Preferences and concerns for delivery: an antepartum survey.

Autor: Jessica Bracken, Vicki Dryfhout, Linda Goldenhar, Rachel Pauls
Předmět:
Zdroj: International Urogynecology Journal; Nov2008, Vol. 19 Issue 11, p1527-1531, 5p
Abstrakt: Abstract  Little is known regarding patient preferences for method of delivery despite concern about rising cesarean section rates. We hypothesize that the majority of pregnant women desire a vaginal birth. An anonymous survey was distributed to pregnant women assessing demographics, pregnancy history, delivery preference, and concern for outcomes. Five-hundred fifty respondents completed the survey; 43% were nulliparous. The majority preferred vaginal delivery (89.6%). Reasons included reduced recovery pain (72%), scars (68%), and bleeding (48%). Cesarean deliveries were believed to cause more maternal injuries (39%), but affect sexual function less (35%). Nulliparas were more concerned about vaginal support damage (p = .005), sexual function changes (p ≤ 0.001), and need for episiotomy (p ≤ .001). Despite this, 93% of nulliparas chose vaginal birth. Increased parity was associated with preference for cesarean delivery (r = 0.108, p = 0.013). Despite nulliparas’ concerns about complications of vaginal delivery, the majority of pregnant women would choose vaginal birth. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index