Olofinbiyi B A, Olofinbiyi R O, Aduloju O P, Atiba B P, Olaogun O D, Ogundare O R
Department of Obstetrics and Gynaecology, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria.
Niger J Clin Pract. 2015 Jul-Aug;18(4):489-92. doi: 10.4103/1119-3077.156883.
The aim was to determine maternal views and experiences regarding repeat caesarean section.
A pretested and validated semi-structured questionnaire was administered to women with prior cesarean section by trained research assistants and resident doctors; anonymity and confidentiality were strictly observed. The questionnaire comprised information reflecting patients' sociodemographic structure, level of education, number of previous cesarean section, maternal complications following previous cesarean and opinions about acceptance and refusal of cesarean section.
Two hundred and twenty-seven women participated in the study out of which 157 (69.2%) would accept a repeat cesarean section and 70 (30.8%) would not accept. Significant proportion of respondents above 35 years of age would refuse a repeat cesarean section (58.6%). Religious belief (39.7%) and pain (26.5%) were the most common reasons for refusal of cesarean section.
Appreciable proportion of women with previous caesarean section will decline a repeat cesarean section. Re-orientation, reappraisal and appropriate corrective action in the areas of religious belief and postoperative pain management will positively influence our women's acceptance of a repeat cesarean section.
旨在确定产妇对再次剖宫产的看法和经历。
由经过培训的研究助理和住院医生向有剖宫产史的女性发放一份经过预测试和验证的半结构化问卷；严格遵守匿名和保密原则。问卷包含反映患者社会人口结构、教育水平、既往剖宫产次数、既往剖宫产后的产妇并发症以及对剖宫产接受与否的意见等信息。
227名女性参与了该研究，其中157名（69.2%）愿意接受再次剖宫产，70名（30.8%）不愿意接受。35岁以上的受访者中，很大一部分会拒绝再次剖宫产（58.6%）。宗教信仰（39.7%）和疼痛（26.5%）是拒绝剖宫产最常见的原因。
有剖宫产史的女性中，相当一部分会拒绝再次剖宫产。在宗教信仰和术后疼痛管理方面进行重新定位、重新评估和采取适当的纠正措施，将对女性接受再次剖宫产产生积极影响。
