Physician-patient communication in decision-making about Caesarean sections in eight district hospitals in Bangladesh: a mixed-method study.

ABSTRACT:

Background

Caesarean sections (CS) in Bangladesh have risen eight-fold in the last 15 years. Few studies have explored why. Anecdotally, physicians suggest maternal request for CS is a reason. Women and families suggest physicians influence their decision-making. The aim of this research was to understand more about the decision-making process surrounding CS by exploring physician-patient communication leading to informed-consent for the operation.

Methods

We conducted a mixed-method study using structured observations with the Option Grid Collaborative's OPTION5 tool and interviews with physicians and women between July and December 2018. Study participants were recruited from eight district public-sector hospitals. Eligibility criteria for facilities was ≥ 80 births every

SUBMITTER: Doraiswamy S 

PROVIDER: S-EPMC7871368 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature