Evidence map›Paper›PMID 40684110›Full record

ArticleBMC pregnancy and childbirth2025

'They just told me to go to theatre': women's experiences and support needs following emergency caesarean section in Kawempe National referral hospital, Uganda.

Charles Taban LoPoni, Joseph Rujumba, Wycliffe Ssekatawa, Martyn Adupet, Jolly Beyeza Kashesya, Ismail Sule, Miriam Nakalembe

Abstract read
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Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Charles Taban LoPoniDepartment of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Kampala, Uganda. tloponi@yahoo.com.
Joseph RujumbaDepartment of Paediatrics and Child Health, School of Medicine, Makerere University, Kampala, Uganda.
Wycliffe SsekatawaDepartment of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Kampala, Uganda.
Martyn AdupetMulago Specialized Women's and Neonatal Hospital, Kampala, Uganda.
Jolly Beyeza KashesyaMulago Specialized Women's and Neonatal Hospital, Kampala, Uganda.
Ismail SuleJuba Strategic Consulting, Juba, South Sudan.
Miriam NakalembeDepartment of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, the Caesarean Section (CS) rate is estimated at 21.1% and tripled from 7% in 1990 and projected to reach 28.5% by 2030. In Kawempe National Referral Hospital (KNRH) in Kampala, Uganda, 43.0% of women gave birth by CS in 2022 and 95% of the procedures were emergency caesarean sections (EmCS). The experiences and support needs of women following CS, however, were not explored, despite knowledge of challenges associated with CS compared to vaginal birth (VB).

objectiveTo explore the experiences and support needs of women following emergency caesarean section in Kawempe National Referral Hospital.

methodsA phenomenological inquiry was conducted in the postnatal clinic of KNRH among women six weeks following EmCS and health workers as Key informants (KIs) in KNRH. In-depth audio-recorded interviews with women after CS and KI interviews were conducted. The audio records were transcribed verbatim and analysed using deductive, but largely inductive thematic techniques.

resultsTwenty in-depth interviews and six KI interviews were conducted between June and July 2023. Average age of the women was 27.95 years. Most women highlighted negative experiences such as fear of losing their lives during surgery, poor pain control and unsatisfactory hospital care such as delays in intervention, poor communication, feelings of discrimination and neglect and informal hospital charges. Conversely, successful surgery that saved their lives and that of their babies, presence of a companion after CS and confidence in qualified staff in the national referral hospital were also highlighted. Both women and KIs expressed needs for adequate pre-operative care, financial resources, adequate pain control and quality time for interaction with health care providers to improve care after EmCS.

conclusionFollowing EmCS, women have both positive and negative experiences at individual, relationship and health care levels. Positive experiences include successful surgery, presence of a companion and being managed in a national referral hospital. Negative experiences, however, included fear of death for mother and baby, poor pain control, poor communication and informal hospital charges. Financial support, companionship after CS and information on indications for surgery and other interventions were the support needs expressed by the women.

Indexed as

Cesarean SectionAdultFemaleHumansPregnancyQualitative ResearchReferral and ConsultationUgandaYoung AdultEmergency caesarean sectionLived experiencesSupport needsUganda

Identifiers

PMID40684110
PMCPMC12275441

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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.