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\begin{document}

\title{Maternal Perception and Experiences of Cesarean Section Delivery, an
Exploratory Study in Jordan}



\author[1]{Tareq Mukattash}%
\author[1]{Sayer Al-azzam}%
\author[1]{Reham Yafawi}%
\author[1]{Anan Jarab}%
\author[2]{Mohammad Nusair}%
\author[3]{Rana Abu Farha}%
\author[1]{Nasr Alrabadi}%
\affil[1]{Jordan University of Science and Technology}%
\affil[2]{Yarmouk University}%
\affil[3]{Applied Science Private University}%


\vspace{-1em}



  
  \date{March 13, 2025}


\begingroup
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\selectlanguage{english}
\begin{abstract}
Objectives: This study aims to determine females' views, experiences,
and attitudes regarding the cesarean section (CS) and to explore the
factors that increase the prevalence of CS in Jordan. Method: This is a
cross-sectional study using a questionnaire that was distributed
electronically through social media websites. Study participants
included 1005 females with a history of at least one CS. Awareness,
experiences about CS, complications, and reasons for performing CS were
investigated. Result: Most of the respondents stated that the source of
there knowledge about CS was from the internet (36.2\%) followed by
family and friends (31.6\%). The majority of respondents were satisfied
with their CS experience (72.=8\%). More than half of the participants
(56.9\%) reported that CS carries no risk for infants. About 53\% of
respondents stated that the most common reason leading women to choose
to give birth via CS is the fear of labor pain. However, the majority of
the respondents disagree with performing CS under maternal request
(59.2\%). Conclusion: This study indicated that Jordanian females don't
have reliable sources of information about CS. This leads to lower
awareness of CS and its complications and, as expected, CS is more
likely to be performed by privately insured women.%
\end{abstract}%



\sloppy


\textbf{What's already known about this topic?}

- CS is one of the most commonly performed abdominal surgeries in women

- Some pregnant women ask for CS delivery even when there is no medical
indication

- Some doctors choose to preform CS seeking better financial reward

\textbf{What does this article add?}

- Jordanian women don't have a reliable sources of information about CS

- Preforming unnessesary CS in Jordan is common

- There is an urgent need to adopt guidelines to reduce the prevelence
of CS in Jordan

\textbf{Keywords:} Cesarean section; Females; Jordan; Awareness;
Experience; Attitudes.



\textbf{Maternal Perception and Experiences of Cesarean Section
Delivery, an Exploratory Study in Jordan}

\textbf{1. Introduction}

Cesarean section (CS) is one of the most commonly performed abdominal
surgeries in women during recent decades (1, 2). The rate of CS varies
between countries and medical facilities but continues to rise all over
the world (1, 2). It is thought that some pregnant women ask for CS
delivery even when there is no medical indication, where many pregnant
females prefer the CS procedure because of their fear of labor pain
which is the most common reason for avoiding spontaneous vaginal
delivery (3). Even though CS is a lifesaving procedure, but still, it
has a short- and long-term morbidity (2, 4).

The World Health Organization (WHO) focuses on the fact that performing
CS without a medical purpose could put the mother and her baby at risk
of short and long term complications (2). Those include the risk of
death, blood transfusion, hysterectomy and risks related to the stay in
an intensive care unit (ICU) (5). Furthermore, the lack of labor in
elective CS delivery increases the risk of neonatal mortality, prolonged
ICU stay (4), and extremely elevated costs (6). In 1985, based on
evidence at that time, WHO put an optimal rate for CS of 10-15\% (7) but
in 2015 WHO replaced this rate and state that CS should be provided to
women in need rather than making great efforts to obtain a specific rate
(2).

The present study aims to determine females' views, experiences, and
attitudes regarding the CS procedure. Besides, it aims to focus on the
role of health care providers in delivering the proper advice to
pregnant women and increase their awareness regarding CS.

\textbf{2. Methodology}

\textbf{2.1 Study Sample and data collection}

Study participants included female ladies with a history of at least one
CS. It was aimed to reach a sample size of 1000 participants, and the
investigators were able to collect data from 1018 participants due to
the increased response from females. The study questionnaire was
distributed electronically as a google form through social media
websites (such as Facebook and WhatsApp) during the period from the
26\textsuperscript{th} of July to the 9\textsuperscript{th} of
September. Before completing the questionnaire, the participants were
asked to sign an electronic consent form where information about the
purpose of the study was provided. Only those who agreed to participate
in the study were able to view and fill the survey.

\textbf{2.2 Survey Instrument}

The survey was developed in Arabic after reviewing related studies (8,
9). The questionnaire divided into five sections as follows: The first
section is demographic data; to allow examination of variability in
responses according to participant characteristics including age,
educational level, place of living, employment, parity, previous
abortion, and chronic diseases. Section two explored respondents'
awareness about CS including the source of participant knowledge about
CS. Also, it evaluated the participant conviction if CS endure danger on
the female or the baby, if the participant agrees with performing CS
upon maternal request without medical indication, the participant point
of view of having a guarantee to perform CS with a medical indication
only, whether the participant can mention any of the CS complications or
not, and the most common reason for CS upon maternal request from a
participant point of view. Section three explore the personal maternal
experience of CS including the number of CS the participant had, age at
last CS, gestational age, where CS performed (whether at a governmental
sector or privet sector), how much the performed CS surgery costs,
hospital stay and recovery period needed after CS, the complications
that occurred after CS, whether or not the participant satisfied with
her experience with CS, and if she will encourage other females to give
birth via CS.

Section four explored the self-reported indications for giving birth
through CS surgery including the reason for doing CS, whether the CS is
planned with the obstetrician or if the CS is performed upon participant
request, or if the participant thought that the obstetrician performed
the CS with no medical indication, or if the participant had normal
delivery after CS. Finally, section five explore the self-reported
effects of CS surgeries on respondents` children including the weight of
the baby at birth, the prematurity stay, the complications the baby had
after CS, whether or not the female able to breastfeed her baby after CS
and why if not, the participant point of view if her CS baby suffered
more than others. A pilot study was conducted among 20 participants to
assess content validity, some questions were not clear and modified
accordingly.

\textbf{2.3 Ethical Approval}

The study was approved by the research committee in the faculty of
pharmacy and the institutional review board at King Abdulla University
Hospital on the 25\textsuperscript{th} of July, 2019.

\textbf{2.4 Statistical Analysis}

Data were entered and assessed with the Statistical Package for the
Social Sciences (SPSS), version 21. The analysis of answers for
questions consists of descriptive statistics that involved frequency and
percentage for categorical variables.

\textbf{3. Result}

\textbf{3.1 Sociodemographic Characteristics}

About 1005 respondents took part in this cross-sectional survey,
representing 99.3\% of the proportion of people that consented to
participate and filling the questionnaires (n= 1012). Respondents who
did not agree with the consent form (6 respondents) and who had
inappropriate answers (7 respondents) were excluded from the study.

The majority of respondents were mothers older than 30 years old
(67.4\%) with a high educational level, most of them are employees
(57\%). About 88\% of them lived in the cities of Jordan. Most of the
respondents did not have chronic diseases (88.2\%) or previous abortions
(68.1\%). Further details were showed in \textbf{Table 1} .

\textbf{3.2 Maternal awareness about CS in general}

The maternal awareness about CS was measured based on response to 8
questions (\textbf{Table 2} ). Most of the respondents stated that the
source of their knowledge about CS was from the internet (36.2\%),
family and friends (31.6\%), and with a lower percent having their
knowledge from workers in the medical fields (24.8\%). Thirty-one
percent (31.2\%) of respondents stated that CS doesn't carry risks on
maternal`s health, about 35\% of respondents didn't have a clear
opinion, and 33.8\% of respondents see that CS carry risks on the
mothers. Regarding if CS carries risks on infants' health, 56.9\%
thought that CS carries no risk on infants and 31.9\% had no clear
opinion. On the other hand, the majority of respondents disagree with
performing CS under maternal request (59.2\%). In agreement with that,
59.6\% think that CS needs guarantee to be performed under medical
reasons only as 53.8\% of the respondents can mention at least one
complication of CS (mostly were bleeding, pain at the wound site, long
recovery period, infection, adhesion, anesthesia complications,
thrombosis, and scar). About 53\% of respondents stated that the most
common reason leading women to choose to give birth via CS is the fear
of labor pain.

\textbf{3.3 Maternal's experience with CS}

Participants' maternal's experience with CS was presented in
(\textbf{Table 3)} . The majority of the respondents had only one or two
CS (46\% and 32.6\%, respectively). 45.6\% of the respondents had their
last CS in the age group of 26-30 years old, most of the respondents
performed CS at a gestational age of 31-40 weeks (78.9\%), 89.8\% of the
respondents stayed in the hospital for 1-3 days after CS, and 52\%
needed a recovery period from two weeks to one month. The higher
percentage of respondents (75.3\%) had their CS in private hospitals,
and (44.4\%) of respondents had full coverage insurance. Finally, it
appears that the majority of the respondents were satisfied with their
experience (56.3\% were satisfied and 16.5\% were strongly satisfied).

Regarding CS complications (\textbf{Table 4} ), about 29.4\% of the
respondents had complications after CS. The most common complications
were wound pain and inflammation (11.3\%), back pain and general
weakness (6.4\%), flatulence and abdominal pain (4.6\%), bleeding
(3.9\%), headache (2.4\%), fever or hypothermia (1.4\%), adhesions
(1.2\%), hypotension or hypertension (1.1\%), and constipation (1.1\%).

\textbf{3.4 Reasons for CS from a maternal point of view}

Most of the respondents were able to declare the reason that led their
doctors to perform CS. The most common reason is the inappropriate
pelvic dimensions for safe delivery (33.6\%). Other reasons included the
baby position (13.9\%), fetal distress (9.1\%), twins (5.5\%), and
previous CS (4.6\%). On the other hand, the majority of the respondents
didn't request a CS (79.2\%) or planned it (56.2\%) with their doctors.
The most common reasons that the respondents claimed to request a CS
were the fear of normal delivery (9.6\%), the impression that the CS is
easier (6.3\%) and has no pain (4.6\%), and for cosmetic reasons
(0.4\%).

It is worth mentioning that a high percent of the respondents had the
confidence that the doctors performed their CS for medical reasons
(86.3\%) and that the majority of the respondents (92.7\%) failed to
have a normal delivery after that.

\textbf{4. Discussion}

The maternal's awareness about CS was measured in this study and the
respondents stated clearly with high percentages that their source of
knowledge was mainly the internet followed by social engagements with
family and friends. Interestingly, little knowledge input was delivered
from proper health care providers. Therefore, it is evident that the
information they accessed was not from a reliable or evidence-based
source and it is obvious that they may have had no clear information
about CS. Health care professionals need to ensure that the information
given to women is accurate and imparted at a level that is appropriate
to the women concerned.

Most of the respondents didn't have clear knowledge if CS carries risks
on the mother (34.7\%), and about 31.6\% of them thought that the CS
carries no risks on mothers' health. Their knowledge about this issue
was wrong as CS carries short and long term risks on mothers' health (4,
10, 11). In a population-based study, the risk of severe postoperative
bleeding is two to three times greater than normal delivery (10).
Another study showed that severe maternal morbidity was two times higher
and the risk of hysterectomy was four times higher with CS compared with
normal delivery (4). Postoperative thromboembolism risk also increased
five folds in CS compared with normal delivery (12).

The majority of the respondents (56.9\%) thought that CS is safe for the
infant. However, it is known that babies can be affected adversely after
CS (13, 14). This indicates that women need to be educated about CS
risks on mothers and babies to increase their awareness.

Moreover, most respondents disagree with performing CS under maternal
request (59.2\%) and think that CS should be performed only under
medical reasons (59.6\%). This indicates that mothers are likely to
accept the decision for a CS by the attending physician. This finding
parallels the findings of Levinson et al in Canada, who found that half
of the respondents (52\%) preferred to leave the final decision to their
physicians (15). Deber et al also found that the majority of patients
wished physicians to do the ``problem-solving tasks'', which include
using the medical information to make a diagnosis (16).~It is therefore
essential that the health care providers should engage pregnant women in
a meaningful way to use the information that they possess to make shared
decisions, which the mothers will be ultimately satisfied with.

Furthermore, the respondents believed that the most common reason
leading them to request CS is the fear of pain as they think the CS is a
painless method of birth. In agreement with that, Gosh and James
reported that pregnant women who don't want to bear massive pain during
labor have a strong preference for CS (17). Zhao and Chen also reported
that the fear of labor pain remains one of the most cited reasons for
avoiding spontaneous vaginal delivery (3). We believe that this issue
may largely be avoided during the antenatal clinic visits if pregnant
women are well educated on the available delivery methods and how to
reduce the stress and fear before and during delivery.

The higher percentage of the respondents (75.3\%) had their CS in
private hospitals, and (44.4\%) of respondents had full coverage
insurance. Multiple studies have shown that private sectors are
motivated by financial incentives (18-21). For example, the financial
benefit associated with longer hospital stays after CS and private
hospitals may incentivize physicians to favor their decision with
institutional strategies (20, 21). Physicians are also known to be
motivated by higher fees paid for CS compared with normal vaginal
delivery (20). They are also in a position to take advantage of the
asymmetrical information between them and patients which may lead to
recommendations that are not always parallel with patients' needs (19).
There is also evidence that physicians with higher numbers of privately
insured patients will tend to perform more CS (19). Implementing
non-clinical practices like obtaining a second opinion before undergoing
the CS procedure (11) and the Robson classification in clinical practice
in hospitals (22) can help in reducing the CS rates. However, further
studies should be performed in the future to shed light on the real
reasons leading to increased CS rates in private hospitals in Jordan.

Finally, the majority of the respondents were satisfied with their
experience (56.3\% were satisfied and 16.5\% were strongly satisfied).
This is expected as obstetricians noted that women did not consider CS
as major surgery and they were not afraid of the procedure,
alternatively, they look at CS as a routine practice. Bayes et al also
showed in their research that CS is a long-anticipated and very special
occasion (23).

\textbf{5. Conclusion}

This study contributed to the understanding that Jordanian women don't
have reliable sources of information about CS. Consequently, this leads
to lower awareness about CS and its complications and, as expected, CS
is more likely to be performed by privately insured women. Further
studies in the future will enable us to have a better understanding of
this issue.

\textbf{6. References}

1. Declercq E, Young R, Cabral H, Ecker J. Is a rising cesarean delivery
rate inevitable? Trends in industrialized countries, 1987 to 2007.
Birth. 2011;38(2):99-104.

2. Betran AP, Ye J, Moller AB, Zhang J, Gulmezoglu AM, Torloni MR. The
Increasing Trend in Caesarean Section Rates: Global, Regional and
National Estimates: 1990-2014. PloS one. 2016;11(2):e0148343.

3. Zhao Y, Chen S. Psychosocial factors for women requesting cesarean
section. International Journal of Clinical Medicine. 2013;4(09):395.

4. Villar J, Carroli G, Zavaleta N, Donner A, Wojdyla D, Faundes A, et
al. Maternal and neonatal individual risks and benefits associated with
caesarean delivery: multicentre prospective study. BMJ : British Medical
Journal. 2007;335(7628):1025-.

5. Souza JP, G\selectlanguage{ngerman}ülmezoglu AM, Lumbiganon P, Laopaiboon M, Carroli G,
Fawole B, et al. Caesarean section without medical indications is
associated with an increased risk of adverse short-term maternal
outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal
Health. BMC medicine. 2010;8:71-.

6. Allen VM, O'Connell CM, Farrell SA, Baskett TF. Economic implications
of method of delivery. American journal of obstetrics and gynecology.
2005;193(1):192-7.

7. Appropriate technology for birth. Lancet (London, England).
1985;2(8452):436-7.

8. Amjad A, Amjad U, Zakar R, Usman A, Zakar MZ, Fischer F. Factors
associated with caesarean deliveries among child-bearing women in
Pakistan: Secondary analysis of data from the Demographic and Health
Survey, 2012--13. BMC pregnancy and childbirth. 2018;18(1):113.

9. Diema Konlan K, Baku EK, Japiong M, Dodam Konlan K, Amoah RM. Reasons
for Women's Choice of Elective Caesarian Section in Duayaw Nkwanta
Hospital. Journal of pregnancy. 2019;2019.

10. Al\selectlanguage{english}-Zirqi I, Vangen S, Forsen L, Stray\selectlanguage{english}-Pedersen B. Prevalence and
risk factors of severe obstetric haemorrhage. BJOG: An International
Journal of Obstetrics \& Gynaecology. 2008;115(10):1265-72.

11. Khunpradit S, Tavender E, Lumbiganon P, Laopaiboon M, Wasiak J,
Gruen RL. Non-clinical interventions for reducing unnecessary caesarean
section. The Cochrane database of systematic reviews. 2011(6):Cd005528.

12. Lindqvist P, Dahlback B, Mar\selectlanguage{polish}ŝ\selectlanguage{ngerman}ál K. Thrombotic risk during pregnancy:
a population study. Obstetrics \& Gynecology. 1999;94(4):595-9.

13. Emerson WR. Birth Trauma: The Psychological Effects of. Journal of
Prenatal and Perinatal Psychology and Health. 1998;13:1.

14. Hyde MJ, Mostyn A, Modi N, Kemp PR. The health implications of birth
by Caesarean section. Biological Reviews. 2012;87(1):229-43.

15. Levinson W, Kao A, Kuby A, Thisted RA. Not all patients want to
participate in decision making. A national study of public preferences.
Journal of general internal medicine. 2005;20(6):531-5.

16. Deber RB, Kraetschmer N, Irvine J. What role do patients wish to
play in treatment decision making? Archives of internal medicine.
1996;156(13):1414-20.

17. Gosh S, James K. Increasing caesarean section delivery: A threat to
urban women's health? Health Policy and Planning. 2007;17(1):1-25.

18. Phadungkiatwattana P, Tongsakul N. Analyzing the impact of private
service on the cesarean section rate in public hospital Thailand.
Archives of gynecology and obstetrics. 2011;284(6):1375-9.

19. Burns LR, Geller SE, Wholey DR. The effect of physician factors on
the cesarean section decision. Medical care. 1995;33(4):365-82.

20. Bertollini R, DiLallo D, Spadea T, Perucci C. Cesarean section rates
in Italy by hospital payment mode: an analysis based on birth
certificates. American journal of public health. 1992;82(2):257-61.

21. Stafford RS. Cesarean section use and source of payment: an analysis
of California hospital discharge abstracts. American journal of public
health. 1990;80(3):313-5.

22. Kacerauskiene J, Bartuseviciene E, Railaite DR, Minkauskiene M,
Bartusevicius A, Kliucinskas M, et al. Implementation of the Robson
classification in clinical practice:Lithuania's experience. BMC
pregnancy and childbirth. 2017;17(1):432.

23. Bayes S, Fenwick J, Hauck Y. 'Off everyone's radar': Australian
women's experiences of medically necessary elective caesarean section.
Midwifery. 2012;28(6):e900-9.

\textbf{Table 1. Demographic characteristics of the study sample (n=
1005)}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
\begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{Characteristics}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{Characteristics}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{Number}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{\%}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Age (years)}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textless{}25\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
85\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
8.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
25-29\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
242\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
24.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
30-34\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
374\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
37.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textgreater{}=35\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
304\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
30.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Educational level}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Secondary school\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
89\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
8.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Diploma\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
135\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
13.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Bachelors\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
669\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
66.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Master\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
95\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
9.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
PhD\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
17\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Place of living}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Village\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
119\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
11.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
City\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
886\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
88.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Employment} \textbf{Parity}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Employed\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
573\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
57\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Unemployed\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
432\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
43\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
One child\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
274\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
27.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Two child\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
333\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
33.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Three child\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
229\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
22.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Four or more children\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
169\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
16.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Previous abortion}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
684\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
68.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
321\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
31.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Chronic diseases}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
886\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
88.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
119\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
11.8\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

\textbf{Table 2. Maternal awareness about CS (n= 1005)}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
\begin{minipage}[b]{0.24\columnwidth}\raggedright\strut
\textbf{Questions}\strut
\end{minipage} & \begin{minipage}[b]{0.24\columnwidth}\raggedright\strut
\textbf{Answers}\strut
\end{minipage} & \begin{minipage}[b]{0.24\columnwidth}\raggedright\strut
\textbf{Number}\strut
\end{minipage} & \begin{minipage}[b]{0.24\columnwidth}\raggedright\strut
\textbf{\%}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Source of your knowledge about CS}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Friends and family\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
318\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
31.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Internet\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
364\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
36.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Books\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
64\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
6.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Workers in the medical field\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
249\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
24.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Media\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
10\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Do you think CS carry risks on the mother}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
60\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
6.0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
257\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
25.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Neither agree or disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
349\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
34.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
279\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
27.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
60\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
6.0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Do you think CS carry risks on the infant}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
118\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
11.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
454\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
45.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Neither agree or disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
321\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
31.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
97\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
9.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
15\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Do you agree with doing CS under mothers request}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
288\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
28.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
307\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
30.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Neither agree or disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
157\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
15.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
206\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
20.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
47\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
4.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Do you think CS need a guarantee to be performed under medical
reasons only}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
50\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
5.0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
187\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
18.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Neither agree or disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
169\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
16.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
433\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
43.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
166\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
16.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Can you mention any complication of CS}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
482\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
48.0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Yes\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
426\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
42.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Maybe\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
97\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
9.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{Mention any complication of CS}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No complication\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
363\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
36.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Can Mention a complication\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
541\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
53.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Can't Mention complication\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
101\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
10.0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\textbf{From your point of view why women choose CS}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Fear of pain\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
534\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
53.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Fear of losing the baby\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
214\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
21.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Advanced age\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
18\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Previous abortions\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
17\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Previous infertility\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
24\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
2.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Pregnancy was done via medical intervention\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
66\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
6.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
CS is safe and more satisfying\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
132\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
13.1\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

\textbf{Table3. Personal maternal experience}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
\textbf{Questions} & \textbf{Answers} & \textbf{Number} &
\textbf{\%}\tabularnewline
\midrule
\endhead
\textbf{Number of CS you had} & 1 & 462 & 46.0\tabularnewline
& 2 & 328 & 32.6\tabularnewline
& 3 & 142 & 14.1\tabularnewline
& 4 & 56 & 5.6\tabularnewline
& 5[?] & 17 & 1.7\tabularnewline
\textbf{Age at last CS (years)} & 18-25 & 209 & 20.8\tabularnewline
& 26-30 & 458 & 45.6\tabularnewline
& 31-35 & 240 & 23.9\tabularnewline
& 36-40 & 89 & 8.9\tabularnewline
& \textgreater{}40 & 9 & .9\tabularnewline
\textbf{Gestational age (weeks)} & \textless{}=30 & 14 &
1.4\tabularnewline
& 31-40 & 793 & 78.9\tabularnewline
& \textgreater{}40 & 198 & 19.7\tabularnewline
\textbf{Where CS performed} & Private & 757 & 75.3\tabularnewline
& Governmental & 194 & 19.3\tabularnewline
& Private + Governmental & 54 & 5.4\tabularnewline
\textbf{Cost of CS} & Total Assurance & 446 & 44.4\tabularnewline
& Partial Assurance & 210 & 20.9\tabularnewline
& Without Assurance & 349 & 34.7\tabularnewline
\textbf{Hospital stay after CS (days)} & 1-3 & 902 & 89.8\tabularnewline
& 4-7 & 94 & 9.4\tabularnewline
& \textgreater{}7 & 9 & .9\tabularnewline
\textbf{Recovery period} & \textless{} 2 weeks & 358 &
35.6\tabularnewline
& 2 weeks-1 month & 523 & 52.0\tabularnewline
& \textgreater{}1month -3 month & 102 & 10.1\tabularnewline
& \textgreater{}3month & 22 & 2.2\tabularnewline
\textbf{Do you had complications after CS} & No & 710 &
70.6\tabularnewline
& Yes & 295 & 29.4\tabularnewline
\textbf{When did you have your last CS (years)} & \textless{}5 & 758 &
75.4\tabularnewline
& 5-\textless{}10 & 160 & 15.9\tabularnewline
& 10-\textless{}15 & 63 & 6.3\tabularnewline
& [?]15 & 24 & 2.4\tabularnewline
\textbf{Do you still suffer from any CS complications} & No & 618 &
61.5\tabularnewline
& Yes & 227 & 22.6\tabularnewline
& Maybe & 160 & 15.9\tabularnewline
\textbf{Are you satisfied with your experience} & Strongly not satisfied
& 57 & 5.7\tabularnewline
& Not satisfied & 112 & 11.1\tabularnewline
& Don't know & 104 & 10.3\tabularnewline
& Satisfied & 566 & 56.3\tabularnewline
& Strongly satisfied & 166 & 16.5\tabularnewline
\textbf{Do you encourage others to go through CS} & Strongly not
encourage & 156 & 15.5\tabularnewline
& Not encourage & 270 & 26.9\tabularnewline
& Don't know & 248 & 24.7\tabularnewline
& Encourage & 259 & 25.8\tabularnewline
& Strongly encourage & 72 & 7.2\tabularnewline
\bottomrule
\end{longtable}

\textbf{Table 4. Types of complications that the women had after CS}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
\textbf{Complications after CS} & & \textbf{Number} &
\textbf{Percent\%}\tabularnewline
\midrule
\endhead
Wound pain and inflammation & Yes & 113 & 11.3\tabularnewline
& No & 892 & 88.7\tabularnewline
Back and leg pain, general weakness & Yes & 64 & 6.4\tabularnewline
& No & 941 & 93.6\tabularnewline
Abdominal pain and flatulence & Yes & 46 & 4.6\tabularnewline
& No & 959 & 95.4\tabularnewline
Bleeding & Yes & 39 & 3.9\tabularnewline
& No & 966 & 96.1\tabularnewline
Headache & Yes & 24 & 2.4\tabularnewline
& No & 981 & 97.6\tabularnewline
Fever/ hypothermia & Yes & 14 & 1.4\tabularnewline
& No & 991 & 98.6\tabularnewline
Adhesions & Yes & 12 & 1.2\tabularnewline
& No & 993 & 98.8\tabularnewline
Hypo/hypertension & Yes & 11 & 1.1\tabularnewline
& No & 994 & 98.9\tabularnewline
Constipation & Yes & 11 & 1.1\tabularnewline
& No & 994 & 98.9\tabularnewline
Others & Yes & 86 & 8.6\tabularnewline
& No & 919 & 91.4\tabularnewline
\bottomrule
\end{longtable}

\selectlanguage{english}
\FloatBarrier
\end{document}

