Table 4 Knowledge and Perception of pregnant women attending antenatal clinic on caesarean section
| Â | Previous caesarean section (CS) | Â | ||
|---|---|---|---|---|
Maternal knowledge and perception | Had a Previous CS | No history of CS | Total | P-Value |
| Â | N (%) | N (%) | N (%) | Â |
Study participants | 89 (22.0) | 315 (78.0) | 404 (100.0) | Â |
Heard of caesarean section | Â | Â | Â | 0.001 |
 Heard of caesarean section | 88 (100.0) | 279 (89.0) | 364 (91.5) |  |
 Never heard of caesarean section | – | 34 (11.0) | 34 (8.4) |  |
Knowledge on why women have caesarean section* | Â | 0.001 | ||
 Big baby | 57 (64.8) | 118 (69.6) | 245 (68.4) |  |
 Previous caesarean section | 27 (30.7) | 69 (25.6) | 96 (26.8) |  |
 Baby not lying well | 37 (42.1) | 130 (48.2) | 167 (46.7) |  |
 Baby in distress | 24 (27.3) | 73 (27.0) | 97 (27.1) |  |
 Bleeding | 7 (8.0) | 28 (10.4) | 35 (9.8) |  |
 Repeated miscarriages | 10 (11.4) | 11 (4.1) | 21 (5.9) |  |
 Complications of hypertension in pregnancy | 11 (12.5) | 31 (11.5) | 42 (11.7) |  |
Complications of Diabetes in pregnancy | 8 (9.1) | 25 (9.3) | 33 (9.2) | Â |
 Request of mother | 10 (11.4) | 74 (27.4) | 84 (23.5) |  |
 Other reasons | 19 (21.6) | 56 (20.7) | 75 (21.0) |  |
Can a woman give birth vaginally after caesarean section | Â | 0.003 | ||
 Can give birth vaginally | 80 (89.9) | 233 (74.2) | 313 (77.7) |  |
 Cannot give birth vaginally | 4 (4.5) | 14 (4.5) | 18 (4.5) |  |
 I don’t know | 5 (5.6) | 67 (21.3) | 72 (17.9) |  |
Is there a need for client education on Caesarean section at antenatal clinic | 0.001 | |||
 There is a need | 86 (96.3) | 247 (79.4) | 333 (83.4) |  |
 There is no need | 3 (3.4) | 64 (20.6) | 67 (16.8) |  |
Preference of planned caesarean section versus vaginal delivery | Â | 0.001 | ||
 Caesarean section | 30 (34.5) | 12 (3.9) | 42 (3.9) |  |
 Vaginal delivery | 53 (60.9) | 295 (94.9) | 348 (87.4) |  |
 I don’t know | 4 (4.6) | 4 (1.3) | 8 (2.0) |  |
Willingness to undergo caesarean section if the need be | Â | 0.001 | ||
 Would undergo caesarean section | 76 (93.8) | 205 (67.4) | 281 (73.0) |  |
 Would not undergo caesarean section | 2 (2.5) | 31 (10.2) | 33 (8.6) |  |
 Undecided | 3 (3.7) | 68 (22.37) | 72 (18.4) |  |
Reasons for not wanting to have caesarean section* | Â | 0.997 | ||
 Fear of been mocked | 1 (2.0) | 21 (8.9) | 22 (7.7) |  |
 Fear of pain during and after surgery | 21 (41.2) | 114 (48.5) | 135 (47.2) |  |
 Expensive | 3 (5.9) | 22 (9.4) | 25 (8.7) |  |
 Long recovery time | 31 (60.8) | 117 (49.8) | 148 (51.8) |  |
 To avoid getting a scar | 1 (2.0) | 25 (10.6) | 26 (9.1) |  |
 It prevents bonding with baby | – | 6 (2.6) | 6 (2.1) |  |
 Not natural | 7 (13.7) | 66 (28.1) | 73 (25.5) |  |
 Not God’s wish | – | 20 98.5) | 20 (7.0) |  |
 Blood may be given in the process | – | 25 (10.6) | 25 (8.7) |  |
 May not see my baby | 1 (2.0) | 5 (2.1) | 6 (3.1) |  |
 Fear of complications | 19 (37.3) | 86 (36.6) | 105 (36.7) |  |
How do you see a woman who delivered by caesarean section | Â | 0.001 | ||
 Normal | 47 (55.3) | 80 (26.0) | 127 (32.3) |  |
 Weak | 14 (16.5) | 143 (46.4) | 157 (40.0) |  |
 Feel sorry for her | 12 (14.1) | 73 (23.7) | 85 (21.6) |  |
 God’s wish | 12 (14.1) | 12 (3.9) | 24 (6.1) |  |
Would you like to have caesarean section (CS) for the following reasons | Â | 0.001 | ||
 CS delivery is less embarrassing | 25 (49.0) | 65 (50.8) | 90 (50.3) |  |
 CS allows to choose the day of birth | 16 (31.4) | 99 (77.3) | 115 (64.3) |  |
 Woman’s body recovers faster with CS | – | 18 (14.1) | 18 (10.1) |  |
 Cs delivery is more convenient | 28 (54.9) | 17 (13.3) | 45 (25.1) |  |
Is there any traditional or cultural belief that affects your preferred choice of delivery? | 0.001 | |||
 There is a traditional or cultural belief | 14 (15.9) | 10 (3.3) | 24 (6.1) |  |
 There is no traditional or cultural belief | 74 (84.1) | 297 (96.7) | 371 (93.9) |  |
Factors influencing your choice of place of delivery* | Â | 0.009 | ||
 Place where I attend antenatal clinic | 47 (52.8) | 106 (34.1) | 153 (38.3) |  |
 Skills of health workers | 66 (74.2) | 193 (62.1) | 259 (64.8) |  |
 Know a staff member at the health facility | 2 (2.3) | 8 (2.6) | 10 (2.5) |  |
 Proximity to where I live | 8 (9.0) | 41 (13.2) | 49 (12.3) |  |
 Other reasons | 6 (6.7) | 36 (11.6) | 42 (10.5) |  |
Is there any facility you would like to avoid | Â | 0.001 | ||
 There are facilities I would avoid | 26 (29.2) | 21 (6.8) | 47 (11.8) |  |
 No facility that I would avoid | 63 (70.1) | 290 (93.3) | 353 (88.4) |  |
Can having caesarean section (CS) adversely affect your child | Â | 0.239 | ||
 CS can adversely affect my child | 16 (18.0) | 69 (22.6) | 85 (21.6) |  |
 CS has no effect on my child | 56 (62.9) | 161 (52.8) | 217 (55.1) |  |
 Don’t know | 17 (19.1) | 75 (24.6) | 92 (23.4) |  |
Can having caesarean (CS) section promote child survival | Â | 0.001 | ||
 CS promote child survival | 73 (82.0) | 146 (47.1) | 219 (54.9) |  |
 CS does not promote child survival | 6 (6.7) | 43 (13.9) | 49 (12.3) |  |
 I don’t know | 10 (11.2) | 121 (39.0) | 131 (32.8) |  |