Factors influencing decision-making for caesarean section

The rising rate of caesarean section (CS) has become a growing concern worldwide, with limited justification of the rising trend. Understanding the factors that influence the rise in CS is important because obstetricians and midwives are directly involved in the decision to perform a CS and are the key drivers to achieving the remedial actions. As CS rates are rising above 30% in Ireland, twice the WHO?s suggested level, with no increased benefits for mothers and babies, we must take action now to halt unnecessary CSs. Two planned activities will be undertaken: 1) Development of an information video on ?What clinicians say are the factors that influence the decisions to perform a CS? Target audience: Midwives, obstetricians and policy-makers. The video will address findings from my research on clinicians? (midwives? and obstetricians) views of factors influencing decision-making for CS in first-time mothers. This 3-minute video will address the key factors; clinicians? personal beliefs, culture of the organisation and fear factor that influence clinicians? decision-making for CS 2) Conducting seminars and a discussion forum to disseminate to and facilitate discussions with participants and stakeholders. Target audience: Midwives, obstetricians and policy-makers. A seminar at each of the study sites for the MAMMI study, Rotunda Hospital, Coombe Women and Infants University Hospital and Galway University Hospital, will be conducted to: (i) share the key findings, and (ii) discuss and explore the ways they think practices need to and could be changed to address the rising rate of CS in first-time mothers.

Award Date
27 September 2018
Award Value
Principal Investigator
Ms Sunita Panda
Host Institution
Trinity College Dublin
Knowledge Exchange and Dissemination Scheme