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Trinidadian women's knowledge, perceptions, and preferences regarding cesarean section: How do they make choices?
1Faculty of Medical Sciences, Department of Paraclinical Sciences, Public Health & Primary Care Unit, The University of the West Indies, St Augustine, Trinidad and Tobago. kmungrue@fms.uwi.tt
International Journal of Women'S Health
|December 15, 2010
Summary
Most women in Trinidad lack sufficient knowledge about cesarean sections (CS) for informed decisions. Reliable information from healthcare professionals is crucial for improving awareness and decision-making regarding CS delivery.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal Health
Background:
- Cesarean section (CS) rates vary globally, influenced by maternal and societal factors.
- Understanding women's perceptions and knowledge is vital for informed decision-making in high-CS-user settings.
Purpose of the Study:
- To assess awareness, perception, and attitude towards cesarean sections (CS) among women in a primary healthcare setting in North Trinidad.
- To identify factors influencing women's preferences for CS delivery.
Main Methods:
- A cross-sectional study utilizing multistage sampling in antenatal and postnatal clinics.
- Data collected via structured questionnaires administered through in-depth interviews with 368 women aged 16+.
- Analysis included logistic regression to calculate odds ratios for information levels.
Main Results:
- A significant majority (46.2%) of women had limited information for informed CS decisions.
- Perceptions of safety, difficulty, and pain strongly influenced CS preference (P=0.001).
- Women receiving information from healthcare professionals were more likely to have adequate knowledge (OR=1.9).
Conclusions:
- Women attending clinics in North Trinidad demonstrate insufficient knowledge regarding CS for informed choices.
- Information sources were often unreliable, highlighting a need for structured antenatal education on CS.
- Targeted educational programs are necessary to empower women with accurate CS information.
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