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Determinants of Delivery Mode Preferences and Decision-Making Among Jordanian Women: A Cross-Sectional Study
Hala Bawadi1, Zaid Hamdan2, Nagham Abu Shaqra3
1Department of Maternal and Child Health, School of Nursing, The University of Jordan, Amman, Jordan, ju.edu.jo.
Background:
The birthing process presents women with both physical and emotional challenges. In recent years, there has been a notable global rise in cesarean section (CS) rates-particularly elective CS-including in Jordan. Numerous personal, cultural, and healthcare system-related factors contribute to women's increasing preference for CS over vaginal delivery. This study explores the factors influencing Jordanian women's knowledge, beliefs, and preferences regarding mode of delivery and their involvement in related decision-making.
Methods:
A cross-sectional study was conducted among Jordanian women in their second or third trimester of pregnancy, who were either primiparous or para-one. A structured self-administered questionnaire was used to collect data from a sample of 378 participants, encompassing demographic details, knowledge, preferences, beliefs, and decision-making related to delivery mode.
Results:
Most participants (57.2%) were between 25 and 34 years of age, and 63.0% were in their third trimester. Doctors (81.5%) and nurses (39.6%) were the most frequently cited sources of information about maternal health. The average knowledge score was 71.4%, with higher knowledge levels observed among women receiving prenatal care at university-affiliated or private facilities. Preference leaned more strongly toward vaginal delivery over CS. Belief scores averaged 73.3%, though several misconceptions persisted. Decision-making scores were moderate, with higher involvement observed among women with better knowledge and more positive preferences toward vaginal delivery. Regional disparities were evident, with women in the southern region demonstrating greater decision-making participation than those in central areas.
Implications:
The findings underscore the importance of enhancing prenatal education and healthcare counseling tailored to women's regional and educational contexts. Increasing awareness of the benefits and risks associated with both CS and vaginal birth can support informed, autonomous decisions and improve maternal care outcomes across Jordan.
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