Perceptions and Experiences of Women Undergoing Emergency Caesarean Section in Mbandaka, Democratic Republic of the Congo

Abstract

Purpose: This study aimed to explore how women in Mbandaka perceive and experience emergency caesarean sections in a context marked by an increasing frequency of such procedures and growing mistrust toward maternity care services. Methodology: A qualitative phenomenological study was conducted to understand the personal meanings attributed to experiences of emergency caesarean sections. Data were collected through semi-structured interviews with women who had undergone an emergency caesarean section in Mbandaka. The transcripts were analyzed using a thematic approach in order to identify major themes and recurring perceptions. Findings: The majority of participants expressed negative perceptions of emergency caesarean sections. Several associated the procedure with bad luck and believed it was sometimes performed for financial gain by healthcare providers. These perceptions generated mistrust, fear, emotional distress, and a sense of inadequacy among the women concerned. The findings also highlight a breakdown of trust between patients and healthcare professionals within maternity services. Unique Contribution to Theory, Policy and Practice: This study highlights the socio-cultural and emotional dimensions associated with emergency caesarean sections in the context of Mbandaka. It contributes to a better understanding of women’s perceptions of emergency obstetric interventions. From a policy and practice perspective, the findings emphasize the need to strengthen communication between healthcare providers and patients, promote transparency in medical decision-making, and develop community-based awareness strategies to improve trust in maternal healthcare services.