Afficher la couverture 'Because it eases my Childbirth Plan: a qualitative study on factors contributing to preferences for caesarean section in Thailand | Nuampa, Sasitara' en grand format
/5

0 avis

Because it eases my Childbirth Plan: a qualitative study on factors contributing to preferences for caesarean section in Thailand

Archive ouverte

Nuampa, Sasitara | Ratinthorn, Ameporn | Lumbiganon, Pisake | Rungreangkulkij, Somporn | Rujiraprasert, Nilubon | Buaboon, Natthapat | Jampathong, Nampet | Dumont, Alexandre | Hanson, Claudia | de Loenzien, Myriam | Bohren, Meghan, A | Betrán, Ana, Pilar

Edité par CCSD ; BioMed Central -

International audience. BACKGROUND: Although caesarean section (CS) rates have increased rapidly in Thailand, the upward trend is not supported by significant maternal or perinatal health benefits. The appropriate use of CS through QUALIty DECision-making by women and providers (QUALI-DEC project) aims to design and implement a strategy to optimize the use of CS through non-clinical interventions. This study aimed to explore the factors influencing women’s and health professionals’ preferences for CS delivery in Thailand. METHODS: We conducted a formative qualitative study by using semi-structured in-depth interviews with pregnant and postpartum women, and healthcare staff. Purposive sampling was used to recruit participants from eight hospitals across four regions of Thailand. Content analysis was used to develop the main themes. RESULTS: There were 78 participants, including 27 pregnant and 25 postpartum women, 8 administrators, 13 obstetricians, and 5 interns. We identified three main themes and seven sub-themes of women and healthcare providers’ perceptions on CS: (1) avoiding the negative experiences from vaginal birth (the pain of labor and childbirth, uncertainty during the labor period); (2) CS is a safer mode of birth (guarantees the baby’s safety, a protective shield for doctors); and (3) CS facilitates time management (baby’s destiny at an auspicious time, family’s management, manage my work/time). CONCLUSIONS: Women mentioned negative experiences and beliefs about vaginal delivery, labor pain, and uncertain delivery outcomes as important factors influencing CS preferences. On the other hand, CS is safer for babies and facilitates multiple tasks in women’s lives. From health professionals’ perspectives, CS is the easier and safer method for patients and them. Interventions to reduce unnecessary CS, including QUALI-DEC, should be designed and implemented, taking into consideration the perceptions of both women and healthcare providers.

Suggestions

Du même auteur

Factors influencing the implementation of labour companionship: formative qualitative research in Thailand

Archive ouverte | Rungreangkulkij, Somporn | CCSD

International audience. Introduction WHO recommends that all women have the option to have a companion of their choice throughout labour and childbirth. Despite clear benefits of labour companionship, including bett...

How does hospital organisation influence the use of caesarean sections in low- and middle-income countries? A cross-sectional survey in Argentina, Burkina Faso, Thailand and Vietnam for the QUALI-DEC project

Archive ouverte | Etcheverry, Camille | CCSD

International audience. Abstract Background Improving the understanding of non-clinical factors that lead to the increasing caesarean section (CS) rates in many low- and middle-income countries is currently necessar...

Caesarean section or vaginal delivery for low-risk pregnancy? Helping women make an informed choice in low- and middle-income countries

Archive ouverte | Dumont, Alexandre | CCSD

International audience. Women's fear and uncertainty about vaginal delivery and lack of empowerment in decisionmaking generate decision conflict and is one of the main determinants of high caesarean section rates in...

Chargement des enrichissements...