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[Factors associated with preference for cesarean delivery].

Alexandre Faisal-Cury1, Paulo Rossi Menezes

  • 1Núcleo de Epidemiologia, Hospital Universitário, Universidade de São Paulo, São Paulo, SP, Brasil.

Revista De Saude Publica
|April 4, 2006
PubMed
Summary

Women with prior vaginal births showed less desire for cesarean delivery. Income and previous delivery satisfaction also influenced cesarean preference in pregnant individuals without complications.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Health
  • Sociology of Health

Context:

  • Investigating patient preferences for delivery methods is crucial for informed decision-making.
  • Understanding factors influencing cesarean delivery preference is essential for obstetric care.
  • This study focuses on pregnant women without medical complications, isolating psychosocial and socioeconomic influences.

Purpose:

  • To identify sociodemographic and obstetric factors associated with a preference for cesarean delivery among pregnant women without medical complications.
  • To analyze the relationship between previous delivery experiences, income, and the desire for cesarean birth.

Summary:

  • A cross-sectional study of 156 pregnant women revealed that 42.9% had low motivation for vaginal delivery.

Related Experiment Videos

  • Multivariate analysis indicated that a previous vaginal birth significantly decreased the likelihood of choosing cesarean delivery (ORadj=0.04).
  • Higher husband's monthly income (>$750 reais) was associated with an increased preference for cesarean delivery (ORadj=3.44).

    • Impact:

    • Findings highlight the importance of considering patient history and socioeconomic factors in discussions about delivery preferences.
    • Results can inform counseling strategies to address motivations for cesarean delivery.
    • Understanding these influences can contribute to more patient-centered obstetric care and potentially reduce unnecessary cesarean rates.