Attitudes of Singapore women toward cesarean and vaginal deliveries
Attitudes of Singapore women toward cesarean and vaginal deliveries
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DOI：
10.1016/s0020-7292(02)00391-0
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发表时间：
2003-02-01
影响因子：
3.8
通讯作者：
Mongelli, M
中科院分区：
文献类型：
--
作者：
Chong, ESY;Mongelli, M
目的：评估亚洲孕妇对剖腹产和阴道分娩的态度、知识和期望。研究方法：对国立大学医院产前门诊的孕妇进行了书面问卷调查，并将160份答复制成表格，使用SPSS软件进行分析。结果：参与率为65%，50%的受访者是中国人，20%的印度人，21%的马来人，2%的白色，和9.2%的其他。中位年龄为31岁，约43%为老年人。只有3.7%的人更愿意选择剖腹产，尽管50%的人有朋友或亲戚要求剖腹产，但只有3%的人认为这影响了他们的偏好。选择剖腹产的最常见原因是避免分娩疼痛和降低胎儿窘迫的风险。当被问及他们会向朋友推荐哪种方式时，只有2%的人表示他们会推荐剖宫产;然而，71%的人表示妇女应该有权要求剖宫产。对阴道分娩和剖宫产引起的并发症的认识普遍较低，与这些并发症的发生频率有关。人口学特征与产妇分娩方式选择无显著相关性。结论：亚洲妇女大多喜欢阴道分娩，他们对剖腹产的态度与西方妇女相当。文化或种族差异不太可能影响新加坡妇女对剖宫产的偏好。(C)2002年国际妇产科联合会由Elsevier Science爱尔兰有限公司出版。保留所有权利。
Objectives: To assess the attitude, knowledge, and expectations of Asian pregnant women toward cesarean and vaginal deliveries. Methods: Written questionnaires were given to pregnant women attending the National University Hospital antenatal clinics, and 160 responses were tabulated and analyzed using SPSS software. Results: The participation rate was 65% and 50% of the respondents were Chinese, 20% Indian, 21% Malay, 2% White, and 9.2% Other. The median age was 31 years, and approximately 43% were primiparas. Only 3.7% of them would prefer an elective cesarean delivery, and although 50% had friends or relatives who requested one, only 3% felt that this influenced their preference. The most common reasons for choosing a cesarean delivery were avoiding labor pains and lowering the risk of fetal distress. When asked which modality they would recommend to their friends, only 2% expressed that they would recommend cesarean delivery; however, 71% stated that women should have the right to request a cesarean delivery. Awareness of complications arising from vaginal and cesarean deliveries was generally low and related to the frequency of these complications. There was no significant correlation between demographic characteristics and maternal preference for mode of delivery. Conclusions: Asian women largely prefer a vaginal delivery, and their attitude toward cesarean delivery on demand is comparable with that of Western women. Cultural or ethnic differences are unlikely to affect maternal preference for cesarean delivery in Singapore women. (C) 2002 International Federation of Gynecology and Obstetrics.. Published by Elsevier Science Ireland Ltd. All rights reserved.