Abdul Razzak Maysaloon Adnan, Abdulrasol Zainab Abdulameer, Obaid Ali Fadhil
Gynecology and Obstetrics, Faculty of Medicine, University of Karbala, Karbala Province, Iraq.
Maternal and Newborn Nursing, Faculty of Nursing, University of Babylon, Babylon Province, Iraq.
Pan Afr Med J. 2025 Mar 3;50:65. doi: 10.11604/pamj.2025.50.65.43936. eCollection 2025.
cesarean section (CS) rates have risen globally, prompting debates on their necessity and outcomes. This study explores factors affecting decision-making for planned CS in uncomplicated pregnancies, considering both medical and non-medical factors.
a descriptive qualitative study design was employed from the period June 2022 to December 2022, comprising one-on-one conversations with Karbala midwives and obstetricians. Data were analyzed thematically to uncover factors influencing CS decisions. Descriptive and inferential statistical analysis was followed.
the study included 131 pregnant women, aged 20-35 (71.0%) with different educational levels. Prenatal care engagement was high, as 98.5% received care. Planned CS constituted 52.7%, and 47.3% were emergency CS. Decision factors included personal desire (22.9%), perception of efficiency and care (11.5%), and husband's desire (3.8%). Medical reasons (maternofetal factors) outweighed non-medical reasons (60.5% vs. 15.3%), with notable factors including cervical stiffness (21.4%) and fetal position/weight (17.6%). decision-making for CS involves a complex interaction of medical and non-medical causes. Healthcare professionals should understand the reasons behind planned CS to make well-informed decisions that align with each patient's unique situation.
剖宫产率在全球范围内呈上升趋势，引发了关于其必要性和结局的讨论。本研究探讨了影响无并发症妊娠计划性剖宫产决策的因素，同时考虑了医学和非医学因素。
采用描述性定性研究设计，时间为2022年6月至2022年12月，包括与卡尔巴拉助产士和产科医生进行一对一访谈。对数据进行主题分析以揭示影响剖宫产决策的因素。随后进行描述性和推断性统计分析。
该研究纳入了131名年龄在20 - 35岁（占71.0%）、教育水平各异的孕妇。产前检查参与率较高，98.5%的孕妇接受了检查。计划性剖宫产占52.7%，急诊剖宫产占47.3%。决策因素包括个人意愿（22.9%）、对效率和护理的认知（11.5%）以及丈夫的意愿（3.8%）。医学原因（母婴因素）超过非医学原因（60.5%对15.3%），显著因素包括宫颈僵硬（21.4%）和胎儿位置/体重（17.6%）。剖宫产决策涉及医学和非医学原因的复杂相互作用。医疗保健专业人员应了解计划性剖宫产背后的原因，以便做出符合每位患者独特情况的明智决策。
