Factors Correlating to Women's Involvement in Shared Decision-Making Following Caesarean Sections in Amhara Region Referral Hospitals, Ethiopia, 2023
Résumé
Abstract Introduction: - "Shared decision-making" refers to a collaborative approach to healthcare that elevates the bar for medical judgments. However, not much research has been done on Ethiopian women's involvement in shared decision-making after cesarean sections. Objective: Factors correlating to women's involvement in shared decision-making following cesarean sections in Amhara region referral hospitals, Ethiopia, 2023. Methods: The institutional-based cross-sectional study design was directed amongst participants who underwent a cesarean section at Amhara region referral hospitals from June 1 to 30, 2023. A total of 398 postnatal mothers were included through a systematic random sampling method. The files were composed of a semi-structured interview-guided questionnaire. After checking for completeness, data were coded and entered into EPI INFO version 7 and analyzed using SPSS version 23. Multivariable logistics regression analysis was used to identify factors associated with women's involvement in shared decision-making. Statistical significance was declared at a P-value of < 0.05. Result: Around, 382 women were included making a response rate of 95.97%. The overall prevalence of mothers' involvement in shared decision-making was (35.3%) with a mean of 3.62 and std. deviation of 2.484. %. respondents who had ANC contact4 and above (AOR=2.046, 95% CI: 1.19, 3.493), having information about shared decisions (AOR=2.34, 95% CI: 1.13, 4.83), and respondents who had information about cesarean section (AOR=7.9, 95% CI: 3.71, 17.19) were factors significantly associated with involvement in shared decision-making. Conclusion and recommendation: - when compared to other studies, the outcome of these investigations was low participation in decision-making had a significant impact on knowing about shared decisions and knowledge about cesarean sections. Consequently, it is critical to focus on raising women's understanding of shared decision-making to improve patient satisfaction and care quality. Referral hospitals and the Amhara Region health office collaborate to improve collaborative decision-making.
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