Document Detail


Preferences and concerns for delivery: an antepartum survey.
MedLine Citation:
PMID:  18633559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 < or = 0.001), and need for episiotomy (p < or = .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.
Authors:
Jessica N Bracken; Vicki L Dryfhout; Linda M Goldenhar; Rachel N Pauls
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2008-07-17
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  19     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-09-29     Completed Date:  2009-01-27     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  1527-31     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Bethesda North Hospital, 10475 Montgomery Road Suite 4G, Cincinnati, OH, 45242, USA. jessica.bracken@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Delivery, Obstetric / psychology*,  statistics & numerical data
Female
Humans
Ohio
Patient Satisfaction*
Population Surveillance / methods*
Postpartum Period*
Pregnancy
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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