Department of Clinical Sciences, Division of Obstetrics and Gynaecology, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden.
Midwifery. 2013 May;29(5):447-52. doi: 10.1016/j.midw.2012.02.009. Epub 2012 Aug 17.
international estimates suggest that caesarean section on maternal request range from 4% to 18% of all caesarean section. An increasing number of surveys have investigated women's reasons for a caesarean section in the absence of a medical indication but few studies have solely studied first-time mothers motivation for this request.
to describe the underlying reasons for the desire for a caesarean section in the absence of medical indication in pregnant first-time mothers.
a qualitative descriptive study, with content analysis of interviews with 12 first-time mothers.
the overarching theme formulated to illustrate the central interpreted meaning of the underlying desire for a planned caesarean section was based on deeply rooted emotions'. Four categories were identified as related to the request for a caesarean section on maternal request. The categories was identified as 'always knowing that there are no other options than a caesarean section', 'caesarean section as a more controlled and safe way of having a baby', own negative experiences of health care and having problems dealing with other people's reaction about their mode of delivery.
the results show that for these first-time mothers deeply rooted emotions described as stronger than fear of birth were behind their wish for a planned caesarean section.
国际估计表明，产妇要求的剖宫产率在所有剖宫产率的 4%至 18%之间。越来越多的调查研究了在没有医学指征的情况下妇女选择剖宫产的原因，但很少有研究专门研究初产妇选择这种剖宫产的动机。
描述在没有医学指征的情况下，初产妇希望剖宫产的潜在原因。
这是一项定性描述性研究，对 12 名初产妇的访谈进行了内容分析。
为了说明对计划剖宫产的潜在渴望的核心解释意义，提出了一个总体主题，该主题基于“根深蒂固的情感”。确定了与产妇要求剖宫产相关的四个类别。这些类别分别是“一直知道除了剖宫产别无选择”、“剖宫产是一种更可控和安全的分娩方式”、“自己对医疗保健的负面体验”和“在处理他人对其分娩方式的反应方面存在问题”。
结果表明，对于这些初产妇来说，对分娩的恐惧更强烈的是她们对计划剖宫产的渴望背后的潜在情感。
