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Evaluation of parturient perception and aversion before and after primary cesarean delivery in a low‐resource country
Author(s) -
Adeniran Abiodun S.,
Aboyeji Abiodun P.,
Fawole Adegboyega A.,
Balogun Olayinka R.,
Adesina Kikelomo T.,
IsiakaLawal Salamat
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.06.045
Subject(s) - medicine , logistic regression , odds ratio , confidence interval , primary care , pregnancy , cesarean delivery , interview , demography , obstetrics , pediatrics , family medicine , genetics , sociology , political science , law , biology
Objective 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.