Evidence map›Paper›PMID 31604461›Full record

ArticleBMC pregnancy and childbirth2019

Maternal perceptions about caesarean section deliveries and their role in reducing perinatal and neonatal mortality in the Upper West Region of Ghana; a cross-sectional study.

Barnabas B Naa Gandau, Benjamin D Nuertey, Nana Ayegua Hagan Seneadza, Dominic Akaateba, Emmanuel Azusong, Judith Y Yirifere, Herta B Kankpeyeng, Edem M A Tette

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Barnabas B Naa GandauSchool of Medical Science, University for Development Studies, Tamale, Ghana.
Benjamin D NuerteyCommunity Health Department, School of Public Health, University of Ghana, Accra, Ghana. ben.nuertey@gmail.com.ORCID http://orcid.org/0000-0003-4946-508X
Nana Ayegua Hagan SeneadzaCommunity Health Department, School of Public Health, University of Ghana, Accra, Ghana.
Dominic AkaatebaUpper West Regional Hospital, Wa, Ghana.
Emmanuel AzusongUpper West Regional Hospital, Wa, Ghana.
Judith Y YirifereUpper West Regional Hospital, Wa, Ghana.
Herta B KankpeyengShai-Osudoku District Hospital, Dodowa, Ghana.
Edem M A TetteCommunity Health Department, School of Public Health, University of Ghana, Accra, Ghana.
West End Hospital · GHUniversity of Ghana · GHDodowa Health Research Centre · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal perceptions about caesarean section contribute to delayed presentation of women for emergency obstetric care. This increases the risks of perinatal and neonatal mortality and slows down the reductions needed to achieve the sustainable development goal (SDG) target of reducing neonatal mortality and ending new-born deaths. The aim of the study is to determine maternal perceptions about caesarean section deliveries and their role in reducing neonatal mortality at a regional and a district hospital in the Upper West Region of Ghana.

methodsThis descriptive study was carried out at two hospitals in the Upper West Region, the most rural region in Ghana, between 15th January and 29th June, 2018. Maternal perceptions were examined among antenatal care attendants at the Upper West Regional Hospital (UWRH) and St Joseph's Hospital Jirapa (SJH), a district hospital, using questionnaires administered by trained nurses.

resultsAltogether, 416 completed questionnaires were obtained, comprising 206 from expectant women attending the UWRH and 210 from SJH. Although the majority of women in this study preferred spontaneous vaginal delivery (87.4%, n = 348) to caesarean section, most of the respondents (n = 281, 73%) indicated their willingness to have a caesarean section if necessary. The main reason for not wanting a CS was the long recovery time (51.8%, n = 148). Almost half of women interviewed, representing 45.1% (180) did not know or feel that CS can promote child survival and about a fifth, 21.6% (85) believed that CS can have adverse effects on child survival. Factors associated with poor perception of CS included, no formal education, age less than 19 years and no employment.

conclusionMajority of women in this study had a positive attitude towards the uptake of CS if it becomes necessary. Lack of formal education, age less than 19 years and unemployment are associated with poor maternal perception of CS. Education to improve the perception of CS as a promoter of child survival is necessary and to discourage perceptions that it causes adverse perinatal or neonatal outcome particularly in at risk populations.

Indexed as

Cesarean SectionHealth Knowledge, Attitudes, PracticePerinatal MortalityAdolescentAdultAge FactorsCross-Sectional StudiesDelivery, ObstetricEducational StatusEmploymentFemaleGhanaHospitals, DistrictHumansInfantInfant MortalityAntenatal clinicCaesarean sectionMaternal perceptionsNeonatesSDG

Identifiers

PMID31604461
PMCPMC6788025
OpenAlexW2979694901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.