Women’s Attitude Toward C-Section: Evidence from Bay Regional Hospital in Baidoa, Southwest State of Somalia

Munira Abdiladhif Mohamed Jawaani, Abdifatah Mohamed Yakub
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Abstract

Background: The general societal belief among Somali women is that anything other than normal vaginal delivery is riskier than could be imagined or anticipated, no matter the delay or prolongation of labor and related complications. This widely circulated perception has become a reason for many expectant mothers to either completely decline to consider c-section or suffer in prolonged labor that could be fatal to either the mother or the baby or both. Methods:    This study follows several aspects of the triangulation method of research. It adheres to the case study approach by mixing qualitative and quantitative methods. It uses purposive sampling by selecting 19 women who delivered by c-section at Bay Regional Hospital, Baidoa, Southwest State of Somalia. Results: About 58% had believed c-section as ‘very risky’ or ‘risky’ prior to undergoing the procedure; after delivery 89.5% thought it was either ‘very safe’ or ‘safe’, while none of the respondents considered it to be ‘unsafe’ or ‘very unsafe’ anymore. Conclusion: Women’s perception of c-section changed dramatically after undergoing the procedure as compared to their belief before the surgery. It is also remarkable that they would not hesitate in their next delivery by c-section and that they would recommend it to other women in order to avoid fatal complications. Keywords: childbirth, health research, labor complications, medical health
妇女对剖腹产的态度:来自索马里西南部拜多阿海湾地区医院的证据
背景:索马里妇女普遍认为,正常阴道分娩以外的任何事情都比想象或预期的更危险,无论分娩的延迟或延长以及相关并发症。这种广为流传的观念已经成为许多准妈妈要么完全拒绝考虑剖腹产,要么忍受长时间分娩的痛苦,这对母亲或婴儿都可能是致命的。方法:本研究遵循几个方面的三角剖分方法进行研究。它坚持案例研究方法,将定性和定量方法相结合。它采用有目的抽样的方法,在索马里西南州拜多阿的海湾地区医院选择了19名剖腹产妇女。结果:约58%的人在接受手术前认为剖腹产“非常危险”或“有风险”;分娩后,89.5%的受访者认为“非常安全”或“安全”,而没有受访者认为“不安全”或“非常不安全”。结论:与术前相比,术后妇女对剖腹产的认知发生了巨大变化。同样值得注意的是,她们会毫不犹豫地选择下一次剖腹产,并将其推荐给其他妇女,以避免致命的并发症。关键词:分娩;健康研究;分娩并发症
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