Chilean women's preferences regarding mode of delivery: which do they prefer and why?
Chilean women's preferences regarding mode of delivery: which do they prefer and why?
复制标题
DOI：
10.1111/j.1471-0528.2006.01069.x
复制
发表时间：
2006-11-01
影响因子：
5.8
通讯作者：
Caughey, A. B.
中科院分区：
文献类型：
--
作者：
Angeja, A. C. E.;Washington, A. E.;Caughey, A. B.
目的据报道，智利某些人群的剖腹产率高达60%。本研究的目的是确定智利孕妇对分娩方式的偏好。设计面试官管理的横断面调查。设置产前诊所在圣地亚哥，智利。人口孕妇在圣地亚哥，智利。方法180名妇女完成问卷，90人在私人诊所接受采访（剖腹产率60%），90人在公共诊所接受采访（剖腹产率22%）。收集的数据包括人口统计学资料，首选的分娩方式，以及妇女对阴道和剖腹产的态度。Maion结局测量分娩方式的偏好，对分娩方式的看法，以1-7 Likert量表测量。公立诊所（11%首选剖腹产）和私人诊所（8%首选剖腹产，P = 0.74）之间的偏好没有统计学差异。总体而言，倾向于剖腹产的妇女比其他组略年长（31.6岁，而倾向于阴道分娩的妇女为28.4岁，没有偏好的妇女为27.3岁，P = 0.05），但在产次、收入或教育方面没有差异。在1-7分的量表上，倾向于剖腹产的女性认为阴道分娩更痛苦，而倾向于阴道分娩的女性认为疼痛较轻（5.8比3.7，P = 0.003）。无论是阴道分娩还是剖腹产，各组都认为他们首选的分娩方式对婴儿更安全（P < 0.001）。结论智利妇女不喜欢剖腹产阴道分娩，即使在剖腹产更普遍的实践环境中。因此，妇女的偏好不太可能是导致智利剖腹产率高的最重要因素。
Objective Caesarean section rates in Chile are reported to be as high as 60% in some populations. The purpose of this study was to determine pregnant Chilean women's preferences towards mode of delivery.Design Interviewer-administered cross-sectional survey.Setting Prenatal clinics in Santiago, Chile.Population Pregnant women in Santiago, Chile.Methods Of 180 women completing the questionnaire, 90 were interviewed at a private clinic (caesarean delivery rate 60%) and 90 were interviewed at a public clinic (cesarean delivery rate 22%). Data collected included demographics, preferred mode of delivery, and women's attitudes towards vaginal and caesarean deliveries.Maion outcome measures Mode of delivery preferences, perceptions of mode of delivery measured on a 1-7 Likert scale.Results The majority of women (77.8%) preferred vaginal delivery, 9.4% preferred caesarean section, and 12.8% had no preference. There was no statistical difference in preference between the public clinic (11% preferred caesarean) and the private clinic (8% preferred caesarean, P = 0.74). Overall, women preferring caesarean birth were slightly older than other groups (31.6 years, versus 28.4 years for women who preferred vaginal and 27.3 years for women who had no preference, P = 0.05), but there were otherwise no differences in parity, income, or education. On a scale of 1-7, women preferring caesarean birth rated vaginal birth as more painful, while women preferring vaginal birth rated it as less painful (5.8 versus 3.7, P = 0.003). Whether vaginal or caesarean, each group felt that their preferred mode of delivery was safer for their baby (P < 0.001).Conclusions Chilean women do not prefer caesarean section to vaginal delivery, even in a practice setting where caesarean delivery is more prevalent. Thus, women's preferences is unlikely to be the most significant factor driving the high caesarean rates in Chile.