Evaluation of parturient perception and aversion before and after primary cesarean delivery in a low-resource country

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• 作者：Abiodun S. Adeniran^a ; ^{acrowncord@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Abiodun P. Aboyeji^a ; ^b ; Adegboyega A. Fawole^a ; ^c ; Olayinka R. Balogun^a ; ^d ; Kikelomo T. Adesina^a ; Salamat Isiaka-Lawal^e
• 关键词：Aversion ; Cesarean delivery ; Delivery ; Low-resource country ; Parturient ; Perception
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：132
• 期：1
• 页码：77-81
• 全文大小：185 K

文摘

To determine the perception of and aversion to cesarean delivery (CD) and their determinants before and after primary CD.

Methods

A prospective cross-sectional survey of pregnant women undergoing primary CD (elective or emergency) was conducted in six health facilities in Ilorin, Nigeria. All participants completed an interviewer-administered questionnaire before the operation and 3–4 days thereafter. The statistical analysis included the calculation of odds ratios (ORs) with 95% confidence intervals (CIs) and a logistic regression.

Results

Of the 254 participants, 182 (71.7%) and 53 (20.9%) had an aversion to CD before and after the procedure, respectively. A woman’s personal decision was the overriding factor influencing acceptance of the operation. Preoperative predictors of aversion were prenatal admission (OR 2.86 [95% CI,1.07–7.66]; P = 0.030) and a history of previous surgery (OR 0.42 [95% CI, 0.24–0.75]; P = 0.003), whereas postoperatively a low number of prenatal clinic visits (less than four; OR 3.05 [95% CI,1.63–5.69]; P = 0.001) and a history of previous surgery (OR 0.51 [95% CI, 0.27–0.96]; P = 0.034) were significant. Postprocedure, 164 (64.6%) women said they would accept a repeat CD.

Conclusion

Patient education, prenatal care, and previous surgical experiences were important in determining women’s perception of and aversion to CD.