Women's preference for cesarean delivery and differences between Taiwanese women undergoing different modes of delivery

Chu, Kuei Hui; Tai, Chen Jei; Hsu, Chien Chin; Yeh, Mei Chiang; Chien, Li Yin

doi:10.1186/1472-6963-10-138

Cited by 54 publications

(65 citation statements)

References 21 publications

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“…In this study, observation in the rural but not in the urban area indicated that most women used and to some extent overused care at hospital level. The percentage of CS birth also increased with age [30]. Women who received adequate use of ANC more frequently gave birth in hospitals and were more often assisted by physicians.…”

Section: Factors Associated With User Technology Preferencementioning

confidence: 81%

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

Toàn¹,

Eriksson²,

An³

et al. 2013

AJPHR

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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.

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Section: Factors Associated With User Technology Preferencementioning

confidence: 81%

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

Toàn¹,

Eriksson²,

An³

et al. 2013

AJPHR

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show abstract

“…Women's fear of natural labor and the perception that CD is safest for the infant is shared by a large number of women, but these beliefs are in part shaped by the information provided by health professionals [28] . Though there is not published evidence from Mainland China, the evidence in Taiwan shows that women in the early part of their pregnancy are more likely to prefer vaginal delivery but that preference changes in the later stages of their pregnancy after repeated interaction with their physicians [29] .…”

Section: The Case Of Chinamentioning

confidence: 97%

Factors associated with high Cesarean deliveries in China and Brazil - A Call for reducing elective surgeries in moving towards Universal Health Coverage

Hou¹,

Rakhshani

Iunes³

2014

JHA

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Background: Annually 6.2 million unnecessary Cesarean Deliveries (CD) are performed globally. Such high unnecessary CD rate is a concern not only due to the additional financial burden it places on the health system, but also because the quality of care could be compromised. There is an even more imperative need to reduce elective surgeries in moving towards the Universal Health Coverage (UHC), to ensure the ever stretched resources are effectively channeled for the best health outcomes. Methods:The paper uses a case study method. China and Brazil were selected primarily due to their alarmingly high number and percentage of the CD rate. Systematic literature review was conducted and the analyses were structured based on the framework "Determinants of High Cesarean Delivery Rates", developed by the authors. Results:In China and Brazil, cultural belief, fear of labor pain and patient's perception regarding quality of care may play a role in the patient's preference for CD but these perceptions are shaped by their health care providers as well. The principal-agent relation comes into play as the health professionals can modify perceived needs of their patients. Availability of health insurance to mothers, physicians' preference for convenient working hours, and payment incentives for performing higher yielding Cesarean procedures are driving the high CD rate phenomena in China and Brazil.Understand the social determinants of CD and using various instruments to change women's perceptions of birthing options and physicians' behaviors are critical in managing the CD rate. Conclusion:In the context of the rapid movement towards UHC, the evidence presented in this paper supports the call for implementing complementary policy interventions and regulation to ensure minimal efficiency loss due to resources being diverted to unnecessary procedures or hospital stays.

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“…In addition, Chu et al [42] study conducted in Taiwan regarding cesarean delivery preference who found that 86.5% of women were pregnant between 37-40 weeks.…”

Section: Discussionmentioning

confidence: 99%

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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Women's preference for cesarean delivery and differences between Taiwanese women undergoing different modes of delivery

Cited by 54 publications

References 21 publications

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

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

Factors associated with high Cesarean deliveries in China and Brazil - A Call for reducing elective surgeries in moving towards Universal Health Coverage

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

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