Obstetricians' opinions and attitudes toward maternal refusal of recommended cesarean delivery in Nigeria

被引:5
作者
Chigbu, Chibuike O. [1 ]
Ezenyeaku, Cyril C. [1 ]
Ezenkwele, Eziamaka [1 ]
机构
[1] Univ Nigeria, Teaching Hosp, Dept Obstet & Gynecol, Enugu, Nigeria
关键词
Cesarean delivery; Nigeria; Patients' refusal; Obstetricians' attitude; SECTION; WOMEN;
D O I
10.1016/j.ijgo.2009.01.012
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To assess the opinions and attitudes of Nigerian obstetricians toward women's refusal of cesarean delivery. Method: We used a questionnaire with 5 clinical scenarios drawn from published cases in which Nigerian women refused to undergo a recommended cesarean delivery. Results: Most obstetricians (84.8%) advocated continuous counseling of these women but, from their response to the scenarios, few (13.7%-16.1%) would actually do so. Insufficient facilities and poor logistics for emergency obstetric care were their stated major reason for not respecting maternal choices in situations where vaginal delivery could have been given a chance. Conclusion: The possibility of providing emergency obstetric care Would remove many indications for cesarean delivery from the list of absolute indications in Nigeria; and management guidelines would protect obstetricians in the event of litigation, and improve their acceptance and respect of maternal choice. (C) 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:248 / 251
页数:4
相关论文
共 11 条
[1]   Perceptions and attitudes of pregnant women towards caesarean section in urban Nigeria [J].
Aziken, Michael ;
Omo-Aghoja, Lawrence ;
Okonofua, Friday .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2007, 86 (01) :42-47
[2]   The burden of caesarean section refusal in a developing country setting [J].
Chigbu, C. O. ;
Iloabachie, G. C. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2007, 114 (10) :1261-1265
[3]   Patient refusal of emergency cesarean delivery -: A study of obstetricians' attitudes in Europe [J].
Cuttini, Marina ;
Habiba, Marwan ;
Nilstun, Tore ;
Donfrancesco, Silvia ;
Garel, Micheline ;
Arnaud, Catherine ;
Bleker, Otto ;
Da Fre, Monica ;
Gomez, Manuel Marin ;
Heyl, Wolfgang ;
Marsal, Karel ;
Saracci, Rodolfo .
OBSTETRICS AND GYNECOLOGY, 2006, 108 (05) :1121-1129
[4]   The burden of caesarean section refusal in a developing country setting [J].
Esen, U. I. ;
Archibong, E. I. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2008, 115 (04)
[5]   Caesarean section in developing countries [J].
Kwawukume, EY .
BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY, 2001, 15 (01) :165-178
[6]   Non-elective caesarean section: How long do we take to deliver? [J].
le Riche, H ;
Hall, DR .
JOURNAL OF TROPICAL PEDIATRICS, 2005, 51 (02) :78-81
[7]   The burden of a caesarean section refusal in a developing country setting [J].
Oboh, A. E. ;
Wokoma, T. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2008, 115 (04)
[8]  
Onah H E, 2005, J Obstet Gynaecol, V25, P342
[9]   Formal education does not improve the acceptance of cesarean section among pregnant Nigerian women [J].
Onah, HE .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2002, 76 (03) :321-323
[10]  
Orji E O, 2002, J Obstet Gynaecol, V22, P385, DOI 10.1080/01443610220141326