Pregnant Women Priority of Choices about Mode of Delivery: A Mixed Method Study
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 8, Issue 1
Abstract
Background: Near about thirty years ago, there has been a significant raise in caesarean section (CS) rates in middle- and developed countries all over the world. CS rates persist to increase in spite of data that there is no related enhancement to women or babies health; to a certain extent, CS be able to raise the hazard of complications, such as maternal mortality, reproductive tract injuries. There is data that few women truly prefer CS. The study aimed to explore the prevalence of the preferences of pregnant women regarding mode of delivery. A further aim was to identify associated factors and look into reasons for the preference. Methods: A mixed methods design was used. Utilizing a mixed methodology, a self-administered questionnaire was distributed to (473) women and nine in-depth semi-structured interviews with mothers. The response rate was 83% which represented (394) women attending antenatal clinics between June 20 and August 20,2017 in the university maternity and child health hospital, Minia, Egypt. Results: Quantitative findings of the study showed that the mean age of the respondents was 31.6. Less than half (45.4%) of the respondents referred their preference to CS to the trust on the physician experience. With regards to "Reasons for preference of vaginal delivery", 40.6% mentioned that the recovery is faster/better, whereas, 40.1% were for no scar. There were 35.8% said it is a natural process and 34.8% were for no complications. About 24.4% were for less stay in the hospital, while, 22.3% were for less pain. Qualitative findings showed that there are three major themes identified in the study. The first theme is "Ideas". It has three subthemes. The second theme is "Future plans". While, the third theme is "Needs". Conclusion: Preference of the mode of delivery is personal and medical in nature. This means that individual decision should be taken into consideration rendering patient centered care to the pregnant woman during labor. Also, maternal and fetal medical condition should be manage properly.
Authors and Affiliations
Ola Mousa
Keywords
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- EP ID EP437612
- DOI 10.9790/1959-0801038995.
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