CONFERENCE PROCEEDING
Acute and elective caesarean section: Women's perspectives on their experience of care
 
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Faculty of Health Care Studies, University of West Bohemia, Plzeň, Czech Republic
 
 
Publication date: 2025-10-24
 
 
Corresponding author
Katerina Ratislavova   

Faculty of Health Care Studies, University of West Bohemia, Plzeň, Czech Republic
 
 
Eur J Midwifery 2025;9(Supplement 1):A45
 
ABSTRACT
Overview:
While the number of cesarean deliveries is increasing worldwide, research shows lower women's satisfaction with this birth experience. Midwife care for women after cesarean delivery includes several important areas: scar care, pain management, monitoring risk factors and preventing postoperative complications, promoting physical and psychological health, and newborn care.

Aims and Objectives:
The aim of the present study is to determine the experience of women with care after acute and elective caesarean delivery.

Methods:
A retrospective cross-sectional study design was used. The questionnaire was shared online in a closed group of women with experience of caesarean section on social media. The selection criteria were Czech-speaking women over 18 years of age who had given birth by caesarean section no more than 5 years ago. The data analysis was carried out using a mixed model research design. To test for differences between groups of women Chi-Squared Tests, Student t-test, Kruskall-Wallis tests with Dunn's post hoc test for independent samples and Binary logistic regression based on the Odds Ratio were used to compare the type of data and normality of the data distribution.

Results:
Data were obtained from women who delivered by elective caesarean section (n=664) and acute caesarean section (n=980). Respondents who delivered by elective caesarean section reported significantly higher satisfaction with information during care (p<0. 001), had more frequent contact with their baby immediately after delivery (p<0.001), and had significantly higher trust in health care personnel(p<0.001) compared to respondents who underwent an acute cesarean section. Significant negative findings were that 75.5% of the respondents from both groups reported that they did not receive any psychological care, and that as many as 57.36% of the women did not see their newborn for several hours after surgery.

Conclusion:
The results of our study show the importance and significance of care for women after acute caesarean section. These women may be considered an at-risk group of patients because they are exposed to higher risks, both physical and psychological. The results of the study show that these women are significantly less satisfied with information, psychological care and the course of labour. All women after caesarean section need support in skin-to-skin contact immediately after delivery or as soon as they are conscious.
eISSN:2585-2906
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