Name: Princess P.

Antivo Section: BSN 3-H

JOURNAL READING

TITLE: A qualitative study to explore the attitudes of women and obstetricians towards
caesarean delivery in rural Bangladesh

Abstract:
Despite the fact that overuse of cesarean sections is concerning for public health, they
are a life-saving medical procedure for mothers and their babies. In Bangladesh, the general
cesarean rate is about 23%, while in private institutions, it is over 70%. To address the
increasing number of caesarean deliveries, it is imperative to understand the perspectives of
both the demand side—parturient women—and the supply side—obstetricians. Women from
this rural community had a strong preference for normal vaginal birth. However, they were
willing to accept the attending health care provider’s decision for caesarean birth. Antenatal care
sessions did not provide information on the medical indications for caesarean section.
Furthermore, some women had the misconception that episiotomy itself is a ‘small caesarean.’
Primary health care providers and clinic agents (brokers) had a strong influence on women’s
decision to choose a health facility for giving birth. However, obstetricians, having a preference
for caesarean section, were receiving more patients from these brokers which may be an
important reason for the high rate of clinically non-indicated caesareans at private hospitals in
Bangladesh.

Reflection:
Caesarean sections can be essential in situations such as prolonged or obstructed
labor, fetal distress, or because the baby is presenting in an abnormal position. They may,
however, carry some dangers, just like any surgery. These include the risk of severe bleeding or
infection, longer recovery periods following childbirth, difficulties with breastfeeding and
skin-to-skin contact, and a higher chance of problems with subsequent pregnancies. The study's
findings indicate that Bangladeshi women strongly favor vaginal births. Nonetheless, since a
normal birth can lessen your chance of developing those I've listed above, I believe it's a wise
choice. The survey does, however, also show that the women there are prepared to accept the
doctor's judgment on a cesarean delivery. They have a misunderstanding of the episiotomy
notion, based on what I've read. They view an episiotomy as a small cesarean section. With
this, it is necessary to educate them on the benefits and drawbacks of various birthing
techniques to guarantee that women actively participate in the decision-making process. Strict
policy regulations are required to guarantee that obstetricians are making valid decisions about
the mode of delivery.

Reference:
A qualitative study to explore the attitudes of women and obstetricians towards caesarean
delivery in rural Bangladesh - BMC Pregnancy and Childbirth. (2018, September 12). BMC
Pregnancy and Childbirth. Retrieved November 23, 2023, from
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1993-9