Cargando…
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...
Autores principales: | , , , , , , , , , |
---|---|
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 |
_version_ | 1783521158194266112 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7151040 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT takegatamizuki reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT smithchris reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT nguyenhienanhthi reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT thihaihuynh reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT thiminhtrangnguyen reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT daylouisetina reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT kitamuratoshinori reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT toizumimichiko reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT dangducanh reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals AT yoshidalaymyint reasonsforincreasedcaesareansectionrateinvietnamaqualitativestudyamongvietnamesemothersandhealthcareprofessionals |