Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study
Melkamu Getu Wondimu,1,2 Aberash Eifa Dadhi,1 Hana Israel Gesisa,2 Gizu Tola Feyisa,3 Zemenu Yohannes Kassa1,4 1Department of Midwifery, Hawassa University, Hawassa, Ethiopia; 2Department of Midwifery, Jimma University, Jimma, Ethiopia; 3Department of Midwifery, Metu University, Metu, Ethiopia; 4Cen...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-05-01
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| Series: | International Journal of Women's Health |
| Subjects: | |
| Online Access: | https://www.dovepress.com/womens-involvement-in-decision-making-and-associated-factors-among-wom-peer-reviewed-fulltext-article-IJWH |
| _version_ | 1797820089382207488 |
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| author | Getu Wondimu M Dadhi AE Gesisa HI Feyisa GT Yohannes Kassa Z |
| author_facet | Getu Wondimu M Dadhi AE Gesisa HI Feyisa GT Yohannes Kassa Z |
| author_sort | Getu Wondimu M |
| collection | DOAJ |
| description | Melkamu Getu Wondimu,1,2 Aberash Eifa Dadhi,1 Hana Israel Gesisa,2 Gizu Tola Feyisa,3 Zemenu Yohannes Kassa1,4 1Department of Midwifery, Hawassa University, Hawassa, Ethiopia; 2Department of Midwifery, Jimma University, Jimma, Ethiopia; 3Department of Midwifery, Metu University, Metu, Ethiopia; 4Centre for Midwifery, University of Technology Sydney, Sydney, AustraliaCorrespondence: Melkamu Getu Wondimu, Email melkgetu@gmail.comBackground: A caesarean delivery without maternal involvement in decision-making reduces the quality of health care and breaks women’s autonomy. However, the involvement of women in decision-making to have a caesarean delivery is minimal. Still, now paternalism is widely practised. The study aims to assess women’s involvement in decision-making and associated factors among women who underwent a caesarean delivery.Methods: Institutional-based cross-sectional study was conducted in Sidama region Public hospitals from June 22/2022-August 5/2022, among women who underwent a caesarean delivery. The total sample size was 457. The collected data was exported from the ODK toolbox server to excel and then to SPSS version 26 for further data cleaning and analysis. The variables with a p-value ≤ 0.25 in the bivariable analysis were included in a multivariable ordinal logistic regression model to control possible confounders. The resulting odds ratio and 95% confidence interval were computed, and a p-value of less than 0.05 is considered statistically significant.Results: Women’s agreed decision-making involvement to have a caesarean delivery is 165(37.9%). Women who had an scheduled caesarean delivery [AOR: 7.6; 95% CI: 3.3, 17.8], had adequate information about caesarean delivery [AOR: 5.7; 95% CI:3.3, 10.0], had adequate time for decision-making [AOR: 4.6; 95% CI:2.09, 6.4], language of consent [AOR: 1.9; 95% CI: 1.2, 3.1], and women-healthcare providers relationship [AOR: 5.2; 95% CI: 3.2, 8.6]are higher odds of being involved in decision-making, but women’s being primary school [AOR: 0.53; 95% CI: 0.3,0.97] are lower odds of involvement in decision-making to have a caesarean delivery.Conclusion and recommendation: In this study, women’s agreed decision-making involvement to have a caesarean delivery is low compared with other studies. Women-healthcare providers’ relationship and an unscheduled caesarean delivery are highly affect their involvement in decision-making. Therefore, hospitals should translate and prepare the consent form in an understandable way for women and families, and healthcare providers should develop good relationship and encourage her involvement.Keywords: caesarean delivery, women’s involvement, mode of decision-making, shared decision-making |
| first_indexed | 2024-03-13T09:34:18Z |
| format | Article |
| id | doaj.art-489657b51e254eb096e48a98f2b5fb9d |
| institution | Directory Open Access Journal |
| issn | 1179-1411 |
| language | English |
| last_indexed | 2024-03-13T09:34:18Z |
| publishDate | 2023-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of Women's Health |
| spelling | doaj.art-489657b51e254eb096e48a98f2b5fb9d2023-05-25T18:06:00ZengDove Medical PressInternational Journal of Women's Health1179-14112023-05-01Volume 1581382483969Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional StudyGetu Wondimu MDadhi AEGesisa HIFeyisa GTYohannes Kassa ZMelkamu Getu Wondimu,1,2 Aberash Eifa Dadhi,1 Hana Israel Gesisa,2 Gizu Tola Feyisa,3 Zemenu Yohannes Kassa1,4 1Department of Midwifery, Hawassa University, Hawassa, Ethiopia; 2Department of Midwifery, Jimma University, Jimma, Ethiopia; 3Department of Midwifery, Metu University, Metu, Ethiopia; 4Centre for Midwifery, University of Technology Sydney, Sydney, AustraliaCorrespondence: Melkamu Getu Wondimu, Email melkgetu@gmail.comBackground: A caesarean delivery without maternal involvement in decision-making reduces the quality of health care and breaks women’s autonomy. However, the involvement of women in decision-making to have a caesarean delivery is minimal. Still, now paternalism is widely practised. The study aims to assess women’s involvement in decision-making and associated factors among women who underwent a caesarean delivery.Methods: Institutional-based cross-sectional study was conducted in Sidama region Public hospitals from June 22/2022-August 5/2022, among women who underwent a caesarean delivery. The total sample size was 457. The collected data was exported from the ODK toolbox server to excel and then to SPSS version 26 for further data cleaning and analysis. The variables with a p-value ≤ 0.25 in the bivariable analysis were included in a multivariable ordinal logistic regression model to control possible confounders. The resulting odds ratio and 95% confidence interval were computed, and a p-value of less than 0.05 is considered statistically significant.Results: Women’s agreed decision-making involvement to have a caesarean delivery is 165(37.9%). Women who had an scheduled caesarean delivery [AOR: 7.6; 95% CI: 3.3, 17.8], had adequate information about caesarean delivery [AOR: 5.7; 95% CI:3.3, 10.0], had adequate time for decision-making [AOR: 4.6; 95% CI:2.09, 6.4], language of consent [AOR: 1.9; 95% CI: 1.2, 3.1], and women-healthcare providers relationship [AOR: 5.2; 95% CI: 3.2, 8.6]are higher odds of being involved in decision-making, but women’s being primary school [AOR: 0.53; 95% CI: 0.3,0.97] are lower odds of involvement in decision-making to have a caesarean delivery.Conclusion and recommendation: In this study, women’s agreed decision-making involvement to have a caesarean delivery is low compared with other studies. Women-healthcare providers’ relationship and an unscheduled caesarean delivery are highly affect their involvement in decision-making. Therefore, hospitals should translate and prepare the consent form in an understandable way for women and families, and healthcare providers should develop good relationship and encourage her involvement.Keywords: caesarean delivery, women’s involvement, mode of decision-making, shared decision-makinghttps://www.dovepress.com/womens-involvement-in-decision-making-and-associated-factors-among-wom-peer-reviewed-fulltext-article-IJWHcaesarean deliverywomen’s involvementmode of decision-makingshared decision-making |
| spellingShingle | Getu Wondimu M Dadhi AE Gesisa HI Feyisa GT Yohannes Kassa Z Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study International Journal of Women's Health caesarean delivery women’s involvement mode of decision-making shared decision-making |
| title | Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study |
| title_full | Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study |
| title_fullStr | Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study |
| title_full_unstemmed | Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study |
| title_short | Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study |
| title_sort | women rsquo s involvement in decision making and associated factors among women who underwent a caesarean section in sidama region south ethiopia cross sectional study |
| topic | caesarean delivery women’s involvement mode of decision-making shared decision-making |
| url | https://www.dovepress.com/womens-involvement-in-decision-making-and-associated-factors-among-wom-peer-reviewed-fulltext-article-IJWH |
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