Factors of having a caesarian delivery , and its

consequences on women's health

 Problem statement:

To maintain maternal safety on delivery, health care providers

must commit with the protocols that related to caesarian delivery.
Especially With the growing reliance on caesarian delivery as secondary
intervention for most deliveries. Women having caesarian delivery might
have several complications such as surgical errors. In the past few
years ,there was increasing tendency toward caesarian delivery with
unusual causes like maternal request ,others might be to doctors request
without specific reason . Therefore this study will focus on factors of
having a caesarian delivery , and its consequences on women's health .

 Justifications:

A cesarean delivery is a birth that occurs through an incision in the

abdominal wall and uterus rather than through the vagina. There has been
a gradual increase in cesarean births over the past 30 years. In November
of 2005, the Centers for Disease Control and Prevention (CDC) reported
the national cesarean birth rate was the highest ever at 29.1%. This means
that more than 1 in 4 women are likely to experience a cesarean delivery.

Making decisions about birth including how the women categorized,

prioritized, and/or favored certain types of knowledge about modes of
birth.
In a study in China made in 2015 , A total of 319 women were recruited,
of whom 73 (22.9%) preferred to have a cesarean section delivery (CD).
The results showed that women preferred CD because they were
concerned about being pregnant at an advanced age, were worried about
labor pain and perineum tearing, wanted to have a better plan for
maternity leave, had chosen an auspicious date to deliver, and perceived
that CD is a more convenience way to deliver. The perceived benefits and
severity of a vaginal birth (VB), and the perceived benefits, severity, and
cues to action of CD, affected the decision to undergo either a VB or CD

Making decision about birth Also including doctor vision about

that , The National Institutes of Health (NIH) and American College of
Obstetricians (ACOG) agree that a doctor's decision to perform a c-
section at the request of a patient should be made on a case-by-case basis
and be consistent with ethical principles. Although Complications must
be taken because its influence women on short term period or on long
term period ,and it's may affect baby too.

In Palestine a study taken in 2006 showed that there a rise in

cesarean section deliveries from 6.0% in 1996 to 14.8% in 2006.this
study showed that there are a relationship between CS and women's
decisions in the West Bank and Gaza Strip in the Palestinian Family
Health Survey 2006.So because of that I choose this subject to discuss on
my research study

 The overall goal:

To Assess level of awareness, and commitment of health care
professionals with cesarean safety measures, in Hebron .
 Objectives:

o To assess the health care professionals level of knowledge about

cesarean delivery .
o To investigate the health care professionals level of commitment
when dealing with cesarean delivery safety precautions.
o To determine the main factors of cesarean delivery in Hebron
o To detect the most complications of cesarean delivery in Hebron
hospitals .
o To identify the ratio of cesarean delivery in Hebron
o To use the findings to make recommendations on the improvement
of caesarian delivery in Hebron hospitals

 Research questions :

o What is the level of knowledge of health care professionals about

cesarean delivery?
o what is the level of commitment of health care professionals
when dealing with cesarean delivery safety precautions?
o what are the main factors of cesarean delivery in Hebron?
o what are the most complications of cesarean delivery in Hebron
hospitals?
o what is the ratio of cesarean delivery in Hebron?
o What are the recommendations that I can improvement about
caesarian delivery in Hebron hospitals?
  Conceptual framework:
 Independent variables: Age, Years of Experience, Exposure to in
service education regarding cesarean errors, Policy, Shift (A-B-
N), Qualification, Sources of information, Area of work, Job titl
and hospital type.

 Dependent variable: Level of awareness and commitment among

health care professionals with cesarean safety measures.

 Study design:
This study is quantitative, Descriptive, Cross sectional. This study is
quantitative and descriptive cross sectional because its well explain my
research by collecting numerical data that are analyzed using
mathematically based methods (in particular- statistics) through a
questionnaire. Descriptive in which information is collected without
changing the environment ,I will just describe the research as it exists
through my questionnaire. Cross sectional because I will collect the data
and analyze it in one time.

 Study population:
The Population of this study is nurses , doctors , are working or
dealing with cesarean delivery in 3 Hospitals in Hebron . These
hospitals are: (Al-Ahli hospital, Hebron Governmental hospital, Al-
Mizan hospital).