Official Title: Attitude Towards the Concept of Cesarean Section on Demand Among a Random Sample of Pregnant Women Attending the Antenatal Care Clinic of Sohag University Hospital
Status: RECRUITING
Status Verified Date: 2024-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Caesarean section CS is a surgical procedure performed to facilitate delivery of the baby through an incision made on the mothers abdomen Ideally it is recommended in situations where normal vaginal delivery VD can pose risks to either the mother baby or both In the western world women have only one or two children while in the East or the Middle East women are culturally coerced into having many children Thus they are more prone to multiple Cesarean deliveries in their lifetime 12 ThisAccording to the World Health Organization WHO since 1985 the acceptable percentage of worldwide C-sections has been 10-15 of all deliveries 3 One of the most critical findings of the American Center for Disease Control and Prevention found that the Cesarean delivery rate has increased from 207 in 1995 to 316 in 2016 4 It is important to mention that Cesarean deliveries are life-saving procedures when there are obstetrical indications56 Cesarean delivery indications include fetal malpresentation multiple pregnancies chorioamnionitis arrested labour oligohydramnios cord prolapse cephalo-pelvic disorders and medical diseases such as eclampsia and HELPP hemolysis elevated liver enzymes and low platelets syndrome the number of patients undergoing Cesarean delivery for non-obstetric reasons has rapidly increased This could be due to many factors influencing the patients decisions including possible fetal outcomes concerning beliefs in some cultures and the convenience of patients and obstetricians7 cesarean section on demand allows a woman to choose a cesarean section without a medical reason based solely on her personal preference Five themes that reflected the reasons for elective cesarian birth without medical indication were identified 1 fear of vaginal birth process 2 concerns about future sexual life 3 need for humanized birth 4 personal reasons and 5 decision-making process8 raising the awareness of providers about the appropriate indications for CS and the importance of advocating for vaginal delivery among eligible women - including those with a previous CScan trigger practice changes that may reduce the incidence of non-medically indicated caesarean delivery