Maternal demand for cesarean section: perception and willingness to request by Nigerian antenatal clients.

摘要: BACKGROUND Contrary to the widely reported aversion cesarean section in West African subregion, maternal demand for (MDCS) seems be on increase, and there is little evidence explain this trend. The purpose of study was determine perception attitudes Nigerian antenatal clients towards MDCS, their willingness request relationship between MDCS sociodemographic characteristics. METHODS A cross-sectional survey undertaken among 843 at Agbongbon/Orayan primary health care centers (PHCs), Adeoyo Maternity Hospital (SHC), UCH Ibadan (THC), representing three different levels Nigeria, ie, primary, secondary, tertiary. RESULTS proportion women aware 39.6%. Predictors awareness were education type facility. Women from THC those with tertiary above more likely than others (P = 0.001). Doctors major sources information (30.8%) as well friends (24.3%). Common reasons fear labor pains (68.9%), poor outcome (60.1%), fecal (20.2%) urinary incontinence (16.8%). More other facilities believed that requests should granted < However, low (6.6%). 50% willing would criticized, mainly by husbands. On multiple logistic regression, respondents significantly SHC or PHCs favor a woman's right autonomy choose her mode delivery. CONCLUSION decision difficult one, because criticism partners who high. Provision epidural anesthesia improved safety vaginal delivery recommended. This may prevent making choice based pain outcome. role male partner taken into consideration order make sustainable policies guidelines developing countries.