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First-time mothers' wish for a planned caesarean section: deeply rooted emotions
M Sahlin1, A-K Carlander-Klint, I Hildingsson
1Department of Clinical Sciences, Division of Obstetrics and Gynaecology, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden. maria.sahlin@ki.se
Midwifery
|August 21, 2012
Summary
First-time mothers desiring a caesarean section (CS) without medical need are driven by deeply rooted emotions, not just fear of birth. These emotions influence their choice for a planned CS, impacting maternal healthcare decisions.
Area of Science:
- Maternal Health
- Reproductive Health
- Psychological Aspects of Childbirth
Background:
- Caesarean section on maternal request (CSMR) accounts for 4-18% of all CS globally.
- While reasons for CSMR are studied, first-time mothers' motivations remain under-explored.
Purpose of the Study:
- To explore the motivations behind first-time mothers' desire for a caesarean section without medical indication.
Main Methods:
- Qualitative descriptive study.
- Content analysis of interviews with 12 first-time mothers.
Main Results:
- A central theme of 'deeply rooted emotions' emerged.
- Key categories included: pre-determined belief in CS, perception of CS as safer/more controlled, negative past healthcare experiences, and managing others' reactions.
Conclusions:
- Deeply rooted emotions, surpassing fear of childbirth, underlie the desire for planned caesarean sections in this cohort.
- Understanding these emotional drivers is crucial for addressing maternal requests for CS.
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