Diema Konlan Kennedy, Baku Elizabeth Kpodotsi, Japiong Milipaak, Dodam Konlan Kennedy, Amoah Roberta Mensima
Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho Volta Region, Ghana.
Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho Volta Region, Ghana.
J Pregnancy. 2019 Jul 7;2019:2320743. doi: 10.1155/2019/2320743. eCollection 2019.
Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child and in turn reduce maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. This study identified the factors that influence women's choice of elective cesarean sections in the Duayaw Nkwanta Hospital.
This study used descriptive cross-sectional survey method to collect data from 78 post-caesarean section women above age 18 years. A whole population sampling method was used to trace respondents to their homes to administer a pretested questionnaire. Data was double-entered into Microsoft Excel spreadsheet, compared, cleaned, and transported to Statistical Package for Social Sciences (SPSS) version 21. Data was analyzed using descriptive statistics with a Pearson correlation test.
Post-caesarean section women (37.2%) indicated CS is a pain-free method of birth while 57.1% reported CS is safe for both mother and baby. Others (28.2%) chose CS based on a friend's advice and 19.2% on religious advice. The relationship between age of respondents and the number of times of having CS showed a weak positive correlation (r= .170, N= 78, ≤0.136, two-tailed test). There was a significant positive correlation between average monthly income of respondents and the number of times of having a CS birth (r= .320, N= 78, ≤ 0.004).
It is imperative that there is heightened interest in educating mothers on associated benefit and risk of elective caesarean sections as a method of birthing by nurses and midwives in the antenatal clinics.
剖宫产是产科实践中最常实施的大手术之一，旨在挽救母婴生命，进而降低孕产妇和围产儿死亡率。全球剖宫产率的持续上升已成为产科护理中最具争议的话题之一。本研究确定了影响杜阿亚瓦恩夸塔医院女性选择选择性剖宫产的因素。
本研究采用描述性横断面调查方法，从78名年龄在18岁以上的剖宫产术后女性中收集数据。采用整群抽样方法追踪受访者到家，以发放预先测试过的问卷。数据被双录入Microsoft Excel电子表格，进行比较、清理，然后传输到社会科学统计软件包（SPSS）21版。使用描述性统计和Pearson相关检验对数据进行分析。
剖宫产术后女性（37.2%）表示剖宫产是一种无痛分娩方式，而57.1%报告称剖宫产对母婴都安全。其他（28.2%）基于朋友的建议选择剖宫产，19.2%基于宗教建议。受访者年龄与剖宫产次数之间的关系显示出弱正相关（r = 0.170，N = 78，≤0.136，双侧检验）。受访者平均月收入与剖宫产分娩次数之间存在显著正相关（r = 0.320，N = 78，≤0.004）。
产前诊所的护士和助产士必须更加重视对母亲进行关于选择性剖宫产作为一种分娩方式的相关益处和风险的教育。
