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Why do primigravidae request caesarean section in a normal pregnancy? A qualitative study in Iran
I Faisal1, N Matinnia2, A R Hejar1
1Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Selangor, Malaysia.
Midwifery
|September 24, 2013
Summary
Iranian women request caesarean sections due to fear of childbirth and concerns about vaginal birth complications. Improving antenatal education and healthcare provider practices are crucial for promoting natural childbirth.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Qualitative Research
Background:
- Rising rates of caesarean sections without medical indication present a public health concern.
- Understanding patient motivations is key to addressing this trend.
Purpose of the Study:
- To explore the reasons behind Iranian primigravidae's requests for caesarean sections without medical necessity.
Main Methods:
- A qualitative study employing semi-structured interviews with 14 primigravidae.
- Thematic analysis was used to interpret the gathered data.
Main Results:
- Key drivers included fear of labor pain, potential infant/maternal injury, and concerns about postpartum complications like prolapse or incontinence.
- Distrust in maternity ward staff and varying levels of trust in obstetricians also influenced decisions.
Conclusions:
- Effective antenatal assessments are needed to address women's fears and concerns.
- Enhanced antenatal education and strategies to boost confidence in vaginal birth are recommended.
- Re-education of healthcare providers on ethics and promoting positive attitudes towards vaginal birth is essential.
