Caesarean section or vaginal delivery for low-risk

Abstract

Introduction
The increased use of cesarean section also affects low- and middle-income countries and is likely to contribute to worsening maternal and perinatal outcomes. In addition to inappropriate clinical practices during labor, non-clinical factors such as women's fear and uncertainty regarding vaginal delivery and lack of autonomy in decision-making have emerged as potential determinants of overreliance. to cesarean section and must be taken into account to effectively address this growing problem. This work aims to promote the implementation of a decision support tool (DST) to inform pregnant women about delivery methods in Burkina Faso.
Methods
The DST is aimed at pregnant women considered to be at low risk of cesarean section. We conducted individual interviews and focus group discussions with key informants to determine information needs for decision-making and to assess the acceptability of OAD in 8 hospitals in Burkina Faso.
Results:
The DST meets most standards for patient decision support and includes factual information about the risks and benefits of each mode of delivery. It also helps women clarify their personal values. It has been well accepted by women and healthcare professionals.
Conclusion: The DST is a simple instrument to improve communication and facilitate informed and consensual decision-making on the planned mode of delivery.