Non-pregnant patients? preference for delivery route

Abstract

The objective of the study was to survey non-pregnant women regarding their preference for obstetric delivery route and to assess their awareness of the maternal and fetal risks of obstetric delivery. We wished to determine the percentage of non-pregnant women who would choose elective cesarean section and to correlate demographic factors. We compared women who elected cesarean delivery versus vaginal delivery. All patients presenting for routine gynecologic care were asked to complete an anonymous survey. Demographic variables analyzed were patient age, race, employment, insurance type and household income. Secondary data regarding knowledge of the risks and benefits of cesarean and vaginal delivery were assessed with a Likert Scale. Of patients surveyed, 13.3% preferred cesarean section. The only significant demographic factor was was race, with 21.7% of non-whites and 7.8% of whites choosing cesarean section. Most patients agreed that elective cesarean sections should be performed and reimbursed by insurance. The majority of women answered neutral regarding the maternal and neonatal risks of obstetrical delivery. The unique feature of this observational study is the sole participation of non-pregnant patients. The percentage of women who would elect cesarean section has significant public health implications. The only difference noted between demographic groups is that non-white women had a stronger preference for cesarean. Without counseling, most women are unsure of the risks of delivery route on maternal and neonatal health.

Preferences and concerns for delivery: an antepartum survey

“…Our finding of 10.4% of our population preferring a cesarean is consistent with the 8.2%-13.3% reported [14,15]. Hildingsson et al [14], in a Swedish population, found request for cesarean was related to history of cesarean, fear of giving birth, and having a previously negative birth experience.…”

“…We did not ask about fear of birth, however in our study, a previous negative birth experience was not a significant factor in patients' preference for cesarean. Thurman [15] surveyed a nonpregnant population preference for delivery route. Thirteen percent of 164 women elected to have cesarean; however, details were not obtained regarding motivation for their choice.…”

Prevalence and correlates of stress urinary incontinence during pregnancy: a survey at UNICAMP Medical School, São Paulo, Brazil

“…Cesarean section rates, mainly in Brazil, have reached Thurman [16], in a recent survey about preference for obstetric delivery, found that only 13.3% of the women interviewed would prefer cesarean section. The only significant demographic factor was race, with 21.7% of non-whites choosing c-section.…”

Vaginal Birth or Cesarean Section: Recommendations of Women Who Delivered Via Both Methods

“…Studies have found that 6% of women pregnant with their first child and 13.3% of non-pregnant women stated a preference for cesarean section [8][9]. The primary reasons included fear of vaginal birth, bypassing risks to the fetus from vaginal birth, and protecting the lower genital tract from trauma.…”