Pregnancy and Childbirth Fertility-female Caesarean section
Conditions
Interventions
Educational and Psychosocial support program together with utilization of evidence based guideline
Sponsors
Woldia University
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: For the hospitals: 1. minimum of 150 caesarean sections for nulliparous women per year 3. The permanent availability of emergency caesarean section 4. The absence of current or recent interventions targeted at the indications and interventions associated with caesarean section 5. Willingness to participate in the study is materialized by a written and signed ward agreement by the hospital director and the head of the maternity unit 6. District or regional hospital For pregnant women All nulliparous pregnant women who have no identified medical contraindications to vaginal delivery, who have had antenatal follow-up, and who are planning to give birth at either of the selected health institutions will be included in the study. Women who are over 18 but less than 35 years of age and have no existing medical or obstetric indications such as high blood pressure, diabetes, hyperthyroidism, or habitual abortion, and whose pregnancy signs are stable, will be invited to participate in this study. For the health professionals: All health professionals who provide antenatal care and childbirth services, and who are involved in the decision-making process for the mood of childbirth will be included in the study.
Exclusion criteria
Exclusion criteria: For the hospitals: 1. Teaching hospitals 2. Private hospitals For the patients: 1. Women who have known psychiatric and medical diseases, multiple pregnancies, or pregnancies complicated by congenital abnormalities 2. Women started antenatal care in the hospitals but whose caesarean section was performed in another hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect of the intervention will be measured by the change in the rate of non-medically justified caesarean sections among nulliparous women between the periods before and after the intervention. The caesarean section will be defined as Non-medically indicated if it was done for indications that don’t fulfil the clinical algorithm for CS decision-making. In addition caesarean section done for women and provider preference will also be considered as Non- medically indicated CS. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes of the study will be the factors and indications of non-medically indicated CS. Feto-maternal outcomes of CS and vaginal delivery in nulliparous pregnant woman. | — |
Countries
Ethiopia
Contacts
Public ContactMulugeta Arage
Woldia University
Outcome results
None listed