Nature of Television Childbearing Shows and Mode of Delivery Preferences among Primiparous Women in Nairobi, Kenya

Authors

  • Christopher Kyalo Musyoki Jomo Kenyatta University of Agriculture and Technology
  • Prof. Hellen Kiende Mberia, PhD. Jomo Kenyatta University of agriculture and technology
  • Dr. Geoffrey Serede Sikolia, PhD. United States International University- Africa, Kenya

DOI:

https://doi.org/10.47604/ijcpr.2437

Keywords:

Primiparous Women, TV Childbirth Shows, Mode of Delivery Preferences, Media Effects Theories, Cesarean Birth Rates

Abstract

Purpose: To examine the effects of different types of TV childbearing shows on mode of delivery preferences among primiparous women in Nairobi, Kenya.

Methodology: The study utilized a sequential mixed-methods approach, which involved 300 purposefully selected primiparous women from eleven sub-counties in Nairobi during routine child immunization schedules. Among the participants, 150 had vaginal deliveries, while the remaining underwent elective caesarean deliveries. Data collection was carried out through interviewer-administered questionnaires, focus group discussions, and in-depth interviews. Quantitative analysis involved the use of mean-weight scores, Chi-square tests, and Cramer's V using SPSS. Thematic analysis was conducted for qualitative data to comprehensively understand the research topic. The findings were presented through both numerical analysis and narrative exploration.

Findings: Respondents who had elective caesarean deliveries scored higher in locating childbirth lessons and interest in viewing childbirth scenes. Vaginal delivery scored higher for observing long-term childbirth messages, with similar scores for reasons of watching TV childbirth shows. Talk shows were the most effective for childbirth learning (φc = 0.52), with a small effect size for interest in viewing. Additionally, choosing mode of delivery as a repeated long-term message and having an idea of maternity as a reason for viewing had moderate size effects. The null hypothesis was rejected due to a significant correlation, with the ANOVA model explaining 87.9% of the variability. Locating lessons increased odds by 21.9%, repeated messages by 1.2%, and reasons for viewing by 3.3%, while interest in viewing childbirth scenes was not significant in the logistic regression. Qualitative analysis confirmed the rising prevalence of childbirth shows on mainstream TV.

Unique Contribution to Theory, Practice and Policy: The study highlights how TV childbirth shows shape expectations and guide decisions regarding mode of delivery, contributing to media effect theories. In practice, healthcare workers need to actively engage with the content to address fears, concerns, and misconceptions influenced by these shows. Collaboration with content producers is crucial for authentic portrayals. Additionally, the study emphasizes the importance of media literacy programs and evidence-based guidelines to enhance informed decision-making.

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References

Akram, M., & Afzal, M. (2023). Driving Factors Influencing The Women's Preference and Decision-Making For Non-Medically Indicated Caesarean Section. Global Social Sciences Review, VIII(I). https://doi.org/10.31703/gssr.2023(viii-i).10

Androutsopoulos, G. (2018). Introductory Chapter: Is It Time to Reconsider the Importance of Cesarean Section? In Caesarean Section. https://doi.org/10.5772/intechopen.80297

Arfaie, K., Nahidi, F., Simbar, M., & Bakhtiari, M. (2017). The role of fear of childbirth in pregnancy related anxiety in Iranian women: a qualitative research. Electronic Physician, 9(2). https://doi.org/10.19082/3733

Bessett, D., & Murawsky, S. (2018). "˜I guess I do have to take back what I said before, about television': pregnant women's understandings and use of televisual representations of childbearing. Sociology of Health and Illness, 40(3). https://doi.org/10.1111/1467-9566.12658

Boerma, T., Ronsmans, C., Melesse, D. Y., Barros, A. J. D., Barros, F. C., Juan, L., Moller, A. B., Say, L., Hosseinpoor, A. R., Yi, M., de Lyra Rabello Neto, D., & Temmerman, M. (2018). Global epidemiology of use of and disparities in caesarean sections. In The Lancet (Vol. 392, Issue 10155). https://doi.org/10.1016/S0140-6736(18)31928-7

Bor, S. E. (2013). Lucy's two babies: Framing the first televised depiction of pregnancy. In Media History (Vol. 19, Issue 4). https://doi.org/10.1080/13688804.2013.844889

Chen, I., Opiyo, N., Tavender, E., Mortazhejri, S., Rader, T., Petkovic, J., Yogasingam, S., Taljaard, M., Agarwal, S., Laopaiboon, M., Wasiak, J., Khunpradit, S., Lumbiganon, P., Gruen, R. L., & Betran, A. P. (2018). Non-clinical interventions for reducing unnecessary caesarean section. In Cochrane Database of Systematic Reviews (Vol. 2018, Issue 9). https://doi.org/10.1002/14651858.CD005528.pub3

Chen, X., Hay, J. L., Waters, E. A., Kiviniemi, M. T., Biddle, C., Schofield, E., Li, Y., Kaphingst, K., & Orom, H. (2018). Health Literacy and Use and Trust in Health Information. Journal of Health Communication, 23(8). https://doi.org/10.1080/10810730.2018.1511658

Creswell, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. In Educational Research (Vol. 4).

Cummins, M. W. (2020). Miracles and home births: the importance of media representations of birth. Critical Studies in Media Communication, 37(1). https://doi.org/10.1080/15295036.2019.1704037

Dutta, M. J., Kaur-Gill, S., & Tan, N. (2017). Cultivation in Health and Risk Messaging. In Oxford Research Encyclopedia of Communication. https://doi.org/10.1093/acrefore/9780190228613.013.289

Eide, K. T., & Bærøe, K. (2021). How to reach trustworthy decisions for caesarean sections on maternal request: A call for beneficial power. Journal of Medical Ethics, 47(12). https://doi.org/10.1136/medethics-2020-106071

Gagnon, R. (2021). A longitudinal study of women's representations and experiences of pregnancy and childbirth. Midwifery, 103. https://doi.org/10.1016/j.midw.2021.103101

Hoffman, B. L., Hoffman, R., VonVille, H. M., Sidani, J. E., Manganello, J. A., Chu, K. H., Felter, E. M., Miller, E., & Burke, J. G. (2023). Characterizing the Influence of Television Health Entertainment Narratives in Lay Populations: A Scoping Review. In American Journal of Health Promotion (Vol. 37, Issue 5). https://doi.org/10.1177/08901171221141080

Human Reproductive Health. (2021). Caesarean section rates continue to rise, amid growing inequalities in access. In Who.

Jeffres, L. W., Atkin, D. J., & Neuendorf, K. A. (2001). Expanding the range of dependent measures in mainstreaming and cultivation analysis. Communication Research Reports, 18(4). https://doi.org/10.1080/08824090109384822

Johnson, R. B., & Onwuegbuzie, A. J. (2007). Toward a Definition of Mixed Methods Research. Journal of Mixed Methods Research, 1(2). https://doi.org/10.1177/1558689806298224

Leahy, C. P. (2023). Becoming a mother: An Australian history. In Becoming a Mother: An Australian History. https://doi.org/10.7765/9781526161215

Luce, A., Cash, M., Hundley, V., Cheyne, H., Van Teijlingen, E., & Angell, C. (2016). "Is it realistic?" the portrayal of pregnancy and childbirth in the media. BMC Pregnancy and Childbirth, 16(1). https://doi.org/10.1186/s12884-016-0827-x

McKelvin, G., Thomson, G., & Downe, S. (2021). The childbirth experience: A systematic review of predictors and outcomes. In Women and Birth (Vol. 34, Issue 5). https://doi.org/10.1016/j.wombi.2020.09.021

MOH. (2016). Statistical review of progress towards the Mid-Term Targets of the Kenya Health Sector Strategic Plan 2014-2018. 61. https://www.healthdatacollaborative.org/fileadmin/uploads/hdc/Documents/Country_documents/KHSSP_Statistical__Report_2016.pdf

Morgan, M., Shanahan, J., & Signorielli, N. (2009). Growing up with television: Cultivation Processes. In Media Effects: Advances in Theory and Research. https://doi.org/10.4324/9781410602428-7

Morgan, M., Shanahan, J., & Signorielli, N. (2015). Yesterday's New Cultivation, Tomorrow. Mass Communication and Society, 18(5). https://doi.org/10.1080/15205436.2015.1072725

Nilstun, T., Habiba, M., Lingman, G., Saracci, R., Da Frè, M., & Cuttini, M. (2008). Cesarean delivery on maternal request: Can the ethical problem be solved by the principlist approach? BMC Medical Ethics, 9. https://doi.org/10.1186/1472-6939-9-11

Prado, D. S., Mendes, R. B., Gurgel, R. Q., Barreto, I. D. de C., Cipolotti, R., & Gurgel, R. Q. (2018). The influence of mode of delivery on neonatal and maternal short and longterm outcomes. Revista de Saude Publica, 52. https://doi.org/10.11606/S1518-8787.2018052000742

Roberts, J., Bennett, B., Slack, H., Borrelli, S., Spiby, H., Walker, L., & Jomeen, J. (2021). Midwifery students' views and experiences of birth on mainstream factual television. Midwifery, 92. https://doi.org/10.1016/j.midw.2020.102859

Roberts, J., & De Benedictis, S. (2021). Childbirth on television: a scoping review and recommendations for further research. Feminist Media Studies, 21(2). https://doi.org/10.1080/14680777.2019.1690025

Romanis, E. C. (2019). Why the Elective Caesarean Lottery is Ethically Impermissible. Health Care Analysis, 27(4). https://doi.org/10.1007/s10728-019-00370-0

Rublein, L., & Muschalla, B. (2022). Childbirth fear, birth-related mindset and knowledge in non-pregnant women without birth experience. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-04582-6

Shanahan, J., & Morgan, M. (1999). Television and its Viewers. In Television and its Viewers. Cambridge University Press. https://doi.org/10.1017/cbo9780511488924

Shrum, L. J. (1995). Assessing the Social Influence of Television: A Social Cognition Perspective on Cultivation Effects. Communication Research, 22(4). https://doi.org/10.1177/009365095022004002

Shrum, L. J., Wyer, R. S., & O'Guinn, T. C. (1998). The effects of television consumption on social perceptions: The use of priming procedures to investigate psychological processes. Journal of Consumer Research, 24(4). https://doi.org/10.1086/209520

Sobhy, S., Arroyo-Manzano, D., Murugesu, N., Karthikeyan, G., Kumar, V., Kaur, I., Fernandez, E., Gundabattula, S. R., Betran, A. P., Khan, K., Zamora, J., & Thangaratinam, S. (2019). Maternal and perinatal mortality and complications associated with caesarean section in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet, 393(10184), 1973-1982. https://doi.org/10.1016/S0140-6736(18)32386-9

Sung, S., & Mahdy, H. (2021). Cesarean Section - StatPearls - NCBI Bookshelf. In StatPearl Publishing.

Tunc, Ӧ, Were, W. M., Maclennan, C., Oladapo, O. T., G€, A. M., Bahl, R., Daelmans, B., Mathai, M., Say, L., Kristensen, F., Temmerman, M., & Bustreo, F. (2015). World Health Organization, Geneva, Switzerland b Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization. World Health Organization.

Vitek, K., & Ward, L. M. (2019). Risky, Dramatic, and Unrealistic: Reality Television Portrayals of Pregnancy and Childbirth and their Effects on Women's Fear and Self-Efficacy. Health Communication, 34(11). https://doi.org/10.1080/10410236.2018.1481708

Wahdan, M., Hakim, S., Gaafary, M. El, Sos, D., Wassif, G., Hussein, W., Mokhtar, A., Hussein, A., El Awady, M., Rady, M., & Anwar, W. (2022). Rising trends in Caesarean section in 6 Egyptian governorates. Eastern Mediterranean Health Journal, 28(5). https://doi.org/10.26719/emhj.22.012

WHO. (2016). Monitoring the health goal: Indicators of overall progress. In Mointoring Health for the SDGs.

WHO Statement on caesarean section rates. (2015). In Reproductive health matters (Vol. 23, Issue 45). https://doi.org/10.1016/j.rhm.2015.07.007

Wu, M. L., Nichols, P. M., Cormick, G., Betran, A. P., Gibbons, L., & Belizan, J. M. (2023). Global inequities in cesarean section deliveries and required resources persist. In European Journal of Obstetrics and Gynecology and Reproductive Biology (Vol. 285). https://doi.org/10.1016/j.ejogrb.2023.03.036

Zillmann, D., & Wakshlag, J. (2013). Fear of victimization and the appeal of crime drama. In Selective Exposure to Communication. https://doi.org/10.4324/9780203056721

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Published

2024-04-01

How to Cite

Musyoki, C. ., Mberia, H., & Sikolia, G. . (2024). Nature of Television Childbearing Shows and Mode of Delivery Preferences among Primiparous Women in Nairobi, Kenya. International Journal of Communication and Public Relation, 9(3), 22–33. https://doi.org/10.47604/ijcpr.2437

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