• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

information for practice

news, new scholarship & more from around the world


advanced search
  • gary.holden@nyu.edu
  • @ Info4Practice
  • Archive
  • About
  • Help
  • Browse Key Journals
  • RSS Feeds

Decision-Making Process for Choosing an Elective Cesarean Delivery Among Primiparas in Taiwan

Abstract  

A significant proportion of cesarean deliveries in Taiwan were without medical indications and/or on maternal request. The
purpose of this study was to understand the decision-making process of choosing an elective cesarean delivery (ELCD) among
primiparas in Taiwan. This qualitative exploratory study was guided by grounded theory. Data were collected through in-depth
interviews with 20 primiparous women, 15 of whom chose ELCD. Verbatim transcriptions were analyzed using constant comparative
analysis and methods of open, axial, and selective coding. The core category that describes the process of ELCD decision making
among primiparas is “controlling risks of childbirth and ensuring well-being.” The decision process can be divided into three
phases: (1) Pre-decision: risk perception, including two subcategories, negative pre-existing ideas about normal spontaneous
delivery (NSD) caused worry, and desire for ELCD as the solution; (2) In-decision: risk assessment. Women proactively collected
information about NSD and cesarean delivery, and then weighed the personal risk between NSD and ELCD. Risk assessment focused
on seven dimensions including safety, health, comfort, efficiency, feminine charms, time and economy; (3) Post-decision: marching
onward fearlessly, including two subcategories, belief in ELCD and stress relief, and persuading stakeholders to agree and
gaining the required resources for ELCD. At different phases of decision-making, women revealed different concerns, though
the sequence of phases was not necessarily unidirectional. Health care providers should be aware of the decision phase and
intervene at appropriate times. It is difficult to change a women’s decision to have ELCD in the post-decision phase.

  • Content Type Journal Article
  • Pages 1-10
  • DOI 10.1007/s10995-012-1062-3
  • Authors
    • Shiou-Yun Huang, Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan
    • Shuh-Jen Sheu, Department of Nursing, National Yang-Ming University, Taipei, Taiwan
    • Chen-Jei Tai, Department of Obstetrics and Gynecology, College of Medicine, Taipei Medical University, Taipei, Taiwan
    • Ching-Ping Chiang, Department of Nursing, Chung Shan Hospital, Taipei, Taiwan
    • Li-Yin Chien, Institute of Clinical and Community Health Nursing, National Yang-Ming University, 155 Li-Nong Street, Section 2 Bei-Tou, Taipei, 11221 Taiwan
    • Journal Maternal and Child Health Journal
    • Online ISSN 1573-6628
    • Print ISSN 1092-7875
Posted in: Journal Article Abstracts on 06/19/2012 | Link to this post on IFP |
Share

Primary Sidebar

Categories

Category RSS Feeds

  • Calls & Consultations
  • Clinical Trials
  • Funding
  • Grey Literature
  • Guidelines Plus
  • History
  • Infographics
  • Journal Article Abstracts
  • Meta-analyses - Systematic Reviews
  • Monographs & Edited Collections
  • News
  • Open Access Journal Articles
  • Podcasts
  • Video

© 1993-2023 Dr. Gary Holden. All rights reserved.

gary.holden@nyu.edu
@Info4Practice