Opinions and attitudes of parturients, midwives, and obstetricians about Caesarean section in the provinces of Podkarpackie, Poland, and Ivano-Frankivsk, Ukraine

• Published in: Annals of Agricultural and Environmental Medicine 2016-01, Vol.23 (1), p.157-162
• Main Authors: Skręt-Magierło, Joanna, Barnaś, Edyta, Januszek, Sławomir, Zmysło, Teresa, Skręt, Andrzej, Kraśnianin, Elżbieta, Henryk, Nataliya, Makarchuk, Oksana, Basiuga, Iryna, Kwartsyany, Omelyan
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Analgesia; Anxiety; Attitude of Health Personnel; Cesarean section; cesarean section (C/S); Cesarean Section - psychology; Demography; Epidural; Female; Health Knowledge, Attitudes, Practice; Humans; Midwifery; opinions; Pain perception; Patients - psychology; Physicians - psychology; Poland; Pregnancy; Surveys and Questionnaires; Ukraine; Vagina; Young Adult
• ISSN: 1232-1966; 1898-2263
• DOI: 10.5604/12321966.1196873

Present the opinions of parturients, midwives, and obstetricians concerning CS in the provinces of Podkarpackie (Poland) and Ivano-Frankivsk (Ukraine). An anonymous questionnaire for parturients (n=1,295), midwives (n=47) and obstetricians (n=78), assessing demographics, knowledge and attitudes concerning CS, was distributed in 13 hospitals. In addition to measured anxiety among parturients, we also used the State-Trait Anxiety Inventory (STAI). Differences between the subgroups concerned respondents' ages and place of residence (p=0.0000). Parturients from Poland more often accepted the possibility of vaginal delivery after previous CS (p=0.0000), they more often believed that free access to epidural analgesia and the presence of a chosen partner in the delivery room would decrease the CS rate (p=0.0000). Polish midwives more rarely accept the idea of CS on maternal request (p=0.0012) and were convinced that free access to epidural analgesia could decrease the rate of CS (p=0.0479). In Poland parturients more often accepted CS on maternal request than obstetricians and midwives (p=0.0000). In Ukrainian population midwives and obstetricians more often accepted possibility of natural delivery after previous CS (p=0.0010). According connected with delivery in Poland parturients returned lower scores on the A-State scale (p=0.0000), but higher scores on the A-Trait scale (p=0.0067). There are some differences in Polish and Ukrainian obstetricians, midwives and parturients in respect of: - vaginal delivery after CS, - epidural analgesia, - CS on request, - anxiety connected with labour. The above may to some extend explain the difference in Cs rate in two countries.