Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction

Objective: To determine the involvement in decision and satisfaction regarding the mode of delivery among women attending tertiary care hospital of Karachi, Pakistan. Methods: This cross-sectional study was conducted at Dar-ul-Sehat Hospital, Karachi, from March 2017 to November 2017. All women ad...

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Main Authors: sagheera anjum munaver, Ayesha Husain, Aliya Naseem
Format: Article
Language:English
Published: Dow University of Health Sciences 2018-08-01
Series:Journal of the Dow University of Health Sciences
Subjects:
Online Access:https://www.jduhs.com/index.php/jduhs/article/view/1359
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author sagheera anjum munaver
Ayesha Husain
Aliya Naseem
author_facet sagheera anjum munaver
Ayesha Husain
Aliya Naseem
author_sort sagheera anjum munaver
collection DOAJ
description Objective: To determine the involvement in decision and satisfaction regarding the mode of delivery among women attending tertiary care hospital of Karachi, Pakistan. Methods: This cross-sectional study was conducted at Dar-ul-Sehat Hospital, Karachi, from March 2017 to November 2017. All women admitted in the hospital whether from an emergency or outdoor who underwent for caesarean section and got the option of vaginal birth after first caesarean section were included. Information about women's involvement and satisfaction regarding their decision making of caesarean section were noted on 3rd and 4th day post-partum. All patients were provided with evidence based information regarding risks and benefits of caesarean section versus vaginal birth after caesarean delivery. Results: A total of 200 patients were included, amongst them 185 (92.5%) women were involved in the decision of mode of delivery. In most of the cases, consent was taken by doctors (n=192, 96%), followed by nurse (n=6, 3%) and consultant (n=2, 1%). The consent was given by husband in majority of the cases (n=173, 86.5%). A significant association of job employment of father with women's involvement in decision making was observed (p-value 0.022). Moreover, women's involvement in decision making was significantly associated with explanation of procedure (p-value 0.021) and satisfaction with indication of cesarean section (p-value <0.001). Conclusion: The involvement of women in the decision of opting cesarean section as mode of delivery has shown a positive influence on the women's experience of childbirth.
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spelling doaj.art-71cead07d1ec409380454352e91e99622023-05-29T03:09:55ZengDow University of Health SciencesJournal of the Dow University of Health Sciences1995-21982410-21802018-08-01122Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfactionsagheera anjum munaver0Ayesha Husain1Aliya Naseem2liaquat college of medicine and dentistry and dar ul sehat hospitalObstetrics and Gynecology Department, Liaquat College of Medicine and Dentistry (LCMD) and Darul Sehat Hospital (DSH), Karachi, PakistanObstetrics and Gynecology Department, Liaquat College of Medicine and Dentistry (LCMD) and Darul Sehat Hospital (DSH), Karachi, PakistanObjective: To determine the involvement in decision and satisfaction regarding the mode of delivery among women attending tertiary care hospital of Karachi, Pakistan. Methods: This cross-sectional study was conducted at Dar-ul-Sehat Hospital, Karachi, from March 2017 to November 2017. All women admitted in the hospital whether from an emergency or outdoor who underwent for caesarean section and got the option of vaginal birth after first caesarean section were included. Information about women's involvement and satisfaction regarding their decision making of caesarean section were noted on 3rd and 4th day post-partum. All patients were provided with evidence based information regarding risks and benefits of caesarean section versus vaginal birth after caesarean delivery. Results: A total of 200 patients were included, amongst them 185 (92.5%) women were involved in the decision of mode of delivery. In most of the cases, consent was taken by doctors (n=192, 96%), followed by nurse (n=6, 3%) and consultant (n=2, 1%). The consent was given by husband in majority of the cases (n=173, 86.5%). A significant association of job employment of father with women's involvement in decision making was observed (p-value 0.022). Moreover, women's involvement in decision making was significantly associated with explanation of procedure (p-value 0.021) and satisfaction with indication of cesarean section (p-value <0.001). Conclusion: The involvement of women in the decision of opting cesarean section as mode of delivery has shown a positive influence on the women's experience of childbirth. https://www.jduhs.com/index.php/jduhs/article/view/1359Women's involvementmode of deliverychildbirth
spellingShingle sagheera anjum munaver
Ayesha Husain
Aliya Naseem
Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction
Journal of the Dow University of Health Sciences
Women's involvement
mode of delivery
childbirth
title Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction
title_full Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction
title_fullStr Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction
title_full_unstemmed Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction
title_short Women Involvement in Decision Making to have Cesarean Section and their Postpartum Satisfaction
title_sort women involvement in decision making to have cesarean section and their postpartum satisfaction
topic Women's involvement
mode of delivery
childbirth
url https://www.jduhs.com/index.php/jduhs/article/view/1359
work_keys_str_mv AT sagheeraanjummunaver womeninvolvementindecisionmakingtohavecesareansectionandtheirpostpartumsatisfaction
AT ayeshahusain womeninvolvementindecisionmakingtohavecesareansectionandtheirpostpartumsatisfaction
AT aliyanaseem womeninvolvementindecisionmakingtohavecesareansectionandtheirpostpartumsatisfaction