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Swedish caregivers’ attitudes towards caesarean section on maternal request
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Kenyon college, Department of sociology.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0003-4067-2357
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2009 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 22, no 2, 57-63 p.Article in journal (Refereed) Published
Abstract [en]

Background Caesarean section (CS) is not an option that women in Sweden can chose themselves, although the rise in CS rate has been attributed to women. This study describes obstetricians’ and midwives’ attitudes towards CS on maternal request. Methods A qualitative descriptive study, with content analysis of 5 focus group discussions where 16 midwives and 9 obstetricians participated. Results The overarching theme was identified as “Caesarean section on maternal request—a balance between resistance and respect”. On the one hand, CS was viewed as a risky project; on the other hand, request for a CS was understood and respected when women had had a previous traumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear. Five categories were related to the theme. Overall, our findings indicate that caregivers blamed the women for the increase, they considered the management of CS on maternal request difficult, and they suggested preventive methods to reduce CS and means to strengthen their professional roles. Key conclusions and implication for practice Both midwives and obstetricians considered the management of CS on maternal request difficult, and the result showed that they balanced between resistance and respect. The result also showed that the participants stressed the importance of professionals advocating natural birth with evidence-based knowledge and methods to prevent maternal requests. Ongoing discussions among health professionals on attitudes and practice would strengthen their professional roles and lead to a decrease in CS rates in Sweden.

 

 

 

 

Background:

 

 

Caesarean section (CS) is not an option that women in Sweden can chose themselves,

although the rise in CS rate has been attributed to women. This study describes

obstetricians’ and midwives’ attitudes towards CS on maternal request.

 

Methods:

 

 

A qualitative descriptive study, with content analysis of 5 focus group discussions where

16 midwives and 9 obstetricians participated.

 

Results:

 

 

The overarching theme was identified as ‘‘Caesarean section on maternal request–—a

balance between resistance and respect’’. On the one hand, CS was viewed as a risky project; on the

other hand, request for a CS was understood and respected when women had had a previous

traumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear.

Five categorieswere related to the theme.Overall, our findings indicate that caregivers blamed the

women for the increase, they considered the management of CS on maternal request difficult, and

they suggested preventive methods to reduce CS and means to strengthen their professional roles.

 

Key conclusions and implication for practice:

 

 

Both midwives and obstetricians considered the

 

 

Place, publisher, year, edition, pages
2009. Vol. 22, no 2, 57-63 p.
Keyword [en]
midwifery, Caesarean section; Content analysis; Focus groups interviews; Maternal request; Attitudes; Caregivers
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-7667DOI: 10.1016/j.wombi.2008.12.002Scopus ID: 2-s2.0-67349271859OAI: oai:DiVA.org:miun-7667DiVA: diva2:127941
Projects
Caesarean section- emergency or shortcut?
Available from: 2008-12-10 Created: 2008-12-10 Last updated: 2016-09-26Bibliographically approved
In thesis
1. Kejsarsnitt utan medicinsk indikation: Attityder, förekomst och önskemål
Open this publication in new window or tab >>Kejsarsnitt utan medicinsk indikation: Attityder, förekomst och önskemål
2010 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Sundsvall: Mittuniversitetet, 2010. 77 p.
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 82
Keyword
Förekomst, kejsarsnitt utan medicinsk indikation, kvinnors önskemål och erfarenheter, vårdgivarattityd
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-11566 (URN)978-91-86073-71-8 (ISBN)
Public defence
2010-05-21, M 108, Lubbesalen, Holmgatan 10, Sundsvall, 10:30 (Swedish)
Opponent
Supervisors
Projects
Kejsarsnitt - nödutgång eller genväg?Föda barn i Västernorrland
Available from: 2010-06-02 Created: 2010-05-31 Last updated: 2010-06-02Bibliographically approved

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