Student nurses’ knowledge of factors contributing to high rates of caesarean section in Namibia: a cross-sectional study

Background/Aims Caesarean section rates are increasing worldwide, which is concerning because of the associated adverse postoperative effects or complications. This study's aim was to assess third year nursing students’ knowledge of caesarean section and their practices. Methods This cross-sectional descriptive study involved 60 third-year nursing students at the University of Namibia, selected using simple random sampling. Data were collected via self-administered questionnaires and analysed descriptively. Results All participants had witnessed a caesarean section during their course and had good knowledge on factors contributing to high rates of caesarean section. The participants showed good practices, such as obtaining consent, a good understanding of complications associated with caesarean section and were able to give proper health education to mothers. Conclusions Most students were knowledgeable about caesarean section and factors contributing to high rates. Caesarean section rates could be reduced if obstetric protocols were implemented for antenatal care and interventions during labour. Implications for practice Initiatives such as educational discussions with student nurses on proper antenatal care screening are needed to identify avoidable factors that increase the rate of caesarean section. Further research is needed on factors linked with high rates of caesarean section.