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Identifying factors contributing to health workers' preferences for elective caesarean section: a qualitative study
Zahra Alipour1, Zohre Momenimovahed1, Zohre Khalajinia2
1Department of Midwifery, School of Medicine, Qom University of Medical Sciences, Qom, Iran.
BMC Pregnancy and Childbirth
|June 2, 2026
Summary
Health workers prefer elective caesarean sections due to fear of labor pain and safety concerns, alongside practical scheduling needs. Improving maternity care and pain relief access could influence choices.
Area of Science:
- Maternal Health
- Obstetrics
- Qualitative Research
Background:
- Global Caesarean section (CS) rates are rising due to various factors.
- This study investigates health workers' perspectives on their elective CS preferences.
Purpose of the Study:
- To explore health workers' understanding of factors influencing their choice of elective Caesarean section.
- To identify specific concerns and practical considerations driving these decisions.
Main Methods:
- Qualitative descriptive study utilizing conventional content analysis.
- In-depth interviews with 24 health workers who had elective CS within two years.
- Data collected from October 2023 to May 2024 at Qom University of Medical Sciences.
Main Results:
- Health workers' preferences for elective CS were influenced by fears of labor pain, maternal/newborn safety, and loss of privacy.
- Practical factors like scheduling predictability for work and family were significant.
- Health system issues, including pain relief access and staff competence, also played a role.
Conclusions:
- Findings highlight areas for improving maternity services, focusing on respectful care and pain relief.
- Addressing negative perceptions of vaginal birth among health workers is crucial.
- Enhancing privacy and dignity during labor is recommended.
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