Perceptions about caesarean section among women and health care providers: a qualitative study in a rural maternity hospital in Karnataka, India

Authors

  • Teny Attokaran Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
  • Merlyn Joseph Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
  • Ramya B. Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
  • Caroline Pretista D’souza Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
  • Soumya . Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
  • Maria Mary Mathew Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
  • Rathna Kumari Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
  • Avita Rose Johnson Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20200352

Keywords:

Attitude, Caesarean section, Decision-making, Perception, Qualitative study

Abstract

Background: Caesarean section is life-saving, but rising rates are a cause for concern. Perceptions surrounding caesarean delivery may play a significant role in the shared-decision making process. Objective of this study was to explore the perceptions of caesarean section among antenatal, postnatal women and healthcare providers in a rural maternity hospital in Ramanagara district, Karnataka.

Methods: Qualitative research methodology was adopted to explore perceptions regarding preferred birthing mode, caesarean and its perceived complications. Focus group discussions and in-depth interviews were conducted with antenatal and postnatal women, their caregivers and health care providers. Inductive coding approach and thematic framework analysis was done.

Results: Five major themes emerged regarding perceptions of caesarean section among women in a rural area of Karnataka: understanding, fears, decision making, after-care and prevention. Women had a strong preference for normal vaginal birth, but willing to accept doctor’s decision for caesarean as they believed that it would protect the life of unborn child. Women perceived that caesarean was profitable to the hospital. Common mentioned side effects following caesarean were backache and pain at the surgical site.

Conclusions: The understanding regarding caesarean section was adequate. Women had fears linked to caesarean such as pain, inability to work, weight gain, prolonged recovery and caesarean deliveries in subsequent pregnancies. Husbands and other family members as well as the doctors were the important decision makers, while the women themselves had little say in the matter. Obstetricians need to focus on alleviating concerns among pregnant women and their family members regarding caesarean section.

References

Ezeonu PO, Ekwedigwe KC, Isikhuemen ME, Eliboh MO, Onoh RC, Lawani LO, et al. Perception of caesarean section among pregnant women in a rural missionary hospital. Adv Reprod Sci. 2017;5(3):33-8.

Ajeet S, Jaydeep N, Nandkishore K, Nisha R. Women’s knowledge, perceptions, and potential demand towards caesarean section. Natl J Community Med. 2011;2(2):244-8.

Begum T, Ellis C, Sarker M, Rostoker JF, Rahman A, Anwar I, et al. A qualitative study to explore the attitudes of women and obstetricians towards caesarean delivery in rural Bangladesh. BMC Preg Childbirth. 2018;18(1):368.

Sreevidya S, Sathiyasekaran BWC. High caesarean rates in Madras (India): a population-based cross sectional study. BJOG An Int J Obstet Gynaecol. 2003;110(2):106-11.

India-Key Indicators India-Key Indicators International institute for population sciences. Available at: http://www.rchiips.org/nfhshttp://www.iipsindia.org.Accessed on 3 February 2019.

Gunnervik C, Sydsjö G, Sydsjö A, Ekholm Selling K, Josefsson A. Attitudes towards cesarean section in a nationwide sample of obstetricians and gynecologists. Acta Obstet Gynecol Scandinavica. 2008;87(4):438-44.

Khatony A, Soroush A, Andayeshgar B, Saedpanah N, Abdi A. Attitude of primiparous women towards their preference for delivery method: a qualitative content analysis. Arch Public Heal. 2019;77(1):38.

Qazi Q. Pregnant women view regarding cesarean section in Northwest Pakistan. Trop Med Surg. 2013;1(1):1-4.

Ashimi A, Amole T, Aliyu L. Knowledge and attitude of pregnant women to caesarean section in a semi-urban community in northwest Nigeria. J West African Coll Surg. 2013;3(2):46-61.

Owonikoko KM, Akinola S, Adeniji OA, Bankole AO. WomenÂ’s perception and experience of caesarean delivery in Ogbomoso, Southwest Nigeria. J Pregnancy Child Heal. 2015;2(3):1-6.

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Published

2020-01-28

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Original Research Articles