A new study from Mälardalen University indicates that requests for cesarean sections may stem from low trust in maternity care. The study, based on interviews with politicians and healthcare actors, shows that requests for cesareans without medical reasons are often interpreted as an expression of this low trust. Possible causes identified include lack of continuity and perceived insecurity.
Researchers suggest that increased security, more time for conversations, and better continuity could reduce the need for cesareans on request. The lead author of the study is Maria Johansson Offerman, a doctoral student and licensed midwife. Merit Kullinger, an obstetrician at Region Västmanland, says that while lack of trust can be a cause, it is not the dominant one.
while lack of trust can be a cause, it is not the dominant one
She cites other reasons for women's anxiety about childbirth, such as its unpredictability and negative stories heard from others. Julia Morberg, 26, who was determined to have a cesarean, says her decision was about security and control, not fear of childbirth, and she doubts her experience would be taken seriously in a vaginal delivery.
her decision was about security and control, not fear of childbirth
she doubts her experience would be taken seriously in a vaginal delivery