Factors associated with Chinese pregnant women’s preference for a cesarean section based on the theory of planned behaviour

Abstract

objectives Cesarean delivery on maternal request is one of the important public health issues in China. Our study aimed to apply the theory of planned behaviour to comprehensively determine the factors regarding pregnant women's preference for cesarean section and to provide references for establishing measures to reduce cesarean delivery on maternal request.methods This cross-sectional analysis was conducted in four women's and children's hospitals in China from May to June 2018. Eligible women arriving for routine antenatal visits at these hospitals were recruited to answer a structured questionnaire. A total of 1853 pregnant women consented to participate in the investigation, with a response rate of 88.75%. Finally, 1677 pregnant women (984 nulliparae and 693 multiparae) were involved in the analysis. Descriptive statistics and logistic regression analyses were used.results Of the study participants, 20.39% preferred cesarean section. For both nulliparae and multiparae, those who had lower scores of attitudes towards vaginal delivery, lower scores of childbirth self-efficacy and higher scores of subjective norms were more likely to prefer cesarean section.conclusions Pregnant women's birth preferences were significantly associated with their attitudes towards the delivery mode, childbirth self-efficacy and subjective norms, which is consistent with the theory of planned behaviour. Interventions to reduce cesarean delivery on maternal request can be developed based on the theory of planned behaviour.keywords delivery preferences, cesarean section, theory of planned behaviour, nullipara, multipara Sustainable Development Goals (SDG): SDG 3 (good health and well-being)

The Effect of Skin-to-Skin Contact on Postoperative Depression and Physical Recovery of Parturients after Cesarean Section in Obstetrics and Gynecology Department

“…Moreover, cesarean section will bring many complications to parturients after operation, such as postpartum hemorrhage, insufficient uterine contractility, wound infection, endometritis, urinary system infection, bladder or intestinal injury caused by surgery, postpartum pain, pelvic vein thrombosis, intraoperative bleeding, and many recent complications [ 5 ]. In addition, there will be complications such as uterine scar pregnancy, abnormal placenta position, and chronic pelvic inflammatory disease [ 6 ]. More importantly, the recovery of cesarean section parturients is not so fast compared to normal parturients, which is mainly reflected in breast secretion and wound pain.…”

Theoretical Explanation of Upper Limb Functional Exercise and Its Maintenance in Postoperative Patients With Breast Cancer

“…TPB has a good guiding role in the interpretation, prediction, and intervention of behaviors. Studies have shown that TPB can explain the cesarean section behavior of Chinese pregnant women ( Sun et al, 2020 ), and predict binge drinking behavior ( Lawental et al, 2018 ), and develop intervention strategies to reduce alcohol consumption ( Norman et al, 2018 ), etc. However, it still have some limitations in using these theories to explain the key factors of behavioral variables ( Pudkasam et al, 2018 ), and nearly 50% of behavioral intention and variance of behaviors have not been explained ( Shen et al, 2010 ).…”