ArticleThe Pan African medical journal2025
Navigating the choices of decision-making in cesarean sections: medical and personal perspectives from a qualitative study in Iraq.
Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: cesarean section (CS) rates have risen globally, prompting debates on their necessity and outcomes. This study explores factors affecting decision-making for planned CS in uncomplicated pregnancies, considering both medical and non-medical factors. Methods: a descriptive qualitative study design was employed from the period June 2022 to December 2022, comprising one-on-one conversations with Karbala midwives and obstetricians. Data were analyzed thematically to uncover factors influencing CS decisions. Descriptive and inferential statistical analysis was followed. Results: the study included 131 pregnant women, aged 20-35 (71.0%) with different educational levels. Prenatal care engagement was high, as 98.5% received care. Planned CS constituted 52.7%, and 47.3% were emergency CS. Decision factors included personal desire (22.9%), perception of efficiency and care (11.5%), and husband's desire (3.8%). Medical reasons (maternofetal factors) outweighed non-medical reasons (60.5% vs. 15.3%), with notable factors including cervical stiffness (21.4%) and fetal position/weight (17.6%).
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