Title: Perceptions and Beliefs Regarding Caesarean Section among Pregnant Women receiving Antenatal Care at Ishaka Adventist Hospital
Author(s): Dan Nuwagaba
Year 2023
Publisher: IAA Journal of Biological Sciences
File: PDF
Keywords: knowledge attitude caesarian section pregnant women antenatal care.

This study explores the knowledge, attitudes, and beliefs regarding Caesarean sections
among pregnant women receiving antenatal care at Ishaka Adventist Hospital in Bushenyi,
Southwestern Uganda. The research aims to investigate the influence of these factors on
the overall rate of Caesarean deliveries. A cross-sectional study was conducted between
March and April 2021, involving 239 pregnant mothers attending antenatal care at Ishaka
Adventist Hospital. Data was collected using semi-structured questionnaires and analyzed
with SPSS version 20, presenting results in tables, frequencies, and percentages. The study
revealed that the majority of the pregnant mothers were aged 18-30 years (57.2%), of
Banyankole ethnicity (47.7%), Seventh-day Adventists (32.6%), engaged in peasant farming
(42.3%), and had a primary level of education (38.5%). All participants had heard of
Caesarean sections and could explain its meaning. Indications for Caesarean sections
mentioned included pelvic inadequacy (56.1%), fetal distress (29.3%), macrosomia (7.9%),
and previous Caesarean section scar (4.6%). Known complications of Caesarean sections
included wound healing issues (66.5%), the risk of future Caesarean sections (11.7%),
postpartum bleeding (4.6%), anesthesia-related concerns (1.7%), and other complications
(4.2%). The majority (89.1%) exhibited a positive attitude towards Caesarean sections,
although only 18.8% expressed a preference for this mode of delivery. Among those who
preferred Caesarean sections, most were aware of potential complications (41/45), held a
positive attitude (38/45), believed that health professionals recommend Caesarean sections
for medical reasons (42/45), and indicated that their choice is not influenced by family
(44/45). In conclusion, the study found that pregnant women had a solid understanding of
Caesarean sections, with pelvic inadequacy and wound healing concerns being commonly
recognized indications and complications. Additionally, they believed that medical
professionals only recommend Caesarean sections when medically necessary and that their
choice of delivery method is independent of family influence