Women’s Involvement in Decision-Making and Associated Factors Among Women Who Underwent a Caesarean Section in Sidama Region, South Ethiopia: Cross-Sectional Study

Publisher:
Taylor and Francis
Publication Type:
Journal Article
Citation:
International Journal of Women's Health, 2023, 15, pp. 813-824
Issue Date:
2023
Full metadata record
Background A caesarean delivery without maternal involvement in decision making reduces the quality of health care and breaks women s autonomy However the involvement of women in decision making to have a caesarean delivery is minimal Still now paternalism is widely practised The study aims to assess women s involvement in decision making and associated factors among women who underwent a caesarean delivery Methods Institutional based cross sectional study was conducted in Sidama region Public hospitals from June 22 2022 August 5 2022 among women who underwent a caesarean delivery The total sample size was 457 The collected data was exported from the ODK toolbox server to excel and then to SPSS version 26 for further data cleaning and analysis The variables with a p value 0 25 in the bivariable analysis were included in a multivariable ordinal logistic regression model to control possible confounders The resulting odds ratio and 95 confidence interval were computed and a p value of less than 0 05 is considered statistically significant Results Women s agreed decision making involvement to have a caesarean delivery is 165 37 9 Women who had an scheduled caesarean delivery AOR 7 6 95 CI 3 3 17 8 had adequate information about caesarean delivery AOR 5 7 95 CI 3 3 10 0 had adequate time for decision making AOR 4 6 95 CI 2 09 6 4 language of consent AOR 1 9 95 CI 1 2 3 1 and women healthcare providers relationship AOR 5 2 95 CI 3 2 8 6 are higher odds of being involved in decision making but women s being primary school AOR 0 53 95 CI 0 3 0 97 are lower odds of involvement in decision making to have a caesarean delivery Conclusion and recommendation In this study women s agreed decision making involvement to have a caesarean delivery is low compared with other studies Women healthcare providers relationship and an unscheduled caesarean delivery are highly affect their involvement in decision making Therefore hospitals should translate and prepare the consent form in an u
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