Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jul 7:2019:2320743.
doi: 10.1155/2019/2320743. eCollection 2019.

Reasons for Women's Choice of Elective Caesarian Section in Duayaw Nkwanta Hospital

Kennedy Diema Konlan  1 , Elizabeth Kpodotsi Baku  1 , Milipaak Japiong  2 , Kennedy Dodam Konlan  3 , Roberta Mensima Amoah  4
Affiliations

Reasons for Women's Choice of Elective Caesarian Section in Duayaw Nkwanta Hospital

Kennedy Diema Konlan et al. J Pregnancy. .

Abstract

Background: Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child and in turn reduce maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. This study identified the factors that influence women's choice of elective cesarean sections in the Duayaw Nkwanta Hospital.

Methodology: This study used descriptive cross-sectional survey method to collect data from 78 post-caesarean section women above age 18 years. A whole population sampling method was used to trace respondents to their homes to administer a pretested questionnaire. Data was double-entered into Microsoft Excel spreadsheet, compared, cleaned, and transported to Statistical Package for Social Sciences (SPSS) version 21. Data was analyzed using descriptive statistics with a Pearson correlation test.

Results: Post-caesarean section women (37.2%) indicated CS is a pain-free method of birth while 57.1% reported CS is safe for both mother and baby. Others (28.2%) chose CS based on a friend's advice and 19.2% on religious advice. The relationship between age of respondents and the number of times of having CS showed a weak positive correlation (r= .170, N= 78, p≤0.136, two-tailed test). There was a significant positive correlation between average monthly income of respondents and the number of times of having a CS birth (r= .320, N= 78, p≤ 0.004).

Conclusion: It is imperative that there is heightened interest in educating mothers on associated benefit and risk of elective caesarean sections as a method of birthing by nurses and midwives in the antenatal clinics.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow chart showing deliveries and CS for the year 2017 at Duayaw Nkwanta District.
See this image and copyright information in PMC

References

    1. Teguete I., Traore Y., Sissoko A., et al. Determining Factors of Cesarean Delivery Trends in Developing Countries: Lessons from Point G National Hospital. Mali- Bamako: 2009.
    1. Lavender T., Justice H., James N., Kingdon C., Gilian G. Caesarean section for non-medical reasons at term (Review) Cochrane Database of Systematic Reviews. 2009;3 doi: 10.1002/14651858.CD004660.pub2. - DOI
    1. Kačerauskienė J., Barčaitė E., Bartusevičius A., Railaitė D., Nadišauskienė R. Maternal request is not to blame for an increase in the rate of cesarean section. Medicina (Kaunas) 2012;48(12) - PubMed
    1. Kornelsen J., Hutton E., Munro S. Influences on decision making among primiparous women choosing elective caesarean section in the absence of medical indications?: findings from a qualitative investigation. Journal of Obstetrics and Gynaecology Canada. 2010;32(10):962–969. - PubMed
    1. Zhao Y., Chen S. Psychosocial factors for women requesting cesarean section. International Journal of Clinical Medicine. 2013;4:395–399.