Impact of First Childbirth on Changes in Women’s Preference for Mode of Delivery: Follow‐up of a Longitudinal Observational Study

Pang, MF; Leung, Tse Ngong; Lau, Tze Kin; Chung, Tony K.H.

doi:10.1111/j.1523-536x.2008.00225.x

Cited by 124 publications

(122 citation statements)

References 21 publications

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“…Such agreement between the study findings and Pang et al [48] study which conducted in Hong Kong about impact of first childbirth on delivery mode preference who stated that women were detected to prefer vaginal delivery because of quick postpartum recovery which represented by 27.5% and being natural which represented by 24% of them.…”

Section: Discussionsupporting

confidence: 80%

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

El-Aziz

Mansour

Hassan

2016

JNEP

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Background and objective: Childbirth fear is a major problem for women, as it results in avoidance of maternity, women & fetal stress and raise in women requests for cesarean delivery. The aim of this study is to investigate factors associated with fear of childbirth (FOC), and its effect on women's preference for elective cesarean section (CS). Methods: Design: Cross sectional descriptive design. Setting: Study conducted at five obstetrical and gynecological private clinics in El-Mahalla El-Kobra city. Subjects: A purposive sample consisted of 205 pregnant women selected according to the inclusion and exclusion criteria. Tools: Three tools were used for data collection (Structured Interview Questionnaire, Melender (2002) Questionnaire to measure childbirth fear associated factors and Childbirth Attitudes Questionnaire). Results: Revealed that 47.8% of pregnant women preferred elective CS. Fear of vaginal birth, safer mode for the baby, no influence on postpartum sexual life and pain associated with delivery were the most reasons for CS preference. Childbirth factor was the highest factor associated with FOC with mean ± SD 12.439 ± 3.949. Fear of pain, episiotomy and lacerations were the highest sub factors representative for childbirth factor (89.3%, 83.9%, and 82.4% respectively). The highest cause of FOC was negative mood with mean ± SD 13.302 ± 3.500. 50.0% of pregnant women with high FOC preferred CS. Conclusions and recommendations: Childbirth factor was the highest factor associated with FOC. Fear of pain, episiotomy and lacerations were the highest sub factors representative for childbirth factor associated with FOC. Pregnant women with high fear of childbirth preferred cesarean section. Recommendations: Undertaking information, education and communication programs to increase awareness of the women, husbands, health providers and society about childbirth fear and its effect on cesarean section preference in order to decrease elective cesarean section rate.

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Section: Discussionsupporting

confidence: 80%

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

El-Aziz

Mansour

Hassan

2016

JNEP

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“…In addition to this, the participants of our study group indicated that the fear of vaginal delivery, bad birth stories and obstetrician's inducement were the main factors behind the increase in the rates of caesarean deliveries. Supporting our study, Pang et al [11] found that the impact of first childbirth affected the decision of next delivery mode.…”

Section: Discussionsupporting

confidence: 72%

Family Physicians’ Views on Caesarean Delivery on Maternal Request

Kurtoğlu¹

2013

Ann Clin Anal Med

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ÖzetAmaç: Aile hekimlerinin anne isteği ile sezaryenle doğum (AİSD) hakkında-ki bakış açılarını değerlendirmeyi amaçladık. Gereç ve Yöntem: Kırkdokuz aile hekimi çalışmaya dahil edildi. Sosyodemografik özellikler, kendilerinin ya da eşlerinin doğum şekilleri, sezaryenle doğumu seçim sebepleri, anne isteği ile sezaryenle doğumun insan hakkı olması ve sezaryen oranındaki artış sebepleri hakkındaki görüşlerini içeren anket yüz yüze görüşülerek dolduruldu. Bulgular: Çalışma grubunun %57.1'i (n=28) sezaryenle doğum yapmıştı. Doğum ağ-rısı korkusu %46.4 (n=13) ile AİSD'nin temel sebebi iken, yardımcı üreme teknikleri ile elde edilen gebelikler (%3.6, n=1) ve tubal sterilizasyon isteği (%7.1, n=2) diğer sebeplerdi. Sadece 12 hastaya (%42.9) tıbbi bir endikasyon ile sezaryen uygulanmıştı. Aile hekimlerinin %61.2'si (n=30) AİSD 'yi insan hakkı olarak kabul etmezken, %38.8'i (n=19) kadınların doğum şeklini seçme konusunda hakları olduğunu desteklemekteydi. Sezaryen oranındaki artışında-ki asıl nedenler kadın doğum hekiminin yönlendirmesi (n=25, 51.0%) ve doğum ağrısı korkusu (n= 20, 40.8%) olarak belirtildi. Sonuç: AİSD obstetri alanının en çok tartışmalı başlıklarından biri olmaya devam edecek görünmek-tedir. Aile hekimlerinin tutumları, annelerin önerilen doğum şekli konusunda verecekleri kararlarda önemli rol oynamaktadır, bu nedenle sezaryen oranının düşürülmesi konusunda üretilecek politikalarda önemsenmelidir. Anahtar KelimelerSezaryen Doğum; Anne İsteği; Aile Hekimi; Tıbbi Endikasyon Abstract Aim: We aimed to evaluate family physicians' views on caesarean delivery on maternal request (CDMR). Material and Method: Fourty-nine family physicians were included and a questionnaire covered socio-demographic characteristics, their own or their partners' delivery modes, the reasons behind their choice of caesarean delivery, views on CDMR as a human right and their opinions on the reason behind the increasing rates of caesarean deliveries was administered by one-on-one interviews. Results: Twenty eight (57.1%) women in the group underwent caesarean delivery. Fear of delivery pain was mentioned as the main factor (n=13, 46.4%) behind the CDMR, pregnancies achived by assisted reproductive technologies (n=1, 3.6%) and request for tubal sterilization (n=2, 7.1%) were the other causes. Only 12 women (42.9%) underwent caesarean delivery with a medical indication. While 30 (61.2%) physicians refused accepting CDMR as a human right, 19 (38.8%) physicians supported women's right of choosing their modes of delivery and obstetricians' inducement (n=25, 51.0%) and women's fear for vaginal delivery pain (n= 20, 40.8%) were mentioned as the main causes behind the increase in the rate of caesarean delivery. Discussion: CDMR seems to continue being one of the most controversial subjects in obstetrics. The family physicians' attitudes plays an important part in the decisions made by mothers regarding the preferred delivery modes so it should not be undervalued while creating policies for decreasing the high caesarean rates.

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“…The primary reasons included fear of vaginal birth, bypassing risks to the fetus from vaginal birth, and protecting the lower genital tract from trauma. Another study found that 23.8% of women who delivered vaginally said they would prefer delivering by cesarean section for their next pregnancy [10]. When asked six months after giving birth, 79% of women (19 of 24) who delivered by cesarean section stated that they would prefer cesarean section again.…”

Section: Discussionmentioning

confidence: 99%

Vaginal Birth or Cesarean Section: Recommendations of Women Who Delivered Via Both Methods

Guldeniz¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Hem vajinal doğum hem de sezaryen ile doğum yapmış kadınların hangi doğum şeklini önerdikleri ve bu önerilerin sebeplerinin belirlenmesi. Gereç ve Yöntem: Çalışmaya hem vajinal doğum hem de sezaryen ile doğum yapmış olan ve ortalama yaşları 42.1 ±7.6 olan toplam 204 kadın dahil edildi. Vajinal ve sezaryen doğum ile ilgili deneyimlerini sorgulayan bir anket hazırlandı. Bulgular: Sezaryen endikasyonları, anne tercihi (40) ve obstetrik endikasyonlardı (164). İkiyüzdört kadından 129'u (% 63.2), diğer kadınlara vajinal doğum önermiştir. Vajinal doğum eylemi sırasında zor doğum yaşayan katılımcılar, vajinal doğumu "kolay" olarak kabul edenlere göre daha fazla sezaryen öner-mişlerdir (%65.4'e karşılık %10.4, p <0.01). Eğitim düzeyi (p = 0.011) yüksel-dikçe sezaryen önerisi verilmesi de anlamlı ölçüde artmaktadır. Vajinal doğu-mu önerenlerin belirttikleri en sık neden postpartum rahatlık(% 64.3), sezaryen önerenlerin belirttikleri en sık neden ise eylemin kolayca sonlanmasıdır. (% 53.3). Obstetrik endikasyonlar nedeni ile sezaryen doğum yapan kadınla-rın çoğunluğu (% 69.6) vajinal doğumu önermiştir, oysa ki anne tercihi nedeni ile sezaryen doğum yapan kadınların büyük kısmı (% 62.5) sezaryen doğumu önermiştir. Tartışma: Her iki yöntem ile doğum yapmış kadınlar arasında vajinal doğum önerenler % 63.2 oranındadır, en sık neden postpartum konfordur. Sezaryen önerenler, vajinal doğum esnasındaki ağrıya göre daha kolay tolere edilmesi nedeniyle bu tavsiyede bulunmuşlardır.Anahtar Kelimeler Doğum Şekilleri; Sezaryen; Vajinal Doğum; Hasta Önerileri Abstract Aim: To determine which method is recommended by women who have delivered via both methods and their reasons for this recommendation. Material and Method: The study included 204 women, mean age was 42±7.6 years with history of both vaginal and cesarean delivery. A questionnaire was prepared about experiences with vaginal and caesarean delivery. Results: Reasons for cesarean section were maternal preference (40), and obstetric indications (164). Of the 204 women, 129 (63.2%) recommended vaginal delivery to other women. More participants who experienced difficult labor during vaginal delivery recommended cesarean delivery than those who considered their vaginal delivery "easy" (65.4% vs.10.4%, p<0.01). Recommendation of cesarean section increased significantly with the level of education (p=0.011). The most frequent reason for recommend vaginal delivery was postpartum comfort (64.3%), for recommend cesarean delivery were easy labor (53.3%). Most women who delivered via cesarean section due to obstetric indications (69.6%) recommended vaginal route, whereas most who chose cesarean delivery (62.5%) recommended cesarean section. Discussion: Among women who had delivered via both methods, 63.2% of those recommended vaginal delivery due to primarily postpartum comfort. Patients who recommend cesarean section regarded it as easier primarily because of pain during vaginal delivery.

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Impact of First Childbirth on Changes in Women’s Preference for Mode of Delivery: Follow‐up of a Longitudinal Observational Study

Cited by 124 publications

References 21 publications

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

Family Physicians’ Views on Caesarean Delivery on Maternal Request

Vaginal Birth or Cesarean Section: Recommendations of Women Who Delivered Via Both Methods

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