ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)

Objective: To study the demographic characteristics of pregnant ladies and factors contributing towards rise in cesarean section on maternal request to aid the obstetricians in decision making. Study Design: Cross sectional analytical survey. Place and Duration: Gynecology Department of Pak Em...

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Autores principales:	Abeera Choudary, Asifa Siraj, Humaira Tariq, Faiqa Chughtai, Uzma Urooj
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	cesarean section maternal request tocophobia Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b43fcdd75c0f433cbec5f512579d5b08
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spelling	oai:doaj.org-article:b43fcdd75c0f433cbec5f512579d5b082021-12-02T16:32:52ZETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)0030-96482411-884210.51253/pafmj.v71i2.5448https://doaj.org/article/b43fcdd75c0f433cbec5f512579d5b082021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5448https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study the demographic characteristics of pregnant ladies and factors contributing towards rise in cesarean section on maternal request to aid the obstetricians in decision making. Study Design: Cross sectional analytical survey. Place and Duration: Gynecology Department of Pak Emirates Military Hospital, Rawalpindi, from Nov 2019 to Mar 2020. Methodology: One hundred and fifteen women of child bearing age requesting cesarean section were included in the study. Demographic details were noted. A study proforma was filled for determinants of primary and secondary tocophobia and factors that may be improved for vaginal delivery. Results: A total of 115 patients with mean age of 27.99 years were included. Amongst them, 88 (76.5%) were Punjabi with 92 (80%) living in rural area. Primigravida were 11 (9.6%), 83 (72.2%) had previous lower segment cesarean section and 3 (2.6%) had vaginal delivery. For primary tocophobia, 22 ( 24.4%) experienced anxiety. Fear of labor pains was seen in 20 (19.2%) and lack of control in 27 (26%). For secondary tocophobia, 15 (37.5%) were fearful of prolonged labor and 5 (22.5%) of sub optimal birth outcome. In women with previous one cesarean section, 13 (14.8%) correlated negatively with birth experience and 20 (22.7%) found timed cesarean section convenient. For vaginal delivery, pain relief was preferred by 19 (20.2%) and 31 (33%) wanted pain relief and attendant. Conclusion: Better understanding of fears behind maternal request for cesarean section can lead to improved attitudes towards vaginal delivery. The negative perceptions of pregnant ladies should be addressed in antenatal.........Abeera ChoudaryAsifa SirajHumaira TariqFaiqa ChughtaiUzma UroojArmy Medical College Rawalpindiarticlecesarean sectionmaternal requesttocophobiaMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 535-39 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cesarean section maternal request tocophobia Medicine R Medicine (General) R5-920
spellingShingle	cesarean section maternal request tocophobia Medicine R Medicine (General) R5-920 Abeera Choudary Asifa Siraj Humaira Tariq Faiqa Chughtai Uzma Urooj ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)
description	Objective: To study the demographic characteristics of pregnant ladies and factors contributing towards rise in cesarean section on maternal request to aid the obstetricians in decision making. Study Design: Cross sectional analytical survey. Place and Duration: Gynecology Department of Pak Emirates Military Hospital, Rawalpindi, from Nov 2019 to Mar 2020. Methodology: One hundred and fifteen women of child bearing age requesting cesarean section were included in the study. Demographic details were noted. A study proforma was filled for determinants of primary and secondary tocophobia and factors that may be improved for vaginal delivery. Results: A total of 115 patients with mean age of 27.99 years were included. Amongst them, 88 (76.5%) were Punjabi with 92 (80%) living in rural area. Primigravida were 11 (9.6%), 83 (72.2%) had previous lower segment cesarean section and 3 (2.6%) had vaginal delivery. For primary tocophobia, 22 ( 24.4%) experienced anxiety. Fear of labor pains was seen in 20 (19.2%) and lack of control in 27 (26%). For secondary tocophobia, 15 (37.5%) were fearful of prolonged labor and 5 (22.5%) of sub optimal birth outcome. In women with previous one cesarean section, 13 (14.8%) correlated negatively with birth experience and 20 (22.7%) found timed cesarean section convenient. For vaginal delivery, pain relief was preferred by 19 (20.2%) and 31 (33%) wanted pain relief and attendant. Conclusion: Better understanding of fears behind maternal request for cesarean section can lead to improved attitudes towards vaginal delivery. The negative perceptions of pregnant ladies should be addressed in antenatal.........
format	article
author	Abeera Choudary Asifa Siraj Humaira Tariq Faiqa Chughtai Uzma Urooj
author_facet	Abeera Choudary Asifa Siraj Humaira Tariq Faiqa Chughtai Uzma Urooj
author_sort	Abeera Choudary
title	ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)
title_short	ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)
title_full	ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)
title_fullStr	ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)
title_full_unstemmed	ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)
title_sort	ethical dilemma of cesarean section on maternal request (csmr)
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/b43fcdd75c0f433cbec5f512579d5b08
work_keys_str_mv	AT abeerachoudary ethicaldilemmaofcesareansectiononmaternalrequestcsmr AT asifasiraj ethicaldilemmaofcesareansectiononmaternalrequestcsmr AT humairatariq ethicaldilemmaofcesareansectiononmaternalrequestcsmr AT faiqachughtai ethicaldilemmaofcesareansectiononmaternalrequestcsmr AT uzmaurooj ethicaldilemmaofcesareansectiononmaternalrequestcsmr
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ETHICAL DILEMMA OF CESAREAN SECTION ON MATERNAL REQUEST (CSMR)

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