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Related Experiment Video

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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
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Cesarean Birth Regret and Dissatisfaction: A Qualitative Approach.

Paul Burcher1, Melissa J Cheyney2, Kalie N Li3

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Patient dissatisfaction after unplanned cesarean births stems from poor communication, fear, and distrust. Addressing these factors, particularly provider trust, can improve the birth experience.

Keywords:
cesarean birthcommunicationpatient dissatisfaction

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Area of Science:

  • Obstetrics and Gynecology
  • Patient Experience Research

Background:

  • Unplanned cesarean births are frequently associated with patient dissatisfaction and regret.
  • Quantitative studies have explored this, but the underlying causes remain unclear due to survey limitations.

Purpose of the Study:

  • To identify potentially modifiable factors contributing to cesarean section regret in women undergoing unplanned surgical birth during labor.
  • To explore patient perspectives on factors influencing their satisfaction with unplanned cesarean births.

Main Methods:

  • Conducted open-ended, semi-structured interviews with 14 postpartum women who experienced unplanned cesarean births during labor.
  • Utilized consensus coding of transcribed interviews to identify recurring themes in patient narratives.

Main Results:

  • Four key themes emerged: poor communication, fear of the operating room, distrust of the medical team, and loss of control.
  • A novel finding was the significant role of lack of or incomplete trust in care providers as a source of distress.

Conclusions:

  • The identified factors (communication, fear, distrust, control) are potentially amenable to intervention.
  • Modifications in physician behavior and communication strategies may reduce patient dissatisfaction following unplanned cesarean births.