BACKGROUND OF STUDY
In the majority of underdeveloped nations, including Nigeria, maternal mortality is the main cause of death among pregnant women (Mekonnen and Mekonnen, 2022; WHO, 2017). In addition, India and Nigeria are thought to account for one-third of all maternal fatalities worldwide (Mboho et al 2019). UNFPA (2018) reports that in 2010, over 20% of maternal fatalities worldwide (56,000) were caused by India, and 14% by Nigeria (40,000).
The great majority of sub-Saharan African women's experiences during pregnancy and childbirth are often described in terms of sickness, deformity, and death. The majority of African women are also often seen as having a high risk of diseases, accidents, and death during pregnancy and the time periods thereafter (Izugbara and Ukwayi, 2017). Women in Nigeria have recently voiced concern regarding delivery options, particularly the problems with vaginal birth. Every lady enjoys a healthy delivery of her child. Vaginal delivery was formerly the option most readily accessible to or favored by most women. Some of the ladies gave birth at home with the help of traditional midwives, but often the labor was tough due to blockage, and the women passed away before any useful interventions could be made.
However, many caesarean deliveries have been successful in the modern era. This success tale has its detractors. Women in undeveloped nations still see caesarean sections as the "curse" of an unfaithful woman (Adeoye and Kalu 2021). The authors go on to claim that weak women are more likely to get a cesarean section. Additionally, among the women of South Western Nigeria, there is mistrust, aversion, misinformation, anxiety, shame, suffering, and wrath around cesarean sections (Adeoye and Kalu 2021).
Furthermore, despite clear clinical indications, cesarean sections are only grudgingly recognized in the majority of sub-Saharan African nations, including Nigeria (Adeoye and Kalu 2011). Despite the fact that the causes of maternal mortality are often obstetric in nature, underlying cultural factors and attitudes also influence access to and use of health services, which contributes to preventable maternal deaths (Mboho et al 2019). Numerous research have shown how cultural behaviors and beliefs affect childbearing and overall health. When labor problems emerge, some of these beliefs have been shown to be a factor in the delays in receiving professional assistance (Okafor 2020) It is important to keep in mind that the problem of vaginal delivery is not exclusive to underdeveloped nations, but also exists in certain industrialized nations.
Even though post dates are set for elective cesarean sections, women still prefer vaginal delivery after having one (Clift-Mathews 2020). The author also emphasized how desperate women felt to start labor before their scheduled due dates since not giving birth vaginally was seen as a sign of "failure". Additionally, many women consider giving birth vaginally to be a rite of passage (Clift-Mathews 2020) In general, obstetrics in contemporary America is a controversial topic (Ecker 2013). Usually, labor and the actions that accompany it, whether medical or otherwise, arouse powerful emotions, and discussions are often ideologically framed as a conflict between nature and technology. Consequently, the debate over caesarean sections is particularly heated (Ecker 2018). However, more and more western nations, like the United States of America and the United Kingdom, are seeing a rise in the number of caesarean sections performed (McAra-Couper, Jones and Smythe 2020).
The World Health Organization (WHO) set out to define an optimum rate of 15% in 1985 as a result of the growing gap in caesarean delivery rates across different countries. Injuries and fatalities during delivery would be best prevented by the 15% suggested by the WHO. Many women and infants would also refrain from needless and perhaps hazardous surgery (Harvard magazine, 2019). The World Health Organization (WHO) later changed this specific guideline in 2009, claiming that "the ideal rate is unclear but claims that both extremely low and very high rates of caesarean sections might be harmful." In other words, the surgery should only be carried out in extreme cases. The editorial board of Academic Research International of Harvard Magazine came to the conclusion that a balance must be struck, and women should be let to give birth normally through vagina with the least amount of interference. Families and obstetricians will be prepared to handle any unforeseen emergency at the same moment, however.
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