ABSTRACT
This
study determine the awareness and acceptance of caesarean section among
expectant mothers’ attending antenatal clinic in Iruekpen Comprehensive health
centre Iruekpen, Esan west local Government Edo State Nigeria. Twenty
questionnaire were administered in the antenatal clinic. Structured questionnaire
were giving out to the respondents as the instruments for data collection, the
result were analyzed by the use of percentage and charts. The study was able to
determine the awareness and acceptance of caesarean section among expectant
mother’s attending antenatal clinic in Iruekpen Comprehensive health centre
Iruekpen, Esan west local Government Edo State Nigeria, between the period
under consideration. In conclusion, it was recommended that proper education
and seminars should be organized for expectant mothers on caesarean section and
other methods of deliveries that are being practiced also that health care
workers especially the nurses and doctors should adequately educate the
expectant mothers and women of reproductive age before they go for caesarean
section. Finally, comprehensive education on caesarean section during antenatal
care in clinic and hospital should be encouraged. Further study can be carried
out on female perception generally towards caesarean section by men or women of
reproductive age.
CHAPTER
ONE
1.0
INTRODUCTION
Caesarean section
(C-Section) is the delivery of a baby through an incision in the mother’s lower
abdomen and the uterus. It is the most common method of in the United States
and some parts of the world. Caesarean operation is the most common hospital
based operative procedure accounting for more than 25 percent of all live
births, the increase has been attributed to the of indication for fetal distress and breech presentation as well as
elective repeat section (Zapata et
al., 2010; Sankaran and Manyonda, 2008).
Despite its dramatic impact on the
society little attention has been focused on the cumulative consequences of
this major surgical procedure with its implication not only for the current
pregnancy but also for future reproduction.
Caesarean section is a method of
delivery that is voluntary adopted upon the bases of awareness, acceptance and
responsible decision by individuals and couples in order to promote health and
welfare of the mother and the foetus. This contributes effectively to socio-economic
development of the country (Viloset al., 2001). However, there are
no reliable data regarding the cumulative longtime morbidity associated with
caesarean birth. In many medical centres, the overall rate would be
significantly higher, if there had not been a change in attitude facilitating
in the awareness and acceptance of vaginal birth after caesarean section.
Many people believe that caesarean
section is not something good, they believe that giving birth by oneself is the
normal thing and giving birth through operation is a taboo but withthis
research one will be able to know the awareness and acceptance of expectant
mother toward caesarean section(Shenet al., 2009).
Regardless of the controversial issue
on this practice of caesarean section as a method of delivery, and to select
from among the available method that is most consistent with their cultural
background and sense of responsibility.
1.1 STATEMENT OF THE PROBLEM
Caesarean
section is performed whenever it is suspected that safe vaginal delivery will
jeopardize the well-being of the mother, foetus or both(Kim
et al., 2009).
The procedure is voluntarily adopted
upon the basis of awareness, acceptanceand couples i`n other to promote the
health and welfare of the mother and foetus (Bhaveet al., 2014).
Just as for other surgical procedures
by many Africans as a taboo and highly fearful operation. Many pregnant women
that need caesarean section to deliver seek for alternative means to deliver,
such as visiting herbalist houses, mission houses and traditional birth
attendant. Many pregnant women die in the process (Agdi
and Tulandi, 2008).
Caesarean section is the most common united method in the
United States and some parts of the world and it account for more than 25% of
all life birth. While it is a preferred process for some expectant mothers in
the developed country, it bis seen and viewed in the developing country as a
pathway to grave (Sener and Seckin, 1996).
It is on this basis that the researcher wants to know the
awareness and acceptance of expectant mothers of caesarean section.
1.2 OBJECTIVE OF THE STUDY
2. To
determine the level of awareness of caesarean section among expectant mothers’.
3. To
determine the level of acceptance of caesarean section among expectant mothers
4. To
determine the level of influence of education on pregnant mother about
caesarean section.
1.3 SIGNIFICANCE OF THE STUDY
This
research study aims to assess the level of awareness and acceptance of
caesarean section among expectant mothers’ attending antenatal clinic in Iruekpen
Comprehensive Health Centre Iruekpen, Esan West Local Area Government Edo State
of Nigeria.
And the factors that influence the
acceptance by expectant mothers about the procedure.
This study also aims to inform the
entire Nigeria society about caesarean section advantages and disadvantages as
regard the family.
1.4 RESEARCH QUESTIONS
1. What
is the level of awareness of caesarean section among expectant mothers .?
2. What is the level of acceptance of caesarean
section among expectant mothers?
3. What
is the level of influence of education on pregnant mother about caesarean
section?
1.5 SCOPE
OF THE STUDY
This
research was carried out among expectant mothers attending antenatal Clinicin Iruekpen
Comprehensive Health Centre Irruekpen, Esan West Local Government Edo State
Nigeria.
1.6
LIMITATION OF THE STUDY
The limitation of this study is time allocated and
financial constraint.
1.7 OPERATIONAL DEFINITION OF TERMS
This part of
research work will deal with operational definition of common terms applied to
this research work.
1.
opinion of feelings or thought about
somebody or something, rather facts.
2.
Caesarean
Section:-This is a way of delivery of foetus from the uterus
through the incision made from abdomen into the uterus.
3.
Expectant
mothers:-These are pregnant women.
4.
Antenatal
Clinic:-It is a place where pregnant women visit for
periodic check-up and for health education concerning their health status.
5.
Delivery:
-This
is act of given birth.
6.
Spontaneous
Vaginal Delivery:- This is an act of giving birth through
the vaginal without any special aid or stimulation
7.
Metropolis:-
A community of people living in a particular region sharing customs, laws and
organization.
8.
Complication:-There
are had unexpected situation that arises following a procedure.
9.
Awareness:-To
know that something exists and is important.
10.
Acceptance
:-The
act of accepting something or willingness to accept an unpleasant or difficult
situation.
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