Whose decision? Caesarean section and women with physical disabilities in Northern Vietnam: A qualitative study

Article


Nguyen, Thi Vinh, King, Julie, Edwards, Niki and Dunne, Michael P.. 2022. "Whose decision? Caesarean section and women with physical disabilities in Northern Vietnam: A qualitative study." Midwifery. 104, pp. 1-6. https://doi.org/10.1016/j.midw.2021.103175
Article Title

Whose decision? Caesarean section and women with physical disabilities in Northern Vietnam: A qualitative study

ERA Journal ID14134
Article CategoryArticle
AuthorsNguyen, Thi Vinh (Author), King, Julie (Author), Edwards, Niki (Author) and Dunne, Michael P. (Author)
Journal TitleMidwifery
Journal Citation104, pp. 1-6
Article Number103175
Number of Pages6
Year2022
Place of PublicationUnited Kingdom
ISSN0266-6138
1532-3099
Digital Object Identifier (DOI)https://doi.org/10.1016/j.midw.2021.103175
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S0266613821002552
Abstract

Background: Pregnant women with physical disabilities are more likely to have caesarean sections than are women without disabilities. For some women with disabilities, caesarean birth may not be clinically necessary, as they may lack autonomy in decision-making to a greater extent than is the case for other pregnant women.

Objective: To explore the relative influence of health staff, family, friends, and the women themselves on key decisions about childbirth of women with physical disabilities in northern Vietnam.

Research design/setting: A qualitative approach using a phenomenological design was employed. Fifty-six in-depth interviews were conducted with women with physical disabilities who had given birth in the previous three years in two northern provinces in Vietnam (Hanoi and Thaibinh). Twenty-nine women participated in a first interview and 27 completed follow-up interviews several months later. Additionally, semi-structured interviews were conducted with 12 maternal healthcare providers. Interviews were transcribed and thematically analysed.

Results: Twenty-eight of the 29 participants underwent caesarean sections. Two themes were identified: (1) The women reported that caesarean section was mandated by attending doctors 'because of their disability'. Consistently, the healthcare providers said caesarean section is essential for women with physical disabilities; and (2) The women said that their parents and peers supported caesarean birth. Very few women indicated that they could influence this decision, even though one-third said their personal preference was for vaginal birth.

Conclusions: Many women with physical disabilities are not given the opportunity to exercise informed choices around childbirth options. Women in Vietnam who live with physical disabilities should be empowered to make informed decisions about childbirth. It is recommended that professional guidelines and training are revised to properly engage women with physical disabilities in joint decision-making for the birth of their children.

KeywordsBirthing options; Caesarean section; Choices; Qualitative research; Vietnam; Women with physical disabilities
ANZSRC Field of Research 2020420318. People with disability
420401. Clinical midwifery
321502. Obstetrics and gynaecology
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

Byline AffiliationsQueensland University of Technology
Hue University, Vietnam
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q70v5/whose-decision-caesarean-section-and-women-with-physical-disabilities-in-northern-vietnam-a-qualitative-study

  • 53
    total views
  • 3
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Maternal healthcare for women with physical disabilities in Northern Vietnam: perspectives of healthcare providers.
Nguyen, Thi Vinh, Edwards, Niki and King, Julie. 2023. "Maternal healthcare for women with physical disabilities in Northern Vietnam: perspectives of healthcare providers." Disability and Health Journal. 16 (2). https://doi.org/10.1016/j.dhjo.2023.101439
‘There is power in the cry of a woman’: the approach of African women with disabilities to leadership
King, Julie, Edwards, Nicole and Watling, Hanna. 2023. "‘There is power in the cry of a woman’: the approach of African women with disabilities to leadership." Journal of Gender Studies. 32 (7), pp. 719-730. https://doi.org/10.1080/09589236.2022.2085676
How to be Yourself: Student Perspectives on Learning Use of Self
Newcomb, Michelle, Burton, Judith and Edwards, Niki. 2022. "How to be Yourself: Student Perspectives on Learning Use of Self." Clinical Social Work Journal. 50, pp. 337-346. https://doi.org/10.1007/s10615-020-00766-9
Leadership for change: pathways to activism for African women with disability
King, Julie, Edwards, Nicole and Watling, Hanna. 2023. "Leadership for change: pathways to activism for African women with disability." Disability and Society. 38 (7), pp. 1164-1185. https://doi.org/10.1080/09687599.2021.1994373
Jane
Edwards, Niki. 2008. "Jane." Advances in Mental Health and Learning Disabilities. 2 (2), pp. 49-54. https://doi.org/10.1108/17530180200800018
Disadvantage and disability: Experiences of people from refugee backgrounds with disability living in Australia
King, Julie, Edwards, Niki, Correa-Velez, Ignacio, Hair, Sara and Fordyce, Maureen. 2016. "Disadvantage and disability: Experiences of people from refugee backgrounds with disability living in Australia." Disability and the Global South (DGS). 3 (1), pp. 843-864.
Restrictive practices on refugees in Australia with intellectual disability and challenging behaviours: a family’s story
King, Julie, Edwards, Niki, Correa-Velez, Ignacio, Darracott, Rosalyn and Fordyce, Maureen. 2016. "Restrictive practices on refugees in Australia with intellectual disability and challenging behaviours: a family’s story." Advances in Mental Health and Intellectual Disabilities. 10 (4), pp. 222-232. https://doi.org/10.1108/AMHID-02-2016-0004
Service user or service provider? How social work and human services students integrate dual identities
Newcomb, Michelle, Burton, Judith and Edwards, Niki. 2017. "Service user or service provider? How social work and human services students integrate dual identities." Social Work Education. 36 (6), pp. 678-689. https://doi.org/10.1080/02615479.2017.1327574
Childhood Adversity and Self-Care Education for Undergraduate Social Work and Human Services Students
Newcomb, Michelle, Burton, Judith and Edwards, Niki. 2017. "Childhood Adversity and Self-Care Education for Undergraduate Social Work and Human Services Students." Journal of Teaching in Social Work. 37 (4), pp. 337-352. https://doi.org/10.1080/08841233.2017.1345821
Qualitative exploration of psychotropic medication to manage challenging behaviour in adults with intellectual disability: views of family members
Edwards, Nicole, King, Julie, Watling, Hanna and Hair, Sara. 2017. "Qualitative exploration of psychotropic medication to manage challenging behaviour in adults with intellectual disability: views of family members." Advances in Mental Health and Intellectual Disabilities. 11 (5 - 6), pp. 207-218. https://doi.org/10.1108/AMHID-06-2017-0027
Pretending to be authentic: challenges for students when reflective writing about their childhood for assessment
Newcomb, Michelle, Burton, Judith and Edwards, Niki. 2018. "Pretending to be authentic: challenges for students when reflective writing about their childhood for assessment." Reflective Practice. 19 (3), pp. 333-344. https://doi.org/10.1080/14623943.2018.1479684
Addressing transport safety and accessibility for people with a disability in developing countries: a formative evaluation of the Journey Access Tool in Cambodia
King, Julie A., King, Mark J., Edwards, Niki, Hair, Sara A., Cheang, Sarim, Pearson, Anita and Coelho, Sophie. 2018. "Addressing transport safety and accessibility for people with a disability in developing countries: a formative evaluation of the Journey Access Tool in Cambodia." Global Health Action. 11 (1), pp. 1-11. https://doi.org/10.1080/16549716.2018.1538658
Human-trafficking prevention is not 'sexy': Impact of the rescue industry on Thailand NGO programs and the need for a human rights approach
Jones, Stephanie, King, Julie and Edwards, Niki. 2018. "Human-trafficking prevention is not 'sexy': Impact of the rescue industry on Thailand NGO programs and the need for a human rights approach." Journal of Human Trafficking. 4 (3), pp. 231-255. https://doi.org/10.1080/23322705.2017.1355161
Media participation by people with disability and the relevance of Australian community broadcasting in the digital era
Stewart, Kim, Spurgeon, Christina and Edwards, Niki. 2019. "Media participation by people with disability and the relevance of Australian community broadcasting in the digital era." 3CMedia. 9, pp. 44-63.
Maternal Healthcare Experiences of and Challenges for Women with Physical Disabilities in Low and Middle‑Income Countries: A Review of Qualitative Evidence
Nguyen, Thi Vinh, King, Julie, Edwards, Niki, Pham, Cong Tuan and Dunne, Michael. 2019. "Maternal Healthcare Experiences of and Challenges for Women with Physical Disabilities in Low and Middle‑Income Countries: A Review of Qualitative Evidence." Sexuality and Disability: a journal devoted to the psychological and medical aspects of sexuality in rehabilitation and community settings. 37 (2), pp. 175-201. https://doi.org/10.1007/s11195-019-09564-9
Older transgender women in Thailand: views of service providers
Hair, Sara Amy, King, Julie, Edwards, Niki and Hayes, Sharon. 2019. "Older transgender women in Thailand: views of service providers." Journal of Gay and Lesbian Social Services: issues in practice, policy and research. 31 (1), pp. 65-88. https://doi.org/10.1080/10538720.2019.1548328
Barriers to disability-inclusive disaster management in the Solomon Islands: Perspectives of people with disability
King, Julie, Edwards, Nicole, Watling, Hanna and Hair, Sara. 2019. "Barriers to disability-inclusive disaster management in the Solomon Islands: Perspectives of people with disability." International Journal of Disaster Risk Reduction. 34, pp. 459-466. https://doi.org/10.1016/j.ijdrr.2018.12.017
Student Constructions of Resilience: Understanding the Role of Childhood Adversity
Newcomb, Michelle, Burton, Judith and Edwards, Niki. 2019. "Student Constructions of Resilience: Understanding the Role of Childhood Adversity." Australian Social Work. 72 (2), pp. 166-178. https://doi.org/10.1080/0312407X.2018.1550521
Articulation of a Best Practice Model of Guardianship Advocacy Services: For Older People and People with Cognitive Disability at Risk of Abuse or Neglect
Edwards, Niki, King, Julie, Hair, Sara and Walton, Kate. 2019. Articulation of a Best Practice Model of Guardianship Advocacy Services: For Older People and People with Cognitive Disability at Risk of Abuse or Neglect. Brisbane, Australia. Queensland University of Technology.
Teaching disability using problem-based learning in the international context: utility for social work
Edwards, Nicole, King, Julie, Pfeffer, Sabine, Lovric, Esha and Watling, Hanna. 2021. "Teaching disability using problem-based learning in the international context: utility for social work." European Journal of Social Work: the forum for the social work professional. 26 (1), pp. 3-15. https://doi.org/10.1080/13691457.2021.1954890
'Under great anxiety': Pregnancy experiences of Vietnamese women with physical disabilities seen through an intersectional lens
Nguyen, Thi Vinh, King, Julie, Edwards, Niki and Dunne, Michael P.. 2021. "'Under great anxiety': Pregnancy experiences of Vietnamese women with physical disabilities seen through an intersectional lens." Social Science and Medicine. 284, pp. 1-9. https://doi.org/10.1016/j.socscimed.2021.114231
'Nothing suitable for us': experiences of women with physical disabilities in accessing maternal healthcare services in Northern Vietnam
Nguyen, Thi Vinh, King, Julie, Edwards, Niki and Dunne, Michael P.. 2022. "'Nothing suitable for us': experiences of women with physical disabilities in accessing maternal healthcare services in Northern Vietnam." Disability and Rehabilitation. 44 (4), pp. 573-581. https://doi.org/10.1080/09638288.2020.1773548
Exploring Women’s Experiences of Gender-Based Violence and Other Threats to Safety on Public Transport in Bangladesh
King, Julie, King, Mark, Edwards, Nicole, Carroll, Julie-Anne, Watling, Hanna, Anam, Mujibul, Bull, Melissa and Oviedo-Trespalacios, Oscar. 2021. "Exploring Women’s Experiences of Gender-Based Violence and Other Threats to Safety on Public Transport in Bangladesh." International Journal For Crime, Justice and Social Democracy. 10 (4), pp. 158-173. https://doi.org/10.5204/ijcjsd.2086
Chemical restraint of adults with intellectual disability and challenging behaviour in Queensland, Australia: Views of statutory decision makers
Edwards, Niki, King, Julie, Williams, Karen and Hair, Sara. 2020. "Chemical restraint of adults with intellectual disability and challenging behaviour in Queensland, Australia: Views of statutory decision makers." Journal of Intellectual Disabilities. 24 (2), pp. 194-211. https://doi.org/10.1177/1744629518782064
Educational stress scale for adolescents: development, validity, and reliability with Chinese students
Sun, Jiandong, Dunne, Michael P., Hou, Xiang-Yu and Xu, Ai-qiang. 2011. "Educational stress scale for adolescents: development, validity, and reliability with Chinese students." Journal of Psychoeducational Assessment. 29 (6), pp. 534-546. https://doi.org/10.1177/0734282910394976
How much can our universities do in the development of cultural intelligence? A cross-sectional study among health care students
Wang, Chen, Shakespeare-Finch, Jane, Dunne, Michael P., Hou, Xiang-Yu and Khawaja, Nigar G.. 2021. "How much can our universities do in the development of cultural intelligence? A cross-sectional study among health care students." Nurse Education Today. 103, pp. 1-6. https://doi.org/10.1016/j.nedt.2021.104956
Stimulant expectancy questionnaire for men who have sex with men: a measure of substance‐related beliefs
Mullens, Amy B., Fein, Erich C., Young, Ross, Dunne, Michael P., Norton, Graham and Daken, Kirstie. 2020. "Stimulant expectancy questionnaire for men who have sex with men: a measure of substance‐related beliefs." Health Promotion Journal of Australia. 31 (2), pp. 309-319. https://doi.org/10.1002/hpja.271
Australian educational technologies trends 2018
Zagami, Jason, Redmond, Petrea, Joy, Travis, Flintoff, Kim, Speranza, Anthony, Shires, Rachael, Harris, Neil, Sleeman, Tracy, Canning, Celia, Vernon, Kim, Sercombe, Peter, Madsen, Steve, Finch, Robyn, Jones, Michael, Hogan, Amanda, Urban, Sue, Moreton, Bronwyn, Harrison, Yvonne, Hunt, Cathy, ..., Campbell, Chris. 2018. Australian educational technologies trends 2018. Brisbane, Australia. Australian Council for Computers in Education.
Predicating HIV risk behaviour secondary to substance use
Mullens, Amy, Young, Ross McD, Dunne, Michael P., Debattista, Joe and Norton, Graham. 2011. "Predicating HIV risk behaviour secondary to substance use." Australasian Professional Society on Alcohol and Other Drugs Conference 2011. Hobart, Tasmania 13 - 16 Nov 2011 United Kingdom. John Wiley & Sons.
The amyl nitrite expectancy questionnaire for men who have sex with men (AEQ-MSM): a measure of substance related beliefs
Mullens, Amy B., Young, Ross, Dunne, Michael P. and Norton, Graham. 2011. "The amyl nitrite expectancy questionnaire for men who have sex with men (AEQ-MSM): a measure of substance related beliefs." Substance Use and Misuse. 46 (13), pp. 1642-1650. https://doi.org/10.3109/10826084.2011.599096
The drinking expectancy questionnaire for men who have sex with men (DEQ-MSM): a measure of substance-related beliefs
Mullens, Amy B., Young, Ross McD., Dunne, Michael P. and Norton, Graham. 2011. "The drinking expectancy questionnaire for men who have sex with men (DEQ-MSM): a measure of substance-related beliefs." Drug and Alcohol Review. 30 (4), pp. 372-380. https://doi.org/10.1111/j.1465-3362.2010.00225.x
The cannabis expectancy questionnaire for men who have sex with men (CEQ-MSM): a measure of substance-related beliefs
Mullens, A. B., Young, R. McD., Dunne, M. and Norton, G.. 2010. "The cannabis expectancy questionnaire for men who have sex with men (CEQ-MSM): a measure of substance-related beliefs." Addictive Behaviors. 35, pp. 616-619. https://doi.org/10.1016/j.addbeh.2010.01.006
The consequences of substance use among gay and bisexual men: a consensual qualitative research analysis
Mullens, Amy B., Young, Ross McD., Hamernik, Elisabeth and Dunne, Michael. 2009. "The consequences of substance use among gay and bisexual men: a consensual qualitative research analysis." Sexual Health. 6 (2), pp. 139-152. https://doi.org/10.1071/SH08061
Supporting People With an Intellectual Disability and Mental Health Problems: A Scoping Review of What They Say About Service Provision
Venville, Annie, Sawyer, Anne-Maree, Long, Maureen, Edwards, Niki and Hair, Sara. 2015. "Supporting People With an Intellectual Disability and Mental Health Problems: A Scoping Review of What They Say About Service Provision." Journal of Mental Health Research in Intellectual Disabilities. 8 (3 - 4), pp. 186-212. https://doi.org/10.1080/19315864.2015.1069912
How Jung’s Concept of the Wounded Healer Can Guide Learning and Teaching in Social Work and Human Services
Newcomb, Michelle, Burton, Judith, Edwards, Niki and Hazelwood, Zoe. 2015. "How Jung’s Concept of the Wounded Healer Can Guide Learning and Teaching in Social Work and Human Services." Advances in Social Work and Welfare Education. 17 (2), pp. 55-69. https://doi.org/10.3316/INFORMIT.609973077524166
A multi-level ecological model of psychotropic prescribing to adults with intellectual disability
Edwards, Niki, Bain, Chris, Mutch, Allyson, Dean, Julie and Lennox, Nicholas. 2014. "A multi-level ecological model of psychotropic prescribing to adults with intellectual disability." Advances in Mental Health and Intellectual Disabilities. 8 (1), pp. 24-31. https://doi.org/10.1108/AMHID-01-2013-0001
Psychotropics and challenging behaviour in people with intellectual disability
Edwards, Niki S., Alexander, William and Mutch, Allyson. 2014. "Psychotropics and challenging behaviour in people with intellectual disability." Medical Journal of Australia. 200 (8), pp. 456-456. https://doi.org/10.5694/mja13.11258
Specialist Versus Generic Models of Psychiatry Training and Service Provision for People with Intellectual Disabilities
Jess, Gillian, Torr, Jennifer, Cooper, Sally-Ann, Lennox, Nicholas, Edwards, Nicole, Galea, Jennifer and O'Brien, Gregory. 2008. "Specialist Versus Generic Models of Psychiatry Training and Service Provision for People with Intellectual Disabilities." Journal of Applied Research in Intellectual Disabilities. 21 (2), pp. 183-193. https://doi.org/10.1111/j.1468-3148.2007.00394.x
Queensland psychiatrists' attitudes and perceptions of adults with intellectual disability
Edwards, N., Lennox, N. and White, P.. 2007. "Queensland psychiatrists' attitudes and perceptions of adults with intellectual disability." Journal of Intellectual Disability Research. 51 (1), pp. 75-81. https://doi.org/10.1111/j.1365-2788.2006.00870.x
Stress and burnout amongst professional carers of people with intellectual disability: another health inequity
White, Paul, Edwards, Niki and Townsend-White, C.. 2006. "Stress and burnout amongst professional carers of people with intellectual disability: another health inequity." Current Opinion in Psychiatry. 19 (5), pp. 502-507. https://doi.org/10.1097/01.yco.0000238478.04400.e0
Prevalence of Intellectual Disability and Comorbid Mental Illness in an Australian Community Sample
White, Paul, Chant, David, Edwards, Niki, Townsend Claire and Waghorn, G.. 2005. "Prevalence of Intellectual Disability and Comorbid Mental Illness in an Australian Community Sample." Australian and New Zealand Journal of Psychiatry. 39 (5), pp. 395-400. https://doi.org/10.1111/j.1440-1614.2005.01587.x
The health needs of people with intellectual disability
Lennox, Nicholas G., Beange, Helen and Edwards, Niki S.. 2000. "The health needs of people with intellectual disability." Medical Journal of Australia. 173 (6), pp. 328-330. https://doi.org/10.5694/j.1326-5377.2000.tb125668.x