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First-time mothers' wish for a planned caesarean section: deeply rooted emotions.
Department of Clinical Sciences, Division of Obstetrics and Gynaecology, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden.
Department of Clinical Sciences, Division of Obstetrics and Gynaecology, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden.
Mid Sweden University, Department of Health Science, Sweden.
Department of Clinical Sciences, Division of Obstetrics and Gynaecology, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden.
2013 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 29, no 5Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: international estimates suggest that caesarean section on maternal request range from 4% to 18% of all caesarean section. An increasing number of surveys have investigated women's reasons for a caesarean section in the absence of a medical indication but few studies have solely studied first-time mothers motivation for this request.

OBJECTIVE: to describe the underlying reasons for the desire for a caesarean section in the absence of medical indication in pregnant first-time mothers.

METHOD: a qualitative descriptive study, with content analysis of interviews with 12 first-time mothers.

FINDINGS: the overarching theme formulated to illustrate the central interpreted meaning of the underlying desire for a planned caesarean section was based on deeply rooted emotions'. Four categories were identified as related to the request for a caesarean section on maternal request. The categories was identified as 'always knowing that there are no other options than a caesarean section', 'caesarean section as a more controlled and safe way of having a baby', own negative experiences of health care and having problems dealing with other people's reaction about their mode of delivery.

CONCLUSION: the results show that for these first-time mothers deeply rooted emotions described as stronger than fear of birth were behind their wish for a planned caesarean section.

Place, publisher, year, edition, pages
2013. Vol. 29, no 5
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-312165DOI: 10.1016/j.midw.2012.02.009PubMedID: 22901601OAI: oai:DiVA.org:uu-312165DiVA: diva2:1062405
Available from: 2017-01-05 Created: 2017-01-05 Last updated: 2017-01-05

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