Educating Women Can Help Reduce Number of Cesarean Sections

Providing women with early knowledge about pregnancy and childbirth could help reduce the increasing number of cesarean birth. UBC researcher Kathrin Stoll studied young women from eight middle and high-income countries and found that at least 10 percent would prefer to deliver via caesarean even when the procedure is medically unnecessary, largely out of fear. Eight out of 10 women surveyed cited worries about labour pain, and six out of 10 were anxious about perceived physical damage from labour and birth.

But having sufficient information on childbirth seemed to make a difference. Of the 2,043 women who were sufficiently comfortable in their birth knowledge, only nine percent said they would prefer caesarean in a healthy pregnancy. Among the 1,346 women who lacked that confidence, the proportion rises significantly to 14 percent.

"Reducing unnecessary caesareans is important because abdominal surgery is linked to a higher risk of complications for the mother and baby and higher healthcare costs compared to vaginal births," said Stoll, a postdoctoral fellow in the school of population and public health and the division of midwifery in UBC's faculty of medicine.

The study found that young women who preferred caesarean delivery had several knowledge gaps and misperceptions about childbirth that could be addressed through education.

"We should be providing women and men with information about childbirth early on, as early as elementary or secondary school, before their attitudes towards birth become too influenced by media dramatizations and other sources that aren't evidence-based," said Stoll.

Source-Eurekalert