eprintid: 491
rev_number: 13
eprint_status: archive
userid: 64
dir: disk0/00/00/04/91
datestamp: 2021-07-31 21:18:18
lastmod: 2021-07-31 21:18:18
status_changed: 2021-07-31 21:18:18
type: thesis
metadata_visibility: show
creators_name: Otika, Vivian Ogechi
title: C-section: An Investigation Into Refusal By Nigerian Pregnant Women.
ispublished: submitted
subjects: H1
subjects: HM
subjects: RA
divisions: fac_eng
full_text_status: public
keywords: C-section, Nigerian Pregnant women, A radio documentary.
abstract: C-section: An Investigation Into Refusal By Nigerian Pregnant Women is a radio documentary project that captures the plight of expectant mothers in Nigeria faced with making the difficult decision of accepting a caesarian delivery because vaginal delivery would be too risky. The radio 
documentary explores, through the personal experiences of some women, the different factors they and their families consider when they are advised by their doctors to opt for C-section, especially in a society that still upholds vaginal delivery as the ultimate delivery method.
The documentary explores how factors such as fear, stigmatisation, consent, religion, alternative 
providers etc., are contributing to the refusal of C-section by expectant mothers in Nigeria, even when vaginal delivery is unsafe. The project also captures the experiences of health professionals in the maternity ward who assist these women pre and post surgery. The documentary explains how the financial cost of the procedure is a major constraint in Nigerians accepting C-section and investigates the programmes available to them in regard to financing the 
cost of the surgery; and the role the government of Nigeria plays in subsidising the cost. The research also explores how non-governmental organisations (NGOs) are making efforts to educate the public on the need to accept the surgical procedure when vaginal delivery is risky. The dissertation outlines the whole process involved in the production of C-section: An Investigation Into Refusal By Nigerian Pregnant Women from the research level down to the pre and post production. It details my interest in the topic, why I think it’s time to talk about it, and some of the things I believe should be done to right things.
date: 2020-08
date_type: submitted
institution: Griffith College
department: Faculty of Journalism & Media Communications
thesis_type: masters
referencetext: BIBLIOGRAPHY:


Adewuijo, O. Emmanuel; Auta, Asa; Khanal. Vishnu; Tapshak, J. Samson; Zhao Yun (2019)
Cesarean delivery in Nigeria: prevalence and associated factors―a population-based cross�sectional study. Bmj open [Online] Available on: https://bmjopen.bmj.com/content/9/6/e027273
[Viewed on October 26, 2019]

Adewuijo, O. Emmanuel; Auta, Asa; Khanal. Vishnu; Tapshak, J. Samson; Zhao Yun (209)
Cesarean delivery in Nigeria: prevalence and associated factors―a population-based cross�sectional study. Bmj open [Online] Available on: https://bmjopen.bmj.com/content/9/6/e027273 
[Viewed on: 29th April, 2020].

Ananya, Mandal (2019) Cesarean Section History. News Medical [Online] Available on:
https://www.news-medical.net/health/Cesarean-Section-History.aspx [Viewed on 29 December
2019].

Bako, B; Umar, NI; Garba, N; & Kkan, N, (2011) Informed Consent Practices and its Implications 
for Emergency Obstetrics Care in Azare, North-Eastern Nigeria. NCBI [Online]. Aailable on: 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507103/ [Viewed on 23rd April, 2020]. 

BBC Sound Effects (2018) BBC Sound Effects [Online] Available on: 
http://bbcsfx.acropolis.org.uk/?cat=impact+rhythms. [Viewed on: 19th April, 2020].

BBC Radio 3 (2020) Sunday Feature. BBC Radio 3 [Online] Available on: 
https://www.bbc.co.uk/programmes/b006tnwp. [Viewed on: 7th May, 2020].

Bello, F.A, Olayemi, O., Ogunbode, O.O., Adekunle, A.O. (2011) Attitude to Caesarean Section 
Amongst Antenatal Clients In Ibadan, Nigeria. ResearchGate [Online] Available on: 
https://www.researchgate.net/publication/272442936_Attitude_To_Caesarean_Section_Amongst_A
ntenatal_Clients_In_Ibadan_Nigeria [Viewed on: 3rd June, 2020].

Betran, AP; Torloni, MR; Zhang, JJ; Gulmezoglu AM. (July 22, 2015) WHO. WHO Statement on 
Caesarean Section Rates. Geneva: World Health Organization. Geneva2015. BJOG Open [Online] 
Available on: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.13526 [Viewed on:
28th May, 2020].

Birth Injury Guide, (2019) How Did C-Sections Begin, and Why are they so Common? Birth Injury
Guide [Online] Available on: https://www.birthinjuryguide.org/2018/05/how-c-sections-begin/
[Viewed on December 3-, 2019]. 

Bryce, Emma & Udobang, Wana, (2019) Why are women declining this surgery? BBC (Online) 
Available on: https://www.bbc.com/future/article/20190612-caesarean-sections-in-africa-stigma�and-maternal-mortality [Viewed on: 3rd May, 2020].

Boerma, Ties; Carine Ronsmans; Dessalegn Y Melesse; Aluisio J D Barros; Fernando C Barros; 
Liang Juan; Ann-Beth Moller; Lale Say; Ahmad Reza Hosseinpoor; Mu Yi; Dácio de Lyra Rabello 

Neto; Marleen Temmerman, (2018) Epidemiology of use of and disparities in caesarean sections. 
The Lancet [Online] VOLUME 392, ISSUE 10155, P1341-1348. DOI: 
https://doi.org/10.1016/S0140-6736(18)31928-7 [Viewed on: 3rd April, 2020].

CBC Radio (2016) What is a radio documentary? CBC Radio [Online] Available on: 
https://www.cbc.ca/radio/docproject/blog/what-is-a-radio-documentary-1.3397538 [Viewed on: 
20th July, 2020].

Cherney, Kristen (2012) History of Cesarean Section. Healthline Parenthood [Online] Available on:
https://www.healthline.com/health/pregnancy/history-cesarean-section [Viewed on: 29th April, 
2020].

Chigbu CO, Iloabachie GC. (12 September 2007) The burden of caesarean section refusal in a 
developing country setting. BJOG [Online] Available on; https://obgyn.onlinelibrary.wiley.com/doi/
full/10.1111/j.1471-0528.2007.01440.x [Viewed on: 25th April, 2020].

Ciccarel, Stephanie (2008). Narration in Film and Documentaries. [Online] Available on: 
https://www.voices.com/blog/narration_in_film_and_documentaries/ [Viewed on:13th June, 2020] 

Cleveland Clinic, (2018) Caesarean Birth (C-section) Cleveland Clinic [Online] Available on: 
https://my.clevelandclinic.org/health/treatments/7246-cesarean-birth-C-section [Viewed on: 29th
April, 2020].

Documentary on one RTÉ Radio 1 (2019) Our Story. Documentary on one RTÉ Radio 1 [Online]. 
Available on: 
https://www.facebook.com/RTEDocOnOne/photos/a.10152624871160282/10152806546185282/?
type=1&theater. [Viewed on:12th may, 2020].

Epstein, Hunter Randi, (2011) Get me out: A History of Childbirth from the Garden of Eden to the 
Sperm Bank. E-book. Pg. 155-157. Available on: https://books.google.ie/books?
id=aOD8qPdDcoAC&pg=PA155&lpg=PA155&dq=the+lex+cesaria&source=bl&ots=0vwL4pSzo
&sig=ACfU3U0d8pH7QXaOdXW9Vn8KPb_8massLw&hl=en&sa=X&ved=2ahUKEwinnL6A19z
mAhUltnEKHbKdDFcQ6AEwCnoECAUQAQ#v=onepage&q=the%20lex%20cesaria&f=false
[Viewed on: 30th May, 2020].

Ezeonu, P., Ekwedigwe, K., Isikhuemen, M., Eliboh, M., Onoh, R., Lawani, L., Ajah, L. and 
Dimejesi, E. (2017) Perception of Caesarean Section among Pregnant Women in a Rural Missionary
Hospital. Advances in Reproductive Sciences, 5, 33-38. doi: 10.4236/arsci.2017.53004 [Viewed on: 
1st June, 2020].

Gallagher, James. (2011). Women can chose casarean birth. Available on: 
https://www.bbc.com/news/health-15840743. [Viewed on: 23rd July 2020].

Gardiner, Cerith (2019) The fascinating Ugandan C-sections that predated modern medicine. 
Aleteia [Online] Available on: https://aleteia.org/2019/02/27/the-fascinating-ugandan-c-sections�that-predated-modern-medicine/ [Viewed on; 24th June, 2020].

Hana de Goeij, (2016). What In The World: A Breakthrough in C-Section History: Beatrice of 
Bourbon’s Survival in 1337. New York Times [Online]. Available at: 
https://www.nytimes.com/2016/11/23/world/what-in-the-world/a-breakthrough-in-c-section-history�beatrice-of-bourbons-survival-in-1337.html. [Viewed on: 23rd July, 2020].

Haria, Sonia (August 23, 2018) Why are we mothers made to feel guilty for having a caesarean; 
emergency or elective?' - expectant mum. Independent.ie [Online] Available on: 
https://www.independent.ie/life/family/mothers-babies/why-are-we-mothers-made-to-feel-guilty�for-having-a-caesarean-emergency-or-elective-expectant-mum-37243997.html [Viewed on: 26th
April, 2020].

Hoxha, Ilir; Lamprini, Syrogiannouli; Xhyljeta, Luta; Kali, Tal; David, C. Goodman; Bruno R da 
Costa; and Peter, Jüni (2013) Caesarean sections and for-profit status of hospitals: systematic 
review and meta-analysis. BMJ Open [Online] v.7(2); 2017PMC5318567. DOI: 10.1136/bmjopen�2016-013670 [Viewed on: 3rd May, 2020].

Lawani, Lucky Osaheni; Francis, Nwabueze Igboke; Chukwuemeka, Ikechi Ukaegbe; Okechukwu 
Bonaventure Anozie; Chukwuemeka, Anthony Iyoke; Fidelis, Agwu Onu; Tagbo, Anthony Agbata; 
Obiora, Asiegbu. (2019) Perception and Socio-cultural Barriers to the Acceptance of Caesarean 
Delivery in A Tertiary Hospital in Abakaliki, South East Nigeria. Internatonal Journal of Women’s 
Health and Reproductive Science IJWHR [Online] Available on: 
http://www.ijwhr.net/pdf/pdf_IJWHR_377.pdf [Viewed on: 29th April, 2019].

Laughman, Ethan. (2020) Narratives in Video Games and Films. [Online] Available on: 
https://ctlsites.uga.edu/nvgf/ethans-article/ [Viewed on: 13 June, 2020].

Lucht, Bernie (no date) What is Radio Documentary? [Online] Available on: https://www.desktop�documentaries.com/what-is-a-radio-documentary.html. [Viewed on: 5th June, 2020].

Miss Newshand, (2015) Life of Samrat Bindusara: Facts & History. National Views [Online]. 
Available on: http://nationalviews.com/samrat-bindusara-wivessons-facts-history. [Viewed on: 19th
April, 2020]. 

Nigerian Health Watch (2020) Percetions of Caesarean Secrtion in Nigeria. Youtube [Online]
Available on: https://www.youtube.com/watch?v=DQMmuRRKZZ0 [Viewed on: 23rd July, 2020]

Olawale Olonade, Tomike I. Olawande, Oluwatobi Joseph Alabi, David Imhonop (2019) Maternal 
Mortality and Maternal Health Care in Nigeria: Implications for Socio-Economic Development. 
(Online) Available on:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447322/#ref1 [Viewed on: 
25th April, 2020]

Olofinbiyi B. A., Olofinbiyi, R. O., Aduloju O. P., Atiba B. P., Olaogun O.D., Ogundare O. R., 
(2014) Maternal views and experiences regarding repeat Caesarean section. [Online] Available on: 
https://pdfs.semanticscholar.org/60ea/c6abbf19462c55a9f016eb650f98ee010aa9.pdf [downloaded 
on: 25th May, 2020].

Osborne, K. David (2007) Asclepius God of Medicine. Greek Medicine. NET [Online] Available on:
http://www.greekmedicine.net/mythology/asclepius.html [Viewed on: 29th May, 2020].

Reichman, Judith (2007) Why so many women have C-Sections. Today [Online] Available on: 
https://www.today.com/parents/why-so-many-women-have-c-sections-2D80556010 [Viewed on: 
31st March, 2020].

PartnersInRhyme, (no date) Gregorian Chant Sound Effects. PartnersInRhyme [Online]. Available 
on: https://www.partnersinrhyme.com/soundfx/religion_sounds/religion_gregorian-chant_wav.shtml
[Downloaded on: 17th April, 2020] 

PODCASTS.IE (no date) Documentary on one. PODCASTS.IE [Online] Available on: 
https://www.podcasts.ie/weekly-shows/rte-documentary-on-one/. [Viewed on: 12th May, 2020]. 

Punch (2018) Many maternal deaths are caused by stigma against Caesarean section, says cleric. 
Punch [Online] Available on: https://punchng.com/many-maternal-deaths-are-caused-by-stigma�against-caesarean-section-says-cleric/ [Viewed on: 26th April, 2020].

Robert, W. Felkin (1884) Notes on Labour in Central Africa. NCBI [Online] Available on: https://
www.ncbi.nlm.nih.gov/pmc/articles/PMC5485197/?page=12 [Viewed on; 30th April, 2020].

ScienceDaily (2018) Caesarean Section use has almost doubled globally since 2000. ScienceDaily
[Online] available on: https://www.sciencedaily.com/releases/2018/10/181011190654.htm [Viewed 
on: 28th May, 2020].

Sewell, Elliot Jane (2013) Caesarean Section - A Brief History. US National Library of Medicine 
[Online] Available on: https://www.nlm.nih.gov/exhibition/cesarean/index.html [Viewed on: 26th
April, 2020].

Smith, Lori (May 23, 2018) what is a C-section? MedicalNewsToady [Online] available on: https://
www.medicalnewstoday.com/articles/299502.php#1 [Viewed on: 25th May, 2020].

Sunday-Adeoye, I & Kalu, CA. (2011) Pregnant Nigerian women’s view of caesarean section. 
Nigerian Journal of Clinical Practice [Online] Available on http://www.njcponline.com/article.asp?
issn=1119-3077;year=2011;volume=14;issue=3;spage=276;epage=279;aulast=Sunday%2DAdeoye
[Viewed on : 2th April, 2020].

WHO (2019) Maternal Mortality. WHO [Online] Available on: 
https://www.who.int/news-room/fact-sheets/detail/maternal-mortality [Viewed on: 1st April, 2020].

WHO (2019) Maternal health in Nigeria: generating information for action, WHO [Online] 
Available on: https://www.who.int/reproductivehealth/maternal-health-nigeria/en/ [Viewed on: 1st
May, 2020].

WHO, (2020). WHO statemnet on caserean section rates. WHO [Online] Available on: 
https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/ 
[Viewed on 20th July, 2020].

Ugwu, U. Nnanna & Bregje de Kok (2015) Socio-cultural factors, gender roles and religious 
ideologies contributing to Cesarean section refusal in Nigeria. Reproductive Health [Online]. 
Available on:Socio-cultural factors, gender roles and religious ideologies contributing to Caesarian�section refusal in Nigeria. [Viewed on 1st May, 2020].

Unicef, (2019) Trends in estimates of maternal mortality ratio (maternal deaths per 100,000 live 
births) 2000-2017. Available on: https://data.unicef.org/topic/maternal-health/maternal-mortality/ 
[Downloaded on 18th July, 2020]. 

Upton, Emily (2013) THE TRUTH ABOUT JULIUS CAESAR AND “CAESAREAN” SECTIONS. 
Today I Found Out [Online] Available on: 
http://www.todayifoundout.com/index.php/2013/10/caesarean-sections-named-emperor-julius�caesar/ [Viewed on: 29th April, 2020].

Upton, Emily (2013) “The First British Surgeon to Perform a Successful C-Section Was a Woman 
Disguised as a Man” Available at: https://www.todayifoundout.com/index.php/2013/11/first-british�surgeon-perform-successful-c-section-woman-disguised-man/ [Viewed on: 29th April, 2020].

Ushie, Ayanbekongshie Boniface; Udoh, Emmanuel Ekerette & Ajayi, Anthony Idowu (2019). 
Examining Inequalities in access to delivery by Ceasarean Section in Nigeria. Plus one [Online]. 
Available at :https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0221778 [Viewed 
on: 23rd July, 2020].
citation:   Otika, Vivian Ogechi  (2020) C-section: An Investigation Into Refusal By Nigerian Pregnant Women.  Masters thesis, Griffith College.   
document_url: http://go.griffith.ie/491/1/Vivian%20Ogechi%20Otika.PDF
document_url: http://go.griffith.ie/491/2/Vivian%20Ogechi%20Otika.mp3
document_url: http://go.griffith.ie/491/3/Vivian%20Ogechi%20Otika.txt