NDLI: Evaluation of parturient perception and aversion before and after primary cesarean delivery in a low-resource country.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Adeniran, Abiodun S. Aboyeji, Abiodun P. Fawole, Adegboyega A. Balogun, Olayinka R. Adesina, Kikelomo T. Isiaka-Lawal, Salamat
Spatial Coverage	Nigeria
Description	Author Affiliation: Adeniran AS ( Department of Obstetrics & Gynecology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria. Electronic address: acrowncord@hotmail.com.); Aboyeji AP ( Department of Obstetrics & Gynecology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria); Fawole AA ( Department of Obstetrics & Gynecology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria); Balogun OR ( Department of Obstetrics & Gynecology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria); Adesina KT ( Department of Obstetrics & Gynecology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria.); Isiaka-Lawal S ( Kwara State Specialist Hospital, Ilorin, Nigeria.)
Abstract	OBJECTIVE: To determine the perception of and aversion to cesarean delivery (CD) and their determinants before and after primary CD. METHODS: A prospective cross-sectional survey of pregnant women undergoing primary CD (elective or emergency) was conducted in six health facilities in Ilorin, Nigeria. All participants completed an interviewer-administered questionnaire before the operation and 3-4days thereafter. The statistical analysis included the calculation of odds ratios (ORs) with 95% confidence intervals (CIs) and a logistic regression. RESULTS: Of the 254 participants, 182 (71.7%) and 53 (20.9%) had an aversion to CD before and after the procedure, respectively. A woman's personal decision was the overriding factor influencing acceptance of the operation. Preoperative predictors of aversion were prenatal admission (OR 2.86 [95% CI,1.07-7.66]; P=0.030) and a history of previous surgery (OR 0.42 [95% CI, 0.24-0.75]; P=0.003), whereas postoperatively a low number of prenatal clinic visits (less than four; OR 3.05 [95% CI,1.63-5.69]; P=0.001) and a history of previous surgery (OR 0.51 [95% CI, 0.27-0.96]; P=0.034) were significant. Postprocedure, 164 (64.6%) women said they would accept a repeat CD. CONCLUSION: Patient education, prenatal care, and previous surgical experiences were important in determining women's perception of and aversion to CD.
File Format	HTM / HTML
ISSN	00207292
Issue Number	1
Volume Number	132
e-ISSN	18793479
Journal	International Journal of Gynecology & Obstetrics
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2016-01-01
Publisher Place	Ireland
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Cross-sectional Studies Prospective Studies Psychology Humans Discipline Obstetrics Logistic Models Postpartum Period Journal Article Patient Acceptance Of Health Care Pregnancy Young Adult Cesarean Section Pregnant Women Adolescent Questionnaires Adult Female Perception Multicenter Study Discipline Gynecology Nigeria Odds Ratio Prenatal Care
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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