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Published on: January 27, 2010
Patients' satisfaction with and attitudes toward vaginal delivery
Mary T McLennan1, Beverly Alten, Clifford Melick
1Department of Obstetrics, Gynecology and Women's Health, Saint Louis University School of Medicine, St. Louis, Missouri 63117, USA. mclennam@slucare1.sluh.edu
Most postpartum women are satisfied with their delivery mode and feel well-informed. Even with higher reported risks of urinary incontinence, few would opt for cesarean section over vaginal birth.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Pelvic Floor Disorders
Background:
- Patient satisfaction with delivery mode is crucial in postpartum care.
- Understanding factors influencing delivery choices, including information on potential complications like urinary incontinence, is important for informed decision-making.
Purpose of the Study:
- To assess patient satisfaction with their chosen mode of delivery.
- To evaluate if information regarding urinary incontinence risk influences decisions between vaginal birth and cesarean section.
Main Methods:
- An anonymous questionnaire was administered to postpartum women.
- Participants provided details on delivery, complications, information received, and satisfaction with delivery mode.
- Hypothetical risk scenarios for urinary incontinence were presented to gauge decision-making.
Main Results:
- A high percentage (86.4%) of respondents felt they received adequate information about delivery risks.
- A majority (61.5%) did not believe cesarean section would prevent urinary or fecal incontinence.
- Few women (5.7-21.9%) indicated a willingness to choose cesarean section to prevent urinary incontinence, regardless of the presented risk magnitude.
Conclusions:
- Postpartum women generally express satisfaction with their delivery mode.
- The majority of patients felt adequately informed about available delivery options.
- Increased perceived risk of urinary incontinence did not significantly alter preferences for vaginal delivery over cesarean section.
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