Awoyinka B S, Ayinde O A, Omigbodun A O
Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
J Obstet Gynaecol. 2006 Apr;26(3):208-10. doi: 10.1080/01443610500508311.
Today, caesarean section is one of the most commonly performed surgical procedures the world over. Despite the well-documented record of safety, the strong aversion of women in sub-Saharan Africa to the procedure, especially in the presence of life-threatening indications, is of great concern to many obstetricians. This cross-sectional study, aimed at assessing the knowledge of the patients about caesarean section and its acceptability as mode of delivery, was conducted among antenatal patients at a University Teaching Hospital in south-west Nigeria. A pre-tested structured questionnaire was used. Among the 201 patients surveyed, a high level of acceptability of caesarean section (85%) was found. However, 96.5% of those who would accept would give consent only after seeking the opinion of other people, especially their husbands. Previous major surgery and caesarean section were found to favour its acceptability, while age, tribe, marital status and the woman or her husband's educational status did not have any influence. With proper health education, especially during antenatal care, many more women would find caesarean section acceptable.
如今，剖宫产是全球最常施行的外科手术之一。尽管剖宫产有着充分记录的安全记录，但撒哈拉以南非洲地区的女性对该手术强烈抵触，尤其是在存在危及生命的指征时，这让许多产科医生深感忧虑。这项横断面研究旨在评估患者对剖宫产的了解程度及其作为分娩方式的可接受性，研究在尼日利亚西南部一家大学教学医院的产前患者中开展。采用了经过预测试的结构化问卷。在接受调查的201名患者中，发现剖宫产的可接受程度较高（85%）。然而，96.5%愿意接受剖宫产的患者只有在征求他人意见，尤其是丈夫的意见后才会同意。研究发现，既往接受过重大手术和剖宫产有利于提高对剖宫产的接受度，而年龄、部落、婚姻状况以及女性本人或其丈夫的教育程度则没有任何影响。通过适当的健康教育，尤其是在产前护理期间，会有更多女性认为剖宫产是可以接受的。
