ATTITUDE AND PRACTICES TOWARDS CAESAREAN SECTION DELIVERY AMONG PREGNANT MOTHERS AT APAC GENERAL HOSPITAL, APAC DISTRICT. A CROSS-SECTIONAL STUDY.
DOI:
https://doi.org/10.70572/agp.v2i2.76Keywords:
Cesarean delivery, Maternal attitude, Apac General HospitalAbstract
Background
Women and their spouses perceive cesarean section as a marriage-breaker misfortune, money-maker, and a sign of incompetent health workers. Such negative perception hinders the timely acceptance of this life-saving procedure predisposing mothers and newborns to complications associated with prolonged and obstructed labor. This study aimed to assess the Attitudes and Practices of pregnant mothers toward cesarean section delivery at Apac General Hospital, Apac District.
Methodology
A descriptive cross-sectional design was used, involving 32 pregnant mothers who were selected using a simple random sampling technique. Data was collected using structured questionnaires and results were analyzed using SPSS version 25. The results were presented in tables, graphs, and pie charts.
Results
Majority of the respondents 29(90.6%) had attending their first antenatal visit, 22(68.8%) were peasant farmers and 15(46.9%) were para 1. Majority of the respondents 28(87.5%) did not prefer cesarean delivery over vaginal delivery, 15(46.9%) did not think that anesthesia used during cesarean section is safe, 19(59.3%) agreed that women who undergo cesarean section are lazy, 26(81.2%) were not planning to have cesarean section, 4(66.7%) had fear of labor pains and 25(78.1%) had never had a cesarean section.
Conclusion
Mothers had a negative attitude as they believed that cesarean section causes death, the anesthesia used is not safe, and regarded women who seek cesarean section as lazy.
Limited practices were related to the fact that few mothers made necessary preparations for a cesarean section and failure to consent was observed among those who had ever undergone a cesarean section.
Recommendations
Health workers should routinely sensitize mothers about the safety, preparations, and benefits of cesarean section during routine antenatal care visits.
Pregnant mothers should express their concerns to health workers so that they can receive appropriate counseling services and responses about cesarean section.
References
Afaya, R.A., Bam, V., Apiribu, F., & Afaya, A., (2018). Knowledge of pregnant women on cesarean section and their preferred mode of delivery in Northern Ghana. An International Journal of nursing and midwifery, 2(1).
Ampire, D. (2018). Knowledge and attitude towards cesarean section among mothers attending maternal and child health services at Rwekubo Health Centre IV. Uganda Nurses and Midwives Examination Board
Boti, N., Bekele, T., Godana, W., Getahun, E., Gebremeskel, F (2018). Adherence to iron-foliate supplementation and associated factors among Pastoralists women in Burji districts, Segen Area Peoples zone, Southern Ethiopia: Community
Based Cross-Sectional Study. Hindawi: International Journal of Reproductive Medicine,https://doi.org/10.1155/2018/2365362 PMid:30693285 PMCid: PMC6333009
Deng, R., Tang, X., Liu, J., Gao, Y. & Zhong, X., (2021). Cesarean delivery on maternal request and its influencing factors in Chongqing, China. BMC Pregnancy and Childbirth 21:384 https://doi.org/10.1186/s12884-021-03866-7 PMid:34011289 PMCid: PMC8132350
Endalew, M. Endalew, N., Agegnehu, A., Mekonnen, Z. & Teshome, D., (2022). Knowledge and attitude towards anesthesia for cesarean section and its associated factors among pregnant women attending antenatal care: A cross-sectional study.
Annals of medicine and surgery, 75:103299 https://doi.org/10.1016/j.amsu.2022.103299 PMid:35242311
PMCid: PMC8858986
Maitanmi, B.T. Oluyomi, O.V., Aderemi, I.O., Maitanmi, J.O., Aminu, A, Ojewale ,M.O., Okondu, O.E. &Akingbade, O., (2023). Knowledge, attitude, and perception of cesarean section among pregnant women attending antenatal clinics at
Babcock University Teaching Hospital, Ilishan-Remo, Ogun State. Journal of Maternal-Fetal Neonatal Med, 36(2): 2278019 https://doi.org/10.1080/14767058.2023.2278019 PMid:37953257
Nakafu, M. (2022). Knowledge, attitude, and practices of pregnant women towards the elective cesarean section in Nakaseke District. Makerere University Institutional Repository
Okolo, I., Lugobe, H.M. Garba, D., Tibaijuka, L., Byamukama, O., Ngonzi, J. &Boatin, A.A., (2021). Cesarean delivery variation across facilities in Uganda. Ajog https://doi.org/10.1016/j.ajog.2020.12.1119
UBOS (2022). Uganda Demographic Health Survey 2022.
Waniala I. Nakiseka S. Nambi W. Naminya I. Ajeni M.O. Iramiot J. Nekaka R. &Nteziyaremye J. (2020). Prevalence, Indications, and Community Perceptions of Caesarean Section Delivery in Ngora District, Eastern Uganda: Mixed Method Study. Obstetrics and Gynecology International 20:5036260 https://doi.org/10.1155/2020/5036260 PMid:32765611 PMCid: PMC7387994
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Maurine Ruth Omuno, Ronald Awoi , George Kakoma Akacha
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license allows for the following terms:
-
Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
NonCommercial: You may not use the material for commercial purposes. Commercial use is any use primarily intended for commercial advantage or monetary compensation.
-
NoDerivatives: If you remix, transform, or build upon the material, you may not distribute the modified material. The work must be shared in its original form.
-
No Additional Restrictions: You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
