ARTICLE

DRIVING FACTORS INFLUENCING THE WOMENS PREFERENCE AND DECISIONMAKING FOR NONMEDICALLY INDICATED CAESAREAN SECTION

10 Pages : 107-115

http://dx.doi.org/10.31703/gssr.2023(VIII-I).10      10.31703/gssr.2023(VIII-I).10      Published : Mar 1

Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section

    Background:Caesarean section has become an emerging issue and catching attention worldwide. Shared decision-making among families and individuals has become a fashion and the main reason for women's preference for caesarean section. There are many societal factors that play an important role in unnecessary caesarean sections. Objective: To evaluate the driving factors influencing the women's preference and decision-making for caesarean section at the mother's request. Material and method: Qualitative research design used in this study via face-to-face in-depth interviews in a public-sector Faisalabad. IDI was conducted at the convenient time of the participant at the time of their antenatal visits. The interview's time was 30 to 40 minutes. The study's participants were pregnant women. A purposive sampling method was used. Data analysis was done on Nviovo software. Results: After transcribing the data, codes were made which leads to the basic themes with their sub-themes. The themes which were the influencing factors in women's preference and shared decision-making towards  caesarean section were: child and maternal health, peer pressure (husband/mother-in-law/society influence), financial influence and hospital management (shortage of staff). Conclusion: The percentage of non-indicated caesarean sections has drastically increased day by day in the last ten years. There should be introduced some strategies for the education of women about pro cons and indications or non-indication for caesarean section.Patients' and peer preferences should be deliberated with healthcare practitioners. Healthcare staff should explain the indications of caesarean section at the time of antenatal.

    Caesarean Section, Shared Decision-making, Maternal Preference, Non-medical Indication
    (1) Misbah Akram
    Post Rn, MSN, Lahore School of Nursing, University of Lahore, Lahore, Punjab, Pakistan.
    (2) Muhammad Afzal
    Principal, Lahore School of Nursing, University of Lahore, Lahore, Punjab, Pakistan.
  • Garthus-Niegel, S., von Soest, T., Knoph, C., Simonsen, T. B., Torgersen, L., & Eberhard- Gran, M. (2019). The influence of women’s preferences and actual mode of delivery on post-traumatic stress symptoms following childbirth: a population-based, longitudinal study. BMC pregnancy and childbirth, 14(1), 191. https://doi.org/10.1186/1471-2393-14-191
  • Guo, Y., Murphy, M. S. Q., Erwin, E., Fakhraei, R., Corsi, D. J., White, R. R., Harvey, A. L. J., Gaudet, L. M., Walker, M. C., Wen, S. W., & El-Chaâr, D. (2021). Birth outcomes following cesarean delivery on maternal request: a population-based cohort study. Cmaj, 193(18), 634-644. https://doi.org/10.1503/cmaj.202262
  • Hatamleh, R., Abujilban, S., Al-Shraideh, A. J., & Abuhammad, S. (2019). Maternal request for cesarian birth without medical indication in a group of healthy women: A qualitative study in Jordan. Midwifery, 79(19), 1025- 1027. https://doi.org/10.15620/cdc:104993
  • Kalish, R. B., McCullough, L. B., & Chervenak, F. A. (2022). Patient choice cesarean delivery: ethical issues. Curr Opin Obstet Gynecol, 20(2), 116-119 https://doi.org/10.1097/GCO.0b013e3282f55df7
  • Khan, R., Blum, L. S., Sultana, M., Bilkis, S., & Koblinsky, M. (2019). An examination of women experiencing obstetric complications requiring emergency care: perceptions and sociocultural consequences of caesarean sections in Bangladesh. J Health Popul Nutr, 30(2), 159-171. https://doi.org/10.3329/jhpn.v30i2.11309
  • Kjerulff, K. H., Attanasio, L. B., Edmonds, J. K., & Repke, J. T. (2019). Mode of delivery preference among pregnant nulliparous women. Journal of Women's Health, 28(6), 874-884. https://doi.org/10.1089/jwh.2018.6989
  • Lengua, L. J., Thompson, S. F., Kim, S. G., Rosen, M. L., Rodman, A., Kasparek, S., Mayes, M., Zalewski, M., Meltzoff, A., & McLaughlin, K. A. (2022). Maternal mental health mediates the effects of pandemic-related stressors on adolescent psychopathology during COVID- 19. Journal of Child Psychology and Psychiatry, 63(12), 1542-1555. https://doi.org//jcpp.13610
  • Loke, A. Y., Davies, L., & Mak, Y.-w. (2019). Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders. BMC pregnancy and childbirth, 19(1), 286. https://doi.org/10.1186/s12884-019-2440-2
  • Maya, E. T., Adu-Bonsaffoh, K., Dako-Gyeke, P., Badzi, C., Vogel, J. P., Bohren, M. A., & Adanu, R. (2019). Women's perspectives of mistreatment during childbirth at health facilities in Ghana: findings from a qualitative study. Reprod Health Matters, 26(53), 70-87 https://doi.org/10.1080/09688080.2018.1502020
  • Mulchandani, R., Power, H. S., & Cavallaro, F. L. (2020). The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review. J Obstet Gynaecol, 40(1), 1-9. https://doi.org/10.1080/01443615.2019.1587603
  • O'Donovan, C., & O'Donovan, J. (2019). Why do women request an elective cesarean delivery for non-medical reasons? A systematic review of the qualitative literature. Birth, 45(2), 109-119. https://doi.org/10.1111/birt.12319
  • Panda, S., Begley, C., & Daly, D. (2020). Influence of women's request and preference on the rising rate of caesarean section–a comparison of reviews. Midwifery, 13(8), 88-90. https://doi.org/102765
  • Preis, H., Mor, P., Grisaru-Granovsky, S., Samueloff, A., Gabbay-Benziv, R., Chen, R., Eisner, M., Pardo, J., Peled, Y., & Wiznitzer, A. (2020). Women's preferences for mode of second birth—A prospective study of two Israeli birth cohorts. Birth, 47(2), 237-245. https://doi.org/10.1111/birt.12484
  • Sun, N., Yin, X., Qiu, L., Yang, Q., & Gong, Y. (2020). Chinese obstetricians’ attitudes, beliefs, and clinical practices related to cesarean delivery on maternal request. Women and Birth, 33(1), 67-71. https://doi.org/10.1016/j.wombi.2019.03.001
  • Thapsamuthdechakorn, A., Sekararithi, R., & Tongsong, T. (2019). Factors Associated with Successful Trial of Labor after Cesarean Section: A Retrospective Cohort Study. JPregnancy, 31(7), 2251-2259. https://doi.org/10.1155/2018/6140982
  • Verma, K., & Baniya, G. C. (2022). Maternal factors for requesting planned caesarean section in western Rajasthan. Journal of OBGYN, 9(1), 155-160. https://doi.org/10.21276/obgyn.2022.9.1.29
  • Wigert, H., Nilsson, C., Dencker, A., Begley, C., Jangsten, E., Sparud-Lundin, C., Mollberg, M., & Patel, H. (2020). Women's experiences of fear of childbirth: a metasynthesis of qualitative studies. Int J Qual Stud Health Well-being, 15(1), 17044- 84. https://doi.org/10.1080/17482631.2019.1704484

Cite this article

    APA : Akram, M., & Afzal, M. (2023). Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section. Global Social Sciences Review, VIII(I), 107-115. https://doi.org/10.31703/gssr.2023(VIII-I).10
    CHICAGO : Akram, Misbah, and Muhammad Afzal. 2023. "Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section." Global Social Sciences Review, VIII (I): 107-115 doi: 10.31703/gssr.2023(VIII-I).10
    HARVARD : AKRAM, M. & AFZAL, M. 2023. Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section. Global Social Sciences Review, VIII, 107-115.
    MHRA : Akram, Misbah, and Muhammad Afzal. 2023. "Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section." Global Social Sciences Review, VIII: 107-115
    MLA : Akram, Misbah, and Muhammad Afzal. "Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section." Global Social Sciences Review, VIII.I (2023): 107-115 Print.
    OXFORD : Akram, Misbah and Afzal, Muhammad (2023), "Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section", Global Social Sciences Review, VIII (I), 107-115
    TURABIAN : Akram, Misbah, and Muhammad Afzal. "Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section." Global Social Sciences Review VIII, no. I (2023): 107-115. https://doi.org/10.31703/gssr.2023(VIII-I).10