Opinions and attitudes of parturients, midwives , and obstetricians about Caesarean section in the provinces of Podkarpackie, Poland, and Ivano-Frankivsk, Ukraine
More details
Hide details
Institute of Obstetrics and Emergency Medicine, University of Rzeszow, Poland
Clinical Department of Obstetrics and Gynecology, Rzeszow State Hospital, Rzeszow, Poland
The Psychoterapy& Counseling Center, Warrington, UK
Chair of Obstetrics and Gynecology, Medical University of Iwano- Frankowsk, Ukraine
Corresponding author
Joanna Skręt-Magierło   

Institute of Obstetrics and Emergency Medicine, University of Rzeszow, Poland
Ann Agric Environ Med. 2016;23(1):157-162
Introduction and objective:
Present the opinions of parturients, midwives, and obstetricians concerning CS in the provinces of Podkarpackie (Poland) and Ivano-Frankivsk (Ukraine).

Material and Methods:
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.

Högberg U, Lynöe N, Wulff M. Cesarean by choice? Empirical study of public attitudes. Acta Obstet Gynecol Scand. 2008; 87(12): 1301–8.
Koken G, Cosar E, Sahin FK, Arioz DT, Duman Z, Aral I. Attitudes towards mode of delivery and cesarean on demand in Turkey. Int J Gynaecol Obstet. 2007; 99(3): 233–5.
Duckworth S. Should maternal choice be an indication for cesarean section? Int J Surg. 2008; 6(4): 277–80.
Yazdizadeh B, Nedjat S, Mohammad K, Rashidian A, Changizi N, Majdzadeh R. Cesarean section rate in Iran, multidimensional approaches for behavioral change of providers: a qualitative study. BMC Health Serv Res. 2011; 5(11): 159.
Dursun P, Yanik FB, Zeyeneloglu HB, Baser E, Kuscu E, Ayhan A. Why women request cesarean section without medical indication? J Matern Fetal Neonatal Med. 2011; 24(9): 1133–7.
Fenwick J, Staff L, Gamble J, Creedy DK, Bayes S. Why women request caesarean section in a normal healthy pregnancy? Midwifery. 2010; 26(4): 394–400.
Weaver JJ, Statham H, Richards M. Are There “Unnecessary” Cesarean Sections? Perceptions of Women and Obstetricians About Cesarean Sections for Nonclinical Indications. Birth. 2007; 34(1): 32–41.
Haines H, Rubertsson C, Pallant JF, Hildingsson I. Womens’ attitudes and beliefs of childbirth and association with birth preference: A comparison of a Swedish and an Australian sample in mid-pregnancy. Midwifery. 2012; 28(6): 850–6.
Pomorski M, Woytoń R, Woytoń P, Kozłowska J, Zimmer M. Cesarean section versus vaginal delivery – state-of-the-art paper. Ginekol Pol. 2010; 81(5): 347–351.
Grant KA, McMahon C, Austin MP. Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord. 2008; 108(1–2): 101–11.
Pevzner L, Preslicka C, Bush MC, Chan K. Women’s attitudes regarding mode of delivery and cesarean delivery on maternal request. J Matern Fetal Neonatal Med. 2011; 24(7): 894–9.
Chigbu CO, Ezeome IV, Iloabachie GC. Cesarean section on request in a developing country. Int J Gynaecol Obstet. 2007; 96(1): 54–6.
Munro S, Kornelsen J, Hutton E. Decision Making in Patient- Initiated Elective Cesarean Delivery: The Influence of Birth Stories. J Midwifery Womens Health. 2009; 54(5): 373–9.
Manusco A, De Vivo A, Fanara G, Albiero A, Priolo AM, Giacobbe A et al. Cesarean section on request: are there loco-regional factors influencing maternal choice? An Italian experience. J Obstet Gynaecol. 2008; 28(4): 382–5.
Kudish B, Mehta S, Kruger M, Russell E, Sokol RJ. Delivery route preferences of urban women of low socioeconomic status. Int J Gynaecol Obstet. 2010; 111(1): 28–31.
Romero ST, Coulson CC, Galvin SL. Cesarean Delivery on Maternal Request: A Western North Carolina Perspective. Matern Child Health J. 2012; 16(3): 725–34.
Turner CE, Young JM, Solomon MJ, Ludlow J, Benness C, Phipps H. Vaginal delivery compared with elective cesarean section: the views of pregnant women and clinicians. BJOG: 2008; 115(12): 1494–502.
Habiba M, Kaminski M, Da Frè M, Marsal K, Bleker O, Librero J, et al. Cesarean section on request: a comparison of obstetrician’s attitudes in eight European countries. BJOG. 2006; 113(6): 647–56.
Karlström A, Nystedt A, Hildingsson I. A comparative study of the experience of childbirth between women who preferred and had a caesarean section and women who preferred and had a vaginal birth. Sex Reprod Healthc. 2011; 2(3): 93–9.
Błaszczak A, Pilch D, Szamlewska B. Research of anxiety level at women before and after delivery of a baby with the Ch. D Speilberg Questionnaire STAI. Perinatologia, Neonatologia i Ginekologia 2011; 3: 163–8.
Billert H, Gaca M, Mikulska J, Bręborowicz G. Anxiety assessment in parturients requesting epidural analgesia. Ginekol Pol. 2007; 78(7): 532–8.
Makara-Studzińska M, Morylowska-Topolska J, Sygit K, Sygit M, Goździewska M. Socio-demographical and psychosocial determinants of anxiety symptoms in a population of pregnant women in the regions of central and eastern Poland. Ann Agric Environ Med. 2013; 20(1): 195–202.
Rouhe H, Salmela-Aro K, Halmesmäki E, Saisto T. Fear of childbirth according to parity, gestational age, and obstetrics history. BJOG. 2009; 116(1): 67–73.
Grant KA, McMahon C, Reilly N, Austin MP. Maternal sensitivity moderates the impact of prenatal anxiety disorder on infant mental development. Early HumDev. 2010; 86: 551–6.
Alipour Z, Lamyian M, Hajizadeh E. Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women. Women Birth. 2012; 25(3): 37–43.
Journals System - logo
Scroll to top