ArticleBMC pregnancy and childbirth2023
"Because it eases my Childbirth Plan": a qualitative study on factors contributing to preferences for caesarean section in Thailand.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Variation in caesarean section rates according to the Robson classification in four low- and middle-income countries: a meta-analysis of groups 1 to 4.BMC pregnancy and childbirth · 2025Pooled it
- Global prevalence and risk factors of obstetric violence: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Pooled it
- Implementation of a decision aid to promote shared decision-making on mode of birth in low-risk pregnant women: a cross-sectional study within the QUALI-DEC hybrid trial.BMJ global health · 2026Trial
- Assessment of prevalence, perceptions, and factors associated with reported history of caesarean section among women in the United Arab Emirates: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Identifying factors contributing to health workers' preferences for elective caesarean section: a qualitative study.BMC pregnancy and childbirth · 2026Article
- 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
- "Everywhere you see, C-sections are happening": examining trends and reasons for a rise in cesarean-section deliveries among women in urban informal settlements, Mumbai Metropolitan Region, using a mixed methods approach.BMC pregnancy and childbirth · 2026Article
- Healthcare providers' perspectives on implementing evidence-based practice guidelines to reduce cesarean section rates: a qualitative study.BMC health services research · 2026Article
- Physician attitudes and system factors associated with non-medically indicated cesarean sections in Thailand: a prospective implementation study.Reproductive health · 2026Article
- Responses to increased rates of caesarean births.Bulletin of the World Health Organization · 2025Article
- Planning for scale: analysis of adaptations and contextual factors influencing scale-up of the QUALI-DEC intervention to optimize caesarean section use.Implementation science communications · 2025Article
- Article
- Determinants of Delivery Mode Preferences and Decision-Making Among Jordanian Women: A Cross-Sectional Study.Journal of pregnancy · 2025Article
- The mediating role of fear of childbirth in the relationship between intolerance of uncertainty and cesarean section preference among pregnant women.Frontiers in psychiatry · 2025Article
- Article
- Correction: "Because it eases my childbirth plan": a qualitative study on factors contributing to preferences for caesarean section in Thailand.BMC pregnancy and childbirth · 2024Article
- Evaluation of cesarean delivery rates and factors associated with cesarean delivery among women enrolled in a pregnancy cohort study at two tertiary hospitals in Thailand.BMC pregnancy and childbirth · 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
- Article
- Implementing the QUALI-DEC project in Argentina, Burkina Faso, Thailand and Viet Nam: a process delineation and theory-driven process evaluation protocol.Global health action · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
12 authors at 8 institutions in 5 countries.
Funding
Abstract
backgroundAlthough caesarean section (CS) rates have increased rapidly in Thailand, the upward trend is not supported by significant maternal or perinatal health benefits. The appropriate use of CS through QUALIty DECision-making by women and providers (QUALI-DEC project) aims to design and implement a strategy to optimize the use of CS through non-clinical interventions. This study aimed to explore the factors influencing women's and health professionals' preferences for CS delivery in Thailand.
methodsWe conducted a formative qualitative study by using semi-structured in-depth interviews with pregnant and postpartum women, and healthcare staff. Purposive sampling was used to recruit participants from eight hospitals across four regions of Thailand. Content analysis was used to develop the main themes.
resultsThere were 78 participants, including 27 pregnant and 25 postpartum women, 8 administrators, 13 obstetricians, and 5 interns. We identified three main themes and seven sub-themes of women and healthcare providers' perceptions on CS: (1) avoiding the negative experiences from vaginal birth (the pain of labor and childbirth, uncertainty during the labor period); (2) CS is a safer mode of birth (guarantees the baby's safety, a protective shield for doctors); and (3) CS facilitates time management (baby's destiny at an auspicious time, family's management, manage my work/time).
conclusionsWomen mentioned negative experiences and beliefs about vaginal delivery, labor pain, and uncertain delivery outcomes as important factors influencing CS preferences. On the other hand, CS is safer for babies and facilitates multiple tasks in women's lives. From health professionals' perspectives, CS is the easier and safer method for patients and them. Interventions to reduce unnecessary CS, including QUALI-DEC, should be designed and implemented, taking into consideration the perceptions of both women and healthcare providers.
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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.