Women’s views and preferences regarding the mode of birth after cesarean section: Polish cross-sectional web-based survey

Sys, Dorota; Baranowska, Barbara; Kajdy, Anna; Tataj‐Puzyna, Urszula; Gotlib, Joanna; Bączek, Grażyna; Juszczakiewicz, Paulina; Rabijewski, Michał

doi:10.1016/j.ejogrb.2022.04.006

Cited by 9 publications

(6 citation statements)

References 39 publications

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“…The study included women interested in the topic of childbirth after cesarean section. According to the analysis presented in our previous study, those who preferred VBAC were more actively seeking information on the topic on the internet, so they may have been more likely to respond to the invitation to participate in the study than women who preferred birth by cesarean section [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

The Experience of Women Giving Birth after Cesarean Section—A Longitudinal Observational Study

Sys,

Kajdy,

Niżniowska

et al. 2023

Healthcare

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Natural childbirth after a previous cesarean section is a debated issue despite scientific research and international recommendations. This study aimed to examine the experiences of women giving birth after a previous cesarean section, their preferences, and changes in attitudes towards childbirth after labor. This longitudinal study involved 288 pregnant women who had a previous cesarean section and completed a web-based questionnaire before and after labor, including information about their obstetric history, birth beliefs, and preferred mode of delivery. Among women who preferred a vaginal birth, nearly 80% tried it and 49.78% finished delivery by this mode. Among women declaring a preference for an elective cesarean section, 30% attempted a vaginal birth. Choosing a hospital where staff supported their decision (regardless of the decision) was the most helpful factor in preparing for labor after a cesarean section (63.19%). Women’s birth preferences changed after labor, with women who had a vaginal birth after a cesarean section preferring this mode of delivery in their next pregnancy (89.34%). The mode of birth did not always follow the women’s preferences, with some women who preferred a natural childbirth undergoing an elective cesarean section for medical reasons. A variety of changes were noticeable among women giving birth after a cesarean section, with a large proportion preferring natural birth in their next pregnancy. Hospitals should support women’s birth preferences after a cesarean section (if medically appropriate), providing comprehensive counseling, resources, and emotional support to ensure informed decisions and positive birth experiences.

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Section: Discussionmentioning

confidence: 99%

The Experience of Women Giving Birth after Cesarean Section—A Longitudinal Observational Study

Sys,

Kajdy,

Niżniowska

et al. 2023

Healthcare

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“…Another prospective observational study conducted in Japan confirmed that the prevalence of TOLAC as the preferred mode of delivery was 64.1%, which is consistent with this study [ 20 ]. Additional research from various countries and institutions revealed that the majority of mothers with previous cesarean scars opted for a trial of labor; in the United States, 83.6% of mothers [ 10 ], Pakistan, 80.7% of mothers [ 21 ], Poland, 73.3% of mothers [ 22 ], and Australia [ 23 ], the majority of mothers also opt for TOLAC. The finding may indicate that the majority of mothers prefer natural labor.…”

Section: Discussionmentioning

confidence: 99%

Preferred mode of delivery and its associated factors in pregnant women with a previous cesarean scar at a tertiary care hospital in Ethiopia: institutional-based cross-sectional study

Wagaw,

Sendekie,

Nigatu

et al. 2023

BMC Pregnancy Childbirth

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Background Vaginal births after cesarean or elective repeat cesarean sections (CS) are the options for delivery after one cesarean scar. However, there is a lack of data regarding the preferred next mode of delivery in Ethiopia after a previous cesarean section. Thus, this study assessed the preferred mode of delivery and determinants after one previous CS in the antenatal clinic at the University of Gondar Comprehensive Specialized Hospital (UoGCSH). Methods An institutional-based cross-sectional study was conducted among pregnant mothers with one previous CS at UoGCSH from March to August 2022. Structured questionnaires were used to collect the data. The collected data were entered, cleaned, and edited using Epi-data 4.6 and exported to SPSS version 26 for analysis. A binary logistic regression was performed to assess the determinants of the preferred mode of delivery. A p-value of < 0.05 at the 95% confidence level (CI) was considered statistically significant. Results The majority, 71.5% (95% CI: 64.7, 77.1), of participants preferred the trial of labor after cesarean (TOLAC) as their mode of delivery. Mothers who were married (AOR = 4.47, 95% CI: 1.19–16.85), had a diploma educational level (AOR = 3.77, 95% CI: 1.84–12.36), had previous post-cesarean complications (AOR = 3.25, 95% CI: 1.08–9.74), and knew about the success of the trial of labor after cesarean (AOR = 13.56, 95% CI: 4.52–37.19) were found to prefer the trial of labor compared with their counterparts. Conclusion This study concluded that most pregnant mothers preferred labor trials after one CS, which is a bit lower but comparable with recommended practice guidelines. Providing adequate information and counseling mothers to make informed decisions about their preferred mode of delivery could be substantial.

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“…In the middle and highly developed countries, almost half of the women gave birth by CS. Poland has one of the highest percentages of cesarean sections (42%) in Europe, where the average is 27% [46]. We are still looking for strategies to reduce CS and we should also consider education on the benefits of maintaining a healthy BMI as part of pre-conceptual care.…”

Section: Discussionmentioning

confidence: 99%

“…We are still looking for strategies to reduce CS and we should also consider education on the benefits of maintaining a healthy BMI as part of pre-conceptual care. Many authors obtained results that associated increasing BMI with increasing rates of adverse obstetric outcomes, including higher rates of CS [46][47][48].…”

Section: Discussionmentioning

confidence: 99%

Can Pre-Pregnancy Body Mass Index and Maternal Exercise Affect Birth and Neonatal Outcomes—A Cross Sectional Study

Szablewska,

Wierzba,

Santos-Rocha

et al. 2023

Nutrients

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There has been a dramatic worldwide increase in the prevalence of obesity or overweight and physical inactivity in women of reproductive age. Growing evidence suggests that pre-pregnancy maternal abnormal body mass index (BMI) and lower physical activity level are associated with poor maternal health and perinatal outcomes. The aim of this study was to assess how self-perceived exercise and pre-pregnancy BMI are associated with preterm birth, low birth weight, and type of birth. We conducted a retrospective cross-sectional study of 394 Polish women in the postpartum period. We used a questionnaire with the structure of the medical interview. To analyze factors related to birth outcomes, we used the Pearson’s Chi-squared test of independence and odds ratio (OR), with a corresponding 95% confidence interval (CI), followed by a multiple logistic regression. Women who reported being physically active before pregnancy (p = 0.00) and during pregnancy (p = 0.03) were more likely to give birth on time and had a lower incidence of very-premature and extremely premature births compared to inactive women. Importantly, they were more likely to have vaginal birth (p = 0.03). Pre-pregnancy BMI influenced the week of delivery, i.e., inadequate, too-high BMI contributed to an increase in the percentage of premature births [OR (95% CI) = 1.19 (1.06; 1.34)]. The findings indicate that promoting physical activity and weight management remains a priority in public health policy, and women of childbearing age should be encouraged to adopt or maintain an active and healthy lifestyle during pregnancy in order to avoid sedentary- and obesity-associated risks affecting birth and newborns’ health.

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Women’s views and preferences regarding the mode of birth after cesarean section: Polish cross-sectional web-based survey

Cited by 9 publications

References 39 publications

The Experience of Women Giving Birth after Cesarean Section—A Longitudinal Observational Study

The Experience of Women Giving Birth after Cesarean Section—A Longitudinal Observational Study

Preferred mode of delivery and its associated factors in pregnant women with a previous cesarean scar at a tertiary care hospital in Ethiopia: institutional-based cross-sectional study

Can Pre-Pregnancy Body Mass Index and Maternal Exercise Affect Birth and Neonatal Outcomes—A Cross Sectional Study

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