Faculty of Medical Sciences, Department of Paraclinical Sciences, Public Health & Primary Care Unit, The University of the West Indies, St Augustine, Trinidad and Tobago.
Int J Womens Health. 2010 Nov 9;2:387-91. doi: 10.2147/IJWH.S12857.
The objective of this study is to determine the awareness of perception and attitude toward cesarean section (CS) in a high-user setting.
A cross-sectional design using multistage sampling methods was used to select participants from antenatal and postnatal clinics in a primary health care setting in north Trinidad. A multi-item structured questionnaire was designed and administered by in-depth interviews. Sociodemographic data and data about history of previous pregnancies and outcomes and about knowledge and perceptions of CSs were collected from women aged 16 years and older.
Of the women who were eligible for entry into the study, 368 participated. However, participants chose not to respond to some questions. The majority of women (46.2%) were found to have very little information from which to make informed decisions about selecting CS as the preferred choice of delivery. Their preference was significantly associated with the perception of safety (maternal or fetal death, P = 0.001), difficulty (complications to mother and baby, P = 0.001), and pain (P = 0.001). Notwithstanding, persons who received information from health care professionals (odds ratio [OR], 1.9; confidence interval, 1.50-2.33) were more likely to have high or adequate levels of information about CSs. Data were analyzed using SPSS software, and ORs were calculated using logistic regression.
The majority of women attending antenatal and postnatal clinics in north Trinidad were not sufficiently knowledgeable about CS to enable them to make informed choices. In addition, the information obtained was from an unreliable source, emphasizing the need for information on CS to form a component of a structured antenatal education program.
本研究旨在确定在高使用率环境中，人们对剖宫产的认知和态度。
采用多阶段抽样方法，在特立尼达北部的初级保健环境中，从产前和产后诊所中选择参与者。设计了一个多项目的结构化问卷，并通过深入访谈进行管理。从 16 岁及以上的女性中收集了社会人口统计学数据以及关于先前妊娠和结局的历史以及关于剖宫产的知识和认知的数据。
在有资格进入研究的女性中，有 368 名女性参加了研究。但是，有些女性选择不回答某些问题。大多数女性（46.2％）的信息很少，无法做出明智的选择，选择剖宫产作为首选分娩方式。她们的偏好与对安全性（母婴死亡，P = 0.001），困难（母婴并发症，P = 0.001）和疼痛（P = 0.001）的感知密切相关。尽管如此，从医疗保健专业人员那里获得信息的人（优势比[OR]，1.9；置信区间，1.50-2.33）更有可能对剖宫产有较高或足够的了解。使用 SPSS 软件进行数据分析，并使用逻辑回归计算 OR。
特立尼达北部参加产前和产后诊所的大多数女性对剖宫产的了解不足，无法做出明智的选择。此外，获得的信息来源不可靠，强调需要将剖宫产信息作为结构化产前教育计划的组成部分。
