Attitude To Caesarean Section Amongst Antenatal Clients In Ibadan, Nigeria

F. Bello, O. Olayemi, O. Ogunbode, A. Adekunle
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引用次数: 3

Abstract

This was a cross-sectional study carried out on 372 clients receiving antenatal care at a rural, suburban and urban centres, in order to assess the acceptance of caesarean delivery amongst them and the factors influencing their attitude. Caesarean section was acceptable to 65.7%. Many respondents will refuse the surgery, because they do not think abdominal delivery is natural or necessary. However, if indicated by their health caregiver to be necessary to save life, 78.3% would comply. Others would leave for a religious healing home, another hospital, a traditional birth attendant or be delivered at home. The cultural reasons why some women decline include feeling that caesarean delivery is due to “spiritual attacks”, retribution for maternal infidelity and failure of a woman to fulfil her reproductive function. Respondents were more likely to accept the surgery if they had heard of it before or had a previous caesarean delivery. They were less likely to accept it if they were Christians or attended the rural health centre. Age, parity and educational level had no influence. Only 4% of the respondents would request a caesarean section for non-medical reasons. Health education needs to be carried out in the community, as well as during antenatal classes, to address the cultural beliefs. Means of involving religious bodies in enlightenment campaigns to improve women's attitude should be explored.
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尼日利亚伊巴丹产前客户对剖腹产的态度
这是一项对372名在农村、郊区和城市中心接受产前护理的客户进行的横断面研究,目的是评估他们对剖腹产的接受程度以及影响他们态度的因素。剖宫产可接受率为65.7%。许多受访者会拒绝手术,因为他们认为腹部分娩是不自然的或不必要的。然而,如果他们的保健护理人员指出这是挽救生命所必需的,78.3%的人会遵守。其他人则会去宗教康复之家、另一家医院、传统助产士那里或在家中分娩。一些女性拒绝剖腹产的文化原因包括认为剖腹产是由于“精神攻击”,是对母亲不忠的报复,以及女性未能履行其生殖功能。受访者更有可能接受手术,如果他们之前听说过或有过剖腹产的经历。如果他们是基督徒或在农村保健中心就诊,他们就不太可能接受。年龄、性别和受教育程度没有影响。只有4%的受访者会出于非医疗原因要求剖腹产。需要在社区以及产前课程中开展卫生教育,以解决文化信仰问题。探索宗教团体参与妇女启蒙运动的方式,改善妇女的态度。
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