), respectively. Pre labour caesarean rates for nulliparous and multiparous women, Robson groups 2B and 4B (Robson M, Fetal Matern Med Rev, 12; 23–39, 2001) were 3.91% (133/3397) and 2.86% (100/3494), of the respective single cephalic cohort at term. Conclusion The data suggests that studies on induction of labour should be analyzed by parity as there is a significant difference between nulliparous and multiparous women.

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Interinstitutional variations in mode of birth after a previous caesarean section: a cross-sectional study in six German hospitals

Journal of Perinatal Medicine ◽

10.1515/jpm-2014-0108 ◽

2015 ◽

Vol 43 (2) ◽

Cited By ~ 10

Author(s):

Mechthild M. Gross ◽

Andrea Matterne ◽

Silvia Berlage ◽

Annette Kaiser ◽

Nicholas Lack ◽

...

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Previous Caesarean Section ◽

Sectional Study ◽

Regional Data ◽

Cross Sectional ◽

Regional Patterns ◽

German States ◽

Mode Of Birth ◽

Vaginal Birth After Caesarean

AbstractRegional and interinstitutional variations have been recognized in the increasing incidence of caesarean section. Modes of birth after previous caesarean section vary widely, ranging from elective repeat caesarean section (ERCS) and unplanned repeat caesarean section (URCS) after trial of labour to vaginal birth after caesarean section (VBAC). This study describes interinstitutional variations in mode of birth after previous caesarean section in relation to regional indicators in Germany.A cross-sectional study using the birth registers of six maternity units (n=12,060) in five different German states (n=370,209). Indicators were tested by χThe percentages of women in the six units with previous caesarean section ranged from 11.9% to 15.9% (P=0.002). VBAC was planned for 36.0% to 49.8% (P=0.003) of these women, but actually completed in only 26.2% to 32.8% (P=0.66). Depending on the indicator, the units studied deviated from the regional data by up to 32% [relative risk 0.68 (0.47–0.97)] in respect of completed VBAC among all initiated VBAC.There is substantial interinstitutional variation in mode of birth following previous caesarean section. This variation is in addition to regional patterns.

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Factors Influencing Effective Menstrual Practices and Management among Girls in Kibera Slum, Kenya

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2020/v41i1530358 ◽

2020 ◽

pp. 56-65

Author(s):

Maru Lorna Chemutai ◽

Yeri Kombe ◽

Kenneth Ngure

Keyword(s):

Public Schools ◽

Cross Sectional Study ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Menstrual Hygiene ◽

Hygiene Practices ◽

Factors Influencing ◽

Two Factors ◽

Chi Square Test

Aims: The aim of the study was to assess menstrual hygiene practices and examine access to sanitary materials and facilities and how they influence effective menstrual practices and management among girls in Kibera slum Kenya. To achieve this cross-sectional study was conducted in mixed day secondary schools. Methodology: A cross – sectional study design was adopted. Simple random was used to select 25% of public schools and 25% of private schools with a population of 1778 girls. Fisher’s sample size formula was used to select 384 respondents. The study was conducted in Kibera slums, Nairobi Kenya. Data on factors influencing effective menstrual practices and management among girls in Kibera slum was obtained through interviewer administered questionnaires. Chi-square test of independence, Pearson’s correlation analysis and multiple regression analysis were used using IBM® SPSS® Statistics 20. Results: Menstrual management amongst the 355 secondary going girls in Kibera slums with a median age of 16 years was influenced by menstrual hygiene practices and access to sanitary materials and facilities. These two factors accounted for up to 75.3% as indicated in the regression model. Of the two factors access to sanitary facilities and materials had the greatest influence on menstrual management (β = 0.842 p < 0.05) while menstrual hygiene practices had the least effect (β = 0.089 p < 0.05). Conclusion: Our study identified that menstrual hygiene practices and access to sanitary materials influenced effective menstrual practices and management among girls in Kibera.

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Knowledge and Prevention Practices Before Breast Cancer Diagnosis in a Cross-Sectional Study Among Survivors: Impact on Patients’ Involvement in the Decision Making Process

Journal of Cancer Education ◽

10.1007/s13187-013-0540-7 ◽

2013 ◽

Vol 29 (1) ◽

pp. 44-49 ◽

Cited By ~ 7

Author(s):

Emanuela Taioli ◽

Gail R. Joseph ◽

Linda Robertson ◽

Stacy Eckstein ◽

Camille Ragin

Keyword(s):

Breast Cancer ◽

Decision Making ◽

Cancer Diagnosis ◽

Breast Cancer Diagnosis ◽

Cross Sectional Study ◽

Decision Making Process ◽

Sectional Study ◽

Cross Sectional

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Perinatal determinants of D-dimer levels in a cross-sectional study of low risk pregnant women

Obstetric Medicine ◽

10.1177/1753495x15625547 ◽

2016 ◽

Vol 9 (2) ◽

pp. 78-82

Author(s):

NM Murphy ◽

AS Khashan ◽

DI Broadhurst ◽

O Gilligan ◽

K O’Donoghue ◽

...

Keyword(s):

Caesarean Section ◽

Pregnant Women ◽

Vaginal Delivery ◽

Elective Caesarean Section ◽

Mode Of Delivery ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

D Dimer ◽

In Pregnancy

Background To examine perinatal determinants of the antenatal levels of D-dimers. Methods Cross-sectional study of 760 low risk pregnant women recruited into five gestational groups. Variables examined in antenatal groups included maternal age, body mass index, parity, smoking, family history venous thromboembolism (VTE) and previous use of the oral contraceptive pill (OCP). Onset of labour and mode of delivery were also examined in the post-natal group. Results D-dimer levels in group 4 (38–40 + 6) were significantly lower in the women with a history of taking the OCP when compared to those that had not taken it in the past ( P = 0.027). In the day 2 post-natal group, the median level of D-dimer was significantly higher in primparous when compared to multiparous women ( P = 0.015). The median D-dimer levels were significantly lower in the elective Caesarean section group in comparison to spontaneous onset ( P = 0.003) and induction of labour ( P = 0.016). When the mode of delivery was examined, the median D-dimer levels were significantly lower in those that had an elective Caesarean section when compared to normal vaginal delivery ( P = 0.008) and instrumental vaginal delivery ( P = 0.007). Women post elective Caesarean section had a significantly lower D-dimer than those after emergency Caesarean section ( P = 0.008). Discussion There are some significant differences in D-dimer levels when certain perinatal determinants are examined. This work is potentially beneficial to the future diagnosis of VTE in pregnancy as it supports previously published recommended D-dimer levels for the diagnosis of VTE in pregnancy.

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Discrimination by parity is a prerequisite for assessing induction of labour outcome – cross-sectional study

10.21203/rs.2.17345/v2 ◽

2020 ◽

Author(s):

Branko Denona ◽

Michael Foley ◽

Rhona Mahony ◽

Michael Robson

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Induction Of Labour ◽

Previous Caesarean Section ◽

Sectional Study ◽

Cross Sectional ◽

Nulliparous Women ◽

Significant Difference ◽

Multiparous Women ◽

Group 3

Abstract Background: To demonstrate that studies on induction of labour should be analyzed by parity as there is a significant difference in the labour outcome among induced nulliparous and multiparous women Methods: Obstetric outcome, specifically caesarean section rates, among induced term nulliparous and multiparous women without a previous caesarean section were analyzed in this cross-sectional study [BD1] using the Robson 10 group classification2 for the year 2016.Results: In the total number of 8851 women delivered in 2016[BD2] , the caesarean section rates among nulliparous women in spontaneous and induced labour, Robson groups 1 and 2A, were 7.8% (151/1925) and 32.6% (437/1339) respectively and among multiparous (excluding those women with a previous caesarean section), Robson group 3 and 4A were 1%(24/2389) and 4.4% (44/1005), respectively. Pre labour caesarean rates for nulliparous and multiparous women, Robson groups 2B and 4B2 were 3.9% (133/3397) and 2.8% (100/3494), of the respective single cephalic cohort at term.Conclusion: The data suggests that studies on induction of labour should be analyzed by parity as there is a significant difference between nulliparous and multiparous women.

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