Perceptions and Beliefs Regarding Caesarean Section among Pregnant Women receiving Antenatal Care at Ishaka Adventist Hospital
This study explores the knowledge, attitudes, and beliefs regarding Caesarean sectionsamong pregnant women receiving antenatal care at Ishaka Adventist Hospital in Bushenyi,Southwestern Uganda. The research aims to investigate the influence of these factors onthe overall rate of Caesarean deliveries. A cross-sectional study was conducted betweenMarch and April 2021, involving 239 pregnant mothers attending antenatal care at IshakaAdventist Hospital. Data was collected using semi-structured questionnaires and analyzedwith SPSS version 20, presenting results in tables, frequencies, and percentages. The studyrevealed that the majority of the pregnant mothers were aged 18-30 years (57.2%), ofBanyankole 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 ofCaesarean sections and could explain its meaning. Indications for Caesarean sectionsmentioned included pelvic inadequacy (56.1%), fetal distress (29.3%), macrosomia (7.9%),and previous Caesarean section scar (4.6%). Known complications of Caesarean sectionsincluded 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 whopreferred Caesarean sections, most were aware of potential complications (41/45), held apositive attitude (38/45), believed that health professionals recommend Caesarean sectionsfor 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 ofCaesarean sections, with pelvic inadequacy and wound healing concerns being commonlyrecognized indications and complications. Additionally, they believed that medicalprofessionals only recommend Caesarean sections when medically necessary and that theirchoice of delivery method is independent of family influence