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Caesareans by request.

Barbara Davies1

  • 1School of Nursing, University of Ottawa.

The Canadian Nurse
|October 26, 2012
PubMed
Summary
This summary is machine-generated.

Most young Canadian women have heard of caesarean delivery on maternal request but few favor it. Fears of vaginal birth and peer attitudes influence these views.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Reproductive Health

Background:

  • Caesarean delivery on maternal request is a growing topic of discussion.
  • Understanding nulliparas' attitudes is crucial for informed decision-making.

Purpose of the Study:

  • To describe attitudes of nulliparas towards caesarean delivery on maternal request.
  • To examine characteristics, perceptions, and fears associated with vaginal birth and caesarean delivery.

Main Methods:

  • Cross-sectional survey of Canadian nulliparas aged 18-24.
  • Validated questionnaire assessing attitudes towards caesarean delivery on request.
  • Descriptive, bivariate, and multivariate regression analyses were performed.

Main Results:

  • 140 nulliparas participated (53.8% response rate).
  • 63.3% had heard of caesarean delivery on maternal request, but only 28.6% held a favorable attitude.
  • Fears of vaginal birth, perceptions of caesarean delivery as less stressful, beliefs about negative consequences of vaginal birth, and peer attitudes were associated with favorable attitudes.

Conclusions:

  • A significant minority of young nulliparas have favorable attitudes toward caesarean delivery on maternal request.
  • Specific fears and perceptions regarding childbirth influence these attitudes.
  • Further research is needed to explore the complex factors influencing maternal request for caesarean delivery.