Preference for Caesarean Section in Young Nulligravid Women in Eight OECD Countries and Implications for Reproductive Health Education

Simple item page
aut.relation.articlenumber116en_NZ
aut.relation.issue116en_NZ
aut.relation.journalReproductive Healthen_NZ
aut.relation.volume14en_NZ
aut.researcherPayne, Deborah
dc.contributor.authorStoll, Ken_NZ
dc.contributor.authorHauck, Yen_NZ
dc.contributor.authorDowne, Sen_NZ
dc.contributor.authorPayne, DAen_NZ
dc.contributor.authorHall, Wen_NZ
dc.date.accessioned2020-11-20T02:55:33Z
dc.date.available2020-11-20T02:55:33Z
dc.date.copyright2017en_NZ
dc.date.issued2017en_NZ
dc.description.abstractBackground: Efforts to reduce unnecessary Cesarean sections (CS) in high and middle income countries have focused on changing hospital cultures and policies, care provider attitudes and behaviors, and increasing women’s knowledge about the benefits of vaginal birth. These strategies have been largely ineffective. Despite evidence that women have well-developed preferences for mode of delivery prior to conceiving their first child, few studies and no interventions have targeted the next generation of maternity care consumers. The objectives of the study were to identify how many women prefer Cesarean section in a hypothetical healthy pregnancy, why they prefer CS and whether women report knowledge gaps about pregnancy and childbirth that can inform educational interventions. Methods: Data was collected via an online survey at colleges and universities in 8 OECD countries (Australia, Canada, Chile, England, Germany, Iceland, New Zealand, United States) in 2014/2015. Childless young men and women between 18 and 40 years of age who planned to have at least one child in the future were eligible to participate. The current analysis is focused on the attitudes of women (n = 3616); rates of CS preference across countries are compared, using a standardized cohort of women aged 18–25 years, who were born in the survey country and did not study health sciences (n = 1390). Results: One in ten young women in our study preferred CS, ranging from 7.6% in Iceland to 18.4% in Australia. Fear of uncontrollable labor pain and fear of physical damage were primary reasons for preferring a CS. Both fear of childbirth and preferences for CS declined as the level of confidence in women’s knowledge of pregnancy and birth increased. Conclusion: Education sessions delivered online, through social media, and face-to-face using drama and stories told by peers (young women who have recently had babies) or celebrities could be designed to maximize young women’s capacity to understand the physiology of labor and birth, and the range of methods available to support them in coping with labor pain and to minimize invasive procedures, therefore reducing fear of pain, bodily damage, and loss of control. The most efficacious designs and content for such education for young women and girls remains to be tested in future studies.en_NZ
dc.identifier.citationReproductive Health, 14(1), 116.
dc.identifier.doi10.1186/s12978-017-0354-xen_NZ
dc.identifier.issn1742-4755en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13808
dc.publisherBioMed Centralen_NZ
dc.relation.urihttps://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-017-0354-x
dc.rights© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectCesarean; Women; Fear; Knowledge; Learning needs; Survey
dc.titlePreference for Caesarean Section in Young Nulligravid Women in Eight OECD Countries and Implications for Reproductive Health Educationen_NZ
dc.typeJournal Article
pubs.elements-id314980
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Preference for caesarean section in young nulligravid women in eight OECD countries and implications for reproductive health education.pdf
Size:
527.06 KB
Format:
Adobe Portable Document Format
Description:
Journal article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
AUT Grant of Licence for Tuwhera Aug 2018.pdf
Size:
276.29 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
School of Clinical Sciences