A Qualitative Exploration of Factors Influencing Caesarean Section Acceptance among Pregnant Women in the Tamale Metropolis, Ghana

Abstract

Introduction: This qualitative study explores the factors influencing caesarean section acceptance among pregnant women in the Tamale Metropolis, Northern Ghana. The aim was to examine the socio-cultural and healthcare-related factors that shape women’s decisions regarding caesarean delivery. Aims: This study aims to investigate the factors that influence caesarean section acceptance among pregnant women in the Tamale Metropolis. Methods: A total of 13 pregnant women from five communities (Bagiliga, Bavim Dohini, Dabokpa, Garizegu, and Jakarayili) were selected using snowball sampling. Semi-structured interviews were conducted in local languages and analyzed using discourse analysis to examine the language used around caesarean section decisions. Reflexivity, member checking, and audit trails were employed to ensure rigor and trustworthiness. Results: The study revealed that societal and cultural beliefs, past childbirth experiences, and the influence of healthcare professionals were key factors in shaping women’s decisions. Many women prioritized family approval and relied heavily on medical advice, while others held misconceptions about caesarean sections, associating them with stigma or a lack of natural childbirth. Conclusion: This study examines the factors influencing caesarean section acceptance among pregnant women in the Tamale Metropolis, focusing on cultural beliefs, family influence, healthcare communication, and emotional responses. Women often see C-sections as a last resort, with decisions shaped by socio-cultural norms, and trust in healthcare providers is crucial for improving informed decision-making and maternal health outcomes.