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Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals

The Caesarean section rate in urban Vietnam is 43% in 2014, which is more than twice the recommended rate (10%–15%) by the World Health Organization. This qualitative study aims to identify the perceptions of pregnant mothers and health care professionals on the medical and social factors related to...

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Autores principales: Takegata, Mizuki, Smith, Chris, Nguyen, Hien Anh Thi, Thi, Hai Huynh, Thi Minh, Trang Nguyen, Day, Louise Tina, Kitamura, Toshinori, Toizumi, Michiko, Dang, Duc Anh, Yoshida, Lay-Myint
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151040/
https://www.ncbi.nlm.nih.gov/pubmed/32098136
http://dx.doi.org/10.3390/healthcare8010041
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author Takegata, Mizuki
Smith, Chris
Nguyen, Hien Anh Thi
Thi, Hai Huynh
Thi Minh, Trang Nguyen
Day, Louise Tina
Kitamura, Toshinori
Toizumi, Michiko
Dang, Duc Anh
Yoshida, Lay-Myint
author_facet Takegata, Mizuki
Smith, Chris
Nguyen, Hien Anh Thi
Thi, Hai Huynh
Thi Minh, Trang Nguyen
Day, Louise Tina
Kitamura, Toshinori
Toizumi, Michiko
Dang, Duc Anh
Yoshida, Lay-Myint
author_sort Takegata, Mizuki
collection PubMed
description The Caesarean section rate in urban Vietnam is 43% in 2014, which is more than twice the recommended rate (10%–15%) by the World Health Organization. This qualitative study aims to identify the perceptions of pregnant mothers and health care professionals on the medical and social factors related to the increased Caesarean section rate in Vietnam. A qualitative descriptive study was conducted among pregnant mothers and healthcare professionals at two public hospitals in Nha Trang city. A content analysis was adopted in order to identify social and medical factors. As a result, 29 pregnant women and 19 health care professionals were invited to participate in the qualitative interviews. Private interviews were conducted with 10 women who wished to have a Caesarean section, and the others participated in focus group interviews. The main themes of the social factors were ‘request for Caesarean section,’ ‘mental strain of obstetricians,’ and ‘decision-making process.’ To conclude, this qualitative study suggests that there were unnecessary caesarean sections without a clear medical indication, which were requested by women and family members. Psychological fear occurred among women and family, and doctors were the main determinants for driving the requests for Caesarean section, which implies that education and emotional encouragement is necessary by midwives. In addition, a multi-faced approach including a mandatory reporting system in clinical fields and involving family members in antenatal education is important.
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spelling pubmed-71510402020-04-20 Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals Takegata, Mizuki Smith, Chris Nguyen, Hien Anh Thi Thi, Hai Huynh Thi Minh, Trang Nguyen Day, Louise Tina Kitamura, Toshinori Toizumi, Michiko Dang, Duc Anh Yoshida, Lay-Myint Healthcare (Basel) Article The Caesarean section rate in urban Vietnam is 43% in 2014, which is more than twice the recommended rate (10%–15%) by the World Health Organization. This qualitative study aims to identify the perceptions of pregnant mothers and health care professionals on the medical and social factors related to the increased Caesarean section rate in Vietnam. A qualitative descriptive study was conducted among pregnant mothers and healthcare professionals at two public hospitals in Nha Trang city. A content analysis was adopted in order to identify social and medical factors. As a result, 29 pregnant women and 19 health care professionals were invited to participate in the qualitative interviews. Private interviews were conducted with 10 women who wished to have a Caesarean section, and the others participated in focus group interviews. The main themes of the social factors were ‘request for Caesarean section,’ ‘mental strain of obstetricians,’ and ‘decision-making process.’ To conclude, this qualitative study suggests that there were unnecessary caesarean sections without a clear medical indication, which were requested by women and family members. Psychological fear occurred among women and family, and doctors were the main determinants for driving the requests for Caesarean section, which implies that education and emotional encouragement is necessary by midwives. In addition, a multi-faced approach including a mandatory reporting system in clinical fields and involving family members in antenatal education is important. MDPI 2020-02-21 /pmc/articles/PMC7151040/ /pubmed/32098136 http://dx.doi.org/10.3390/healthcare8010041 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Takegata, Mizuki
Smith, Chris
Nguyen, Hien Anh Thi
Thi, Hai Huynh
Thi Minh, Trang Nguyen
Day, Louise Tina
Kitamura, Toshinori
Toizumi, Michiko
Dang, Duc Anh
Yoshida, Lay-Myint
Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals
title Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals
title_full Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals
title_fullStr Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals
title_full_unstemmed Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals
title_short Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals
title_sort reasons for increased caesarean section rate in vietnam: a qualitative study among vietnamese mothers and health care professionals
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151040/
https://www.ncbi.nlm.nih.gov/pubmed/32098136
http://dx.doi.org/10.3390/healthcare8010041
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