A study into women’s perception of elective C-sections in Georgia
Jilda Cheishvili, a Neonatologist from Georgia currently studying for a PhD in the UK, presents her research exploring Caesarean Section (CS) in Georgia. She presents the national statistics that show the lowering birthrate and high level of CS in the country. Her data shows that many women are opting to choose CS, but without the education and knowledge behind the choice, and impacted by their mother’s and partners. Jilda concludes that more education should be available for women and for the community.
Jilda Cheishvili, Neonatologist, Georgia
This learning module can be used towards CPD for revalidation with the Nursing and Midwifery Council (NMC) in the UK, and equivalent bodies in other jurisdictions.

Improving care in global settings Resources
Boerma T et al 2018 Global epidemiology of use of and disparities in caesarean sections The Lancet 392: 10155 1341-1348
International Confederation of Midwives 2019 Essential Competencies for Midwifery Practice https://www.internationalmidwives.org/assets/files/general-files/2019/03/icm-competencies-en-screens.pdf
RCM Global Projects
https://www.rcm.org.uk/promoting/global/
Save the Children 2015 State of the World’s Mothers : The Urban Disadvantage https://www.savethechildren.net/sites/default/files/libraries/SOWM_EXECUTIVE_SUMMARY.pdf
The Lancet Maternal Health Series
http://www.maternalhealthseries.org/
United Nations Population Fund 2019 Unfinished Business https://www.unfpa.org/swop-2019
United Nations Sustainable Development Goals https://sustainabledevelopment.un.org/?menu=1300
WHO 2018 Maternal Mortality
https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
WHO 2015 Statement on Caesarean section rates https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf;jsessionid=8E2C54F0B4B88F3D0059F9FADE9FACF1?sequence=1
Demonstrating your learning: Improving Care in Global Settings
We hope you have enjoyed watching the video box set. The aim of producing this package is to enable you to learn about an aspect of midwifery practice which you will be able to use to improve the care of women, babies and their families. As a professional there will be times where you will need to demonstrate you have learned and, don’t forget that, writing down your learning will help this to be embedded in your memory! To this end we have devised some questions to help you progress. You may, of course, devise your own questions as well. These may then be used as part of your professional validation in the future.
Learning Outcomes
- After watching these talks you will have an insight into the significance of midwifery care and the unique circumstances within these settings
- Explored some of the evidence related to maternity care in some global settings
- Considered the significance of midwifery care in global settings.
- Understanding of some of the challenges faced by women and midwives in global setting
Reflective questions
- Explore the learning outcomes (LO) of this set of videos. What are the key aspects of the LO that are relevant to you and your scope and code of practice?
- Summarise what you have learned from these videos
- What are the feelings that have been raised as you watched them? Why you have felt this?
- What are the key pieces of research or evidence that you have learned about?
- How will this learning now affect your practice; the women, babies and families in your care?
- Are there ways you plan to make changes or take forward with others?
- What else would you like to find out about to help your learning on this topic?

A study into women’s perception of elective C-sections in Georgia
Jilda Cheishvili
Tbilisi State Medical University Department of Public Health Care Management, Policy and Economy, Georgia
Jilda is a PhD student from Tbilisi State Medical University Department of Public Health, Health Care Management, Policy and Economy.
Her research area is Maternal and Child Health.
In 2015 she participated in the Bergen Research Summer School at the Department of Maternal and Child Health, University of Bergen. Norway.
She is currently a PhD student at the University of Chester as an exchange student through the project ERASMUS +.
Between 2005-2008 she worked as a junior doctor neonatologist. From 2009 she was working as a Nurse trainer (ToT) and since 2012 she has been a lecturer at Akaki Tsereteli State University.
Her publications are:
“Engagement of Patient and her Family Members into Cesarean Section Decision”-Caucasus Journal of Social Sciences. Tbilisi. Georgia Volume 6.Issue 1. 2011
“Women Family and Decision making about Labor”. Scientific journal from maturity to ageing. Tbilisi. Georgia. 2012
“Overview demographical process in Georgia”. Tbilisi State Medical University. Direction of Health Care Management, Policy and Economy J. Experimental and Clinical Medicine, 2015, 2, pp.47-50
“Reduce Child Mortality” Tbilisi State Medical University, Georgia J. Experimental and Clinical Medicine, 2015, 4, pp.100-102
“Management of Change Delivery Decision Making Through the Force Field Analysis in Georgia“.IRA-International Journal of Management & Social Sciences ISSN 2455-2267; Vol.06, Issue 03 (2017) Pg. no. 411-418 Institute of Research Advances