ArticleHealthcare (Basel, Switzerland)2020
Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals.
Article in Healthcare (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Women and clinicians' views, preferences and experiences of caesarean section and vaginal birth in India: a qualitative substudy of the 'Misoprostol or Oxytocin for Labour Induction' (MOLI) trial.BMJ global health · 2025Trial
- Prevalence, indications, and preference of caesarean section deliveries among women attending primary health care units in Port-Said City, Egypt.The Journal of the Egyptian Public Health Association · 2026Article
- Association between cesarean section and labor companion in pregnant women giving birth: A prospective cohort study at Hung Vuong hospital, Vietnam.European journal of midwifery · 2026Article
- Benchmarking Cesarean Section Trends: A Case Study from Tu Du Hospital Using Robson's Model.Healthcare (Basel, Switzerland) · 2025Article
- Socioeconomic risk factors and obstetric outcomes of adolescent pregnancies in Vietnam.AJOG global reports · 2025Article
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- The Portrayal of Cesarean Section on Instagram: Mixed Methods Social Media Analysis.JMIR formative research · 2024Article
- How does hospital organisation influence the use of caesarean sections in low- and middle-income countries? A cross-sectional survey in Argentina, Burkina Faso, Thailand and Vietnam for the QUALI-DEC project.BMC pregnancy and childbirth · 2024Article
- Preferences for childbirth delivery and pain relief methods among pregnant women in Vietnam.Frontiers in medicine · 2024Article
- Low-Value Surgical Procedures in Low- and Middle-Income Countries: A Systematic Scoping Review.JAMA network open · 2023Article
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- Educational interventions targeting pregnant women to optimise the use of caesarean section: What are the essential elements? A qualitative comparative analysis.BMC public health · 2023Article
- Comparison of Pregnancy Outcome between 4 and 6 cm Cervical os Dilatation to Demarcate Active Phase of Labour: A Cross-Sectional Study.Journal of pregnancy · 2023Article
- Interventions targeting healthcare providers to optimise use of caesarean section: a qualitative comparative analysis to identify important intervention features.BMC health services research · 2022Article
- Dinoprostone Vaginal Insert for Induction of Labor in Women with Low-Risk Pregnancies: A Prospective Study.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2022Article
- Intention to Exclusively Breastfeed Is Associated with Lower Rates of Cesarean Section for Nonmedical Reasons in a Cohort of Mothers in Vietnam.International journal of environmental research and public health · 2022Article
- Caesarean section or vaginal delivery for low-risk pregnancy? Helping women make an informed choice in low- and middle-income countries.PLOS global public health · 2022Article
- Factors associated with the very high caesarean section rate in urban areas of Vietnam.PloS one · 2022Article
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Authors and funding
10 authors.
Funding
Abstract
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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