Technology Preference in Choices of Delivery Care Utilization from User Perspective –A Community Study in Vietnam

Abstract

Choices for delivery care are made based on the available resources and influence health outcomes of women and their children. The aim of the paper is to study utilization and preference for delivery care and related factors in one urban and one rural area of northern Vietnam. Two cohorts of pregnant women were carried out in DodaLab and FilaBavi Health and Demographic Surveillance Sites (HDSS) in Hanoi, Vietnam from April 2008 to December 2009. Together, 2515 pregnant women were identified and followed until delivery through quarterly household interviews using structured questionnaires. Almost all women delivered at health care facilities. Most of the rural women gave birth at primary health care facilities (88.5%) while urban women primarily used secondary and tertiary hospitals (93.6%). Caesarean section (CS) was used for 38.5% of births in the urban area and 12.4% in the rural. Giving birth in hospitals and CS were more common among highly educated women, employed women, women living in households or communities with good economic conditions, and women expected to give birth to a son. Technology preference in delivery care was associated with better socioeconomic conditions and expecting a boy. Improving the quality and reputation of primary health care facilities, informing women about CS risks and monitoring indications of CS are important policy issues.

Does Timing of Antenatal Care Initiation and the Contents of Care Have Effect on Caesarean Delivery in Ethiopia? Findings from Demographic and Health Survey

“…Caesarean section deliveries are more frequent amongst primipara women. This study finding is supported by the studies conducted in Jordan [ 25 ], Vietnam [ 33 ], India [ 34 ], and Bangladesh [ 35 ]. Increasing parity was found to be associated with decreased odds of caesarean section delivery which is consistent with the clinical practice in our country.…”

Geographical variability and factors associated with caesarean section delivery in India: a comparative assessment of Bihar and Tamil Nadu

“…The higher prevalence of caesarean delivery was also found among women who married at 18 years or later as compared to their child-married peers (married before 18 years). The chances of maternity complications are significantly higher among women who married at later ages or had first childbirth at later ages found in previous studies [30,31]. Therefore, the possible reason for the high prevalence of caesarean section delivery among older women may be due to maternity complications.…”

Magnitude and correlates of caesarean section in urban and rural areas: A multivariate study in Vietnam

“…This may hold for Vietnam, as this country has ended its demographic transition. Among the other factors of a reduction in fertility, a high age at delivery has been reported as associated with high CS rates in Vietnam [36] [37] and other countries [10] [11] [13] [35]. A study performed in Vietnam showed that discussions with relatives also play a moderating role in helping women to avoid CS [12].…”