{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T06:47:34Z","timestamp":1784357254409,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The caesarean section (CS) rate is over 25% in many high\u2010income countries, with a substantial minority of CSs occurring in women with low\u2010risk pregnancies. CS decision\u2010making is influenced by clinician and patient beliefs and preferences, and clinical guidelines increasingly stipulate the importance of shared decision\u2010making (SDM). To what extent SDM occurs in practice is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To identify women\u2019s birth preferences and SDM experience regarding planned CS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Survey of women at eight Sydney hospitals booked for planned CS. Demographic data, initial mode of birth preferences, reason for CS, and experiences of SDM were elicited using questions with multiple choice lists, Likert scales, and open\u2010ended responses. Quantitative data were analysed using descriptive statistics and qualitative data using content analysis. Responses of women who perceived their CS as 'requested' vs 'recommended' were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 151 respondents, repeat CS (48%) and breech presentation (14%) were the most common indications. Only 32% stated that at the beginning of pregnancy they had a definite preference for spontaneous labour and birth. Key reasons for wanting planned CS were to avoid another emergency CS, prior positive CS experience, and logistical planning. Although 15% of women felt pressured (or were unsure) about their CS decision, the majority reported positive experiences, with over 90% indicating they were informed about CS benefits and risks, had adequate information, and understood information provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority (85%) of women appeared satisfied with the decision\u2010making process, regardless of whether they perceived their CS as requested or recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13255","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T05:49:24Z","timestamp":1600840164000},"page":"106-115","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Women\u2019s experiences of decision\u2010making and beliefs in relation to planned caesarean section: A survey study"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4463-7615","authenticated-orcid":false,"given":"Dominiek","family":"Coates","sequence":"first","affiliation":[{"name":"Faculty of Health Centre for Midwifery and Child and Family Health University of Technology Sydney  Sydney New South Wales Australia"},{"name":"Maridulu Budyari Gumal The Sydney Partnership for Health, Education, Research and Enterprise (SPHERE)  Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health UNSW Medicine UNSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Donnolley","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology and Statistics Unit Centre for Big Data Research in Health UNSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purshaiyna","family":"Thirukumar","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health UNSW Medicine UNSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Lainchbury","sequence":"additional","affiliation":[{"name":"Royal Hospital for Women South Eastern Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Spear","sequence":"additional","affiliation":[{"name":"Royal Hospital for Women South Eastern Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7351-8922","authenticated-orcid":false,"given":"Amanda","family":"Henry","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health UNSW Medicine UNSW  Sydney New South Wales Australia"},{"name":"Department of Women's and Children's Health St George Hospital  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health UNSW Medicine  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Australia's mothers and babies 2016 \u2010 in brief","author":"AIHW","year":"2018"},{"key":"e_1_2_8_3_1","unstructured":"OECD.Caesarean section (indicator).2019. 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