Caesarean Section: Awareness, Perception and Acceptability of Caesarean Section Amongst Subrural Nigerian Parturients
DOI:
https://doi.org/10.14205/2309-4400.2015.03.01.2Keywords:
Caesarean section, perception, acceptability.Abstract
Introduction: Caesarean section is one of the commonest operations performed globally today and has contributed immensely to improvement in maternal care. Awareness, perception and acceptability of this procedure are still a concern in developing countries hence this study.
Methods: This was a cross-sectional study aimed at the evaluation of the awareness, perception and acceptability of Caesarean section amongst antenatal attendees at Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Results: 332 (83%) were aware of the surgery and this was influenced by the respondents' parity, marital status, occupation, level of education and previous Caesarean section. 275(75.9%) of those with formal education could correctly define Caesarean section. Sixty-four percent were in support of the procedure whereas 144(36%) were averse to it. Majority of the attendees 326 (81.5%) would readily accept Caesarean section when it becomes necessary to save their lives and unborn child, while 74(18.5%) would default.
Conclusion: There is still the need to broaden the reach on knowledge of caesarean delivery amongst the few who are ignorant of the consequences of not accepting or not being aware of the procedure when the need arise.
References
Ebeigbe PN and Ilesanmi AO. Caesarean section. In: Okpere E (Ed). Clinical Obstetrics. UNIBEN Press, University of Benin, Benin city. Revised edition 2004 pp. 337-343.
Jaiyesimi RAK and Ojo OE. Caesarean section. In: Okonofua F, Odunsi K (Eds). Contemporary obstetrics and gynaecology for developing countries. Women's Health and Action Research Centre; 2003 pp 592-619.
Cunningham FG, Leveno KG, Bloom SL, Hauth JC, Dwight RJ and Spong CY. Caesarean delivery and peripartum hysterectomy. In: William's Obstetrics. 23rd ed. McGraw Hill Company Inc. USA. 2010; Ch 25: pp. 544-564.
Campbell C and Lees C. Operative interventions in Obstetrics. In: Obstetrics by Ten Teachers 17th ed. Hodder Arnold: Hodder education, London UK. 2000. Ch19p.281- 302.
Rozenberg P. Evaluation of caesarean rate: a necessary progress in modern obstetrics. J Gynecol Obstet Biol(Paris). 2004 Jun; 33(4): 279-89.
Souza JP, Gülmzoglu AM, Lumbiganon P, Laopaiboon M, Carroli G, Fawole B and Runyan P. Caesarean section without medical indication is associated with an increased risk of adverse short-term maternal outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal Health. BMC Medicine 2010:8(1):71 http://dx.doi.org/10.1186/1741-7015-8-71
Oladipo OT, Sotunsa JO and Sule-Odu AO. The rise in caesarean birth in Sagamu, Nigeria: reflection of changes in obstetric practice. J Obstet Gynecol 2004; 24: 377-381. http://dx.doi.org/10.1080/01443610410001685484
Ugwu E, Obioha K, Okezie OA and Ugwu OA. A five year review of caesarean delivery at a Nigerian tertiary hospital. Ann Med Health Sci Res 2011;1:77-83.
Annual report (2004) Department of Obstetrics and Gynaecology, University of Portharcourt teaching Hospital.
Njokanma FO, Egri-Okwargi MT, Nwokoro CA, Orebamjo T and Okeke GC. Birth asphyxia, perinatal and maternal mortality associated with caesarean section. Trop J Obstet Gynaecol 2002;19:25-9. http://dx.doi.org/10.4314/tjog.v19i1.14364
Naymi RS and Rehan N. Prevalence and determinants of caesarean section in a Teaching Hospital of Pakistan. J Obstet Gynaecol 2000;20:479-83. http://dx.doi.org/10.1080/014436100434640
Iloabachie GC and Meniru GI. Trends in caesarean section. Niger J Surg Sci 1992;2:75-81.
Adeleye JA. Caesarean section for clinically diagnosed foetal distress: An unjustified assault. Trop J Obstet Gynaecol 1987;6:37-8.
Dickson JE. caesarean section. In: James DK, Steer PJ, Weiner CP and Gonik B. High Risk Pregnancy: Management Options, 3rd ed. Saunders: an imprint of Elsevier Philadelphia Pennsylvania. 2006;Ch76, p.1543-56.
Geidam AD, Audu BM, Kawuwa BM and Obed JY. Rising trend and indications of caesarean section at the university of Maiduguri teaching hospital, Nigeria. Ann Afr Med 2009;8:127. http://dx.doi.org/10.4103/1596-3519.56242
Arulkumaran S. Malpresentation, malposition, cephalopelvic disproportion and Obstetric procedures. In: Edmond DK (ed) Dewhurst textbook of Obstetrics and Gynaecology, 7th ed. Blackwell Publishing Inc. USA.2007, Ch 24 p213-226. http://dx.doi.org/10.1002/9780470753354.ch24
Aimakhu VE. Caesarean section and perinatal mortality in Ibadan Nigeria. Nigerian Medical Journal 1974; 4: 85- 88.
Onwuhafua PI. Perinatal Mortality and Caesarean section at Ahmadu Bello University Teaching Hospital, Kaduna Nigeria. Trop J Obstet Gynaecol.1999;16(1): 6-9.
Adeleye JA. A two-year study of caesarean section and perinatal mortality at the University college hospital Ibadan Nigeria. East Afr Med J 1982; 59:383-389.
Ezechi OC, Loto OM, Ndububa VI, Okogbo FO, Ezeobi PM and Nwokoro CA. Caesarean Section and Perinatal Mortality in South Western Nigeria. NJOG 2009 June-July; 4 (1): 46- 48.
Fasubaa OB, Ogunniyi SO, Dare FO, Isawumi AI and Ezechi OC. Uncomplicated caesarean section: Is prolonged hospital stay necessary? East Afr J Med 2000, 77(8):36-39.
Ezechi OC, Fasubaa OB, Kalu BKE, Nwokoro CA and Obiesie LO: Caesarean Delivery: Why the aversion. Trop J Obstet Gynaecol 2004, 21(2):164-167.
Orji EO, Ogunniyi SO and Onwudiegwu U. Beliefs and perceptions of pregnant women at Ilesha about Caesarean section. Trop J Obstet Gynecol 2003;20:141-3.
Chigbu C and Iloabachie G. The burden of caesarean section refusal in a developing country setting. BJOG 2007;114:1261-1265. http://dx.doi.org/10.1111/j.1471-0528.2007.01440.x
Behaque DP. Beyond the simple economics of Caesarean section Birthing: Women resistance to social inequality. Cult Med Psychiatry 2002;26:473-507. http://dx.doi.org/10.1023/A:1021730318217
Ola RE and Olamijulo JA. Rupture of the uterus at the Lagos University Teaching Hospital, Lagos, Nigeria. West Afr J Med.1998;17:188-193.
Boulvain M, Fraser WD, Brisson-Caroll G, Faron G and Wollast E. Trial of labour after caesarean section in subSaharan Africa: a meta-analysis. Br J Obstet Gynaecol 1997;104: 1385-1390. http://dx.doi.org/10.1111/j.1471-0528.1997.tb11008.x
Etuk SJ, Asuquo EEJ and Ekanem AD. Maternal mortality following caesarean section University Of Calabar Teaching Hospital, Calabar, Nigeria. Nig J Med. 1999; 8:63-65.
Okonufua F. Optimizing Caesarean section rates in West Africa. Lancet 2001; 358: 1289. http://dx.doi.org/10.1016/S0140-6736(01)06456-X
National Population Commission of Nigeria. Federal Republic of Nigeria 2006 Population and Housing Census. Population Distribution by Sex, State, LGAs and Senetorial district: 2006 Priority Tables (Vol 3) April 2010.
Araoye MO. Subject selection. In: Research Methodology with Statistics for Health and Social Sciences. Nathadex Publishers, Ilorin Nigeria. 2003; pp. 115-29.
Aziken M, Omo-Aghoja L and Okonofua F. Perceptions and attitudes of pregnant women towards caesarean section in urban Nigeria. Acta Obstet Gynecol Scand. 2007; 86(1): 42- 7. http://dx.doi.org/10.1080/00016340600994950
Adageba RK, Danso KA, Ausu-Donkor A and AnkobeaKokroe F. Awareness and Perceptions of and Attitudes towards Caesarean Delivery among Antenatal Women. Ghana Medical Journal. 2008;42(4):137-140.
Jeremiah I, Nonye-Enyidah E and Fiebai P. Attitudes of Antennal Patients at A Tertiary Hospital In Southern Nigeria Towards Caesarean Section. Journal of Public Health and Epidemiology. 2011; 3(13):617-621.
Okonkwo NS Ojengbede OA, Morhason-Bello IO and Adedokun BO. Maternal Demand for Caesarean Section: Perception and Willingness to Request by Nigerian Antenatal Clients .Int J Womens Health. 2012;4: 141-148. http://dx.doi.org/10.2147/IJWH.S10325
Lawson JB. Obstructed labour. In: Lawson JB and Stewart DB (eds): Obstetrics and Gynaecology in the Tropics and Developing Countries. London, Edward Arnold. 1967; 172- 202.
Awoyinka BS, Ayinde OA and Omigbodun AO. Acceptability of Caesarean Delivery to Antenatal Patients in a Tertiary Health Facility in South-West Nigeria. J Obstet Gynaecol. 2006 Apr; 26(3):208-10. http://dx.doi.org/10.1080/01443610500508311