Attitude Towards the Concept of CS on Demand

NCT06622733 | Recruiting

• 1 other identifier: Soh-Med-24-09---12MS
• Study Type: observational
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

Caesarean section (CS) is a surgical procedure performed to facilitate delivery of the baby through an incision made on the mother's abdomen. Ideally, it is recommended in situations where normal vaginal delivery (VD) can pose risks to either the mother baby or both . In the western world women have only one or two children, while in the East or the Middle East, women are culturally coerced into having many children. Thus, they are more prone to multiple Cesarean deliveries in their lifetime \[1.2\]. ThisAccording to the World Health Organization (WHO), since 1985, the acceptable percentage of worldwide C-sections has been 10-15% of all deliveries \[3\]. One of the most critical findings of the American Center for Disease Control and Prevention found that the Cesarean delivery rate has increased from 20.7% in 1995 to 31.6% in 2016 \[4 \]. It is important to mention that Cesarean deliveries are life-saving procedures when there are obstetrical indications.(5.6) Cesarean delivery indications include fetal malpresentation, multiple pregnancies, chorioamnionitis, arrested labour, oligohydramnios, cord prolapse, cephalo-pelvic disorders, and medical diseases such as eclampsia and HELPP (hemolysis, elevated liver enzymes, and low platelets) syndrome .the number of patients undergoing Cesarean delivery for non-obstetric reasons has rapidly increased. This could be due to many factors influencing the patients' decisions, including possible fetal outcomes concerning beliefs in some cultures and the convenience of patients and obstetricians(7) .cesarean section on demand allows a woman to choose a cesarean section without a medical reason, based solely on her personal preference Five themes that reflected the reasons for elective cesarian birth without medical indication were identified: (1) fear of vaginal birth process, (2) concerns about future sexual life, (3) need for humanized birth, (4) personal reasons, and (5) decision-making process.(8) raising the awareness of providers about the appropriate indications for CS and the importance of advocating for vaginal delivery among eligible women - including those with a previous CScan trigger practice changes that may reduce the incidence of non-medically indicated caesarean delivery

Conditions

Cs

Outcome Measures

Primary Outcomes (1)

• Women's interest in caesarean section

  Questionnaire to inform women about benefits and risks of CS

  6 months

Interventions

Questionnaire BEHAVIORAL

Attitude towards the concept of CS on demand

Eligibility Criteria

• Age: 18 Years - 45 Years
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Pregnant women attending the antenatal care clinic of Sohag University hospital

You may qualify if:

• pregnant women attending the antenatal care clinic of Sohag University hospital

You may not qualify if:

• postmenopausal women
• women with previous two or more cs
• women refusing to participate in the questionnaire

Sponsors & Collaborators

• Sohag University: lead

Study Sites (1)

Sohag University

Sohag, Egypt

RECRUITING

Related Publications (4)

• Sobande A, Eskandar M. Multiple repeat caesarean sections: complications and outcomes. J Obstet Gynaecol Can. 2006 Mar;28(3):193-197. doi: 10.1016/S1701-2163(16)32105-3.

  PMID: 16650356 BACKGROUND

• Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM; WHO Working Group on Caesarean Section. WHO Statement on Caesarean Section Rates. BJOG. 2016 Apr;123(5):667-70. doi: 10.1111/1471-0528.13526. Epub 2015 Jul 22. No abstract available.

  PMID: 26681211 BACKGROUND

• Martin JA, Hamilton BE, Ventura SJ, Osterman MJ, Kirmeyer S, Mathews TJ, Wilson EC. Births: final data for 2009. Natl Vital Stat Rep. 2011 Nov 3;60(1):1-70.

  PMID: 22670489 BACKGROUND

• Abbaspoor Z, Moghaddam-Banaem L, Ahmadi F, Kazemnejad A. Iranian mothers' selection of a birth method in the context of perceived norms: a content analysis study. Midwifery. 2014 Jul;30(7):804-9. doi: 10.1016/j.midw.2013.06.003. Epub 2013 Jul 17.

  PMID: 23870747 BACKGROUND

MeSH Terms

Interventions

Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Central Study Contacts

Mohamed A Khalifa, Resident

CONTACT

01140103255; mohamed.khalifa2015@med.sohag.edu.eg

Yasser A Helmy, Professor

CONTACT

01226102105

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Residence at gyn and OBS department

Study Record Dates

• First Submitted: September 29, 2024
• First Posted: October 2, 2024
• Study Start: September 28, 2024
• Primary Completion: March 30, 2025
• Study Completion: September 30, 2025
• Last Updated: October 2, 2024

Record last verified: 2024-09

Locations

EG (1)