Cesarean delivery on maternal request: the perspective of birth companions.

BACKGROUND: Various personal, cultural, and family factors shape the attitudes of birth companions towards childbirth and influence how they understand and support the childbirth process. This study aimed to explore the experiences, perceptions, attitudes, and beliefs of companions of women who underwent cesarean delivery on maternal request (CDMR). METHODS: This qualitative study was conducted through individual, face-to-face, semi-structured, and in-depth interviews, analysed using thematic analysis within a descriptive phenomenological research approach. Participants included companions of women who underwent CDMR. RESULTS: The companions mainly spouses and close family members perceived CDMR as a legitimate decision focused on the woman’s safety and comfort. Three main themes emerged: support for women’s decision-making, the influence of previous negative experiences, and the right to choose. The narratives revealed emotional and gender dimensions, with men assuming a supportive role and relatives emphasising fear of pain and maternal protection. Overall, participants expressed confidence in the healthcare team and recognised cesarean delivery to ensure the well-being of both mother and baby. CONCLUSIONS: The findings indicate that companions play a significant role in decision-making regarding CDMR, influencing the maternal experience and sharing responsibility in the process. This highlights the need for institutional policies and practices that promote education for companions, active participation in decision-making, structured emotional support, and protocols that reconcile clinical safety with women’s autonomy, while considering social, cultural, and family dimensions.