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.