The Preferences of Modes of Child Delivery and Associated Factors Among Pregnant Women in Southern Ethiopia

Abstract

Background The purpose of the study was to identify the choice of mode of delivery and the factors associated with such preferences among pregnant women attending antenatal care services in Southern Ethiopia. Methods Using an institutional-based cross-sectional survey, quantitative data were collected from randomly selected pregnant women in Southern Ethiopia. A semi-structured questionnaire was distributed to pregnant women who had been attending antenatal healthcare services in purposively selected public and private healthcare facilities in Shashemene town. The completed cases were inserted into SPSS version 26 in which both descriptive and inferential statistical techniques were used to analyze the data. Results It was found that 75.4% of respondents replied that they prefer vaginal delivery while 24.6% had chosen cesarean section. Personal conviction motivated by the need to experience the labor process, the belief in it being a natural method, the perception that it is better for the wellbeing of both the mother and the child, previous experience of delivery by vaginal method, fear or the need to avoid episiotomy, and economic concerns have been mentioned as reasons for the choice of vaginal delivery. Moreover, respondents’ choice of the mode of delivery is significantly associated with religion, age, number of children, pregnancy experience, previous mode of delivery, self-rated social class status, autonomy to decide about mode of delivery, and type of healthcare organization of antenatal care attendance. Conclusion Although vaginal delivery has remained the most preferred mode of delivery among most pregnant women, about a quarter of pregnant women have reported that they prefer to deliver by cesarean section, a prevalence rate which is higher than the national average, indicating that the choice of cesarean section is still increasing among women.

Statistical Analysis of Regional Heterogeneity of Marital Dissolution Among Women in Ethiopia, EDHS 2016: Application of Multilevel Logistic Regression Model

“…Women with secondary and higher education were less likely to be divorced compared to women with no education. This finding supports the research findings of [22] and consistent with the results of [20]. The result of this study revealed that number of living children in the household is an important variable which significantly affects marital dissolution due to divorce, which is consistent with [13] results.…”

“…The result of this study shows that there is a difference in women"s divorce status among rural and urban residence. It indicates that marital dissolution is higher among women who reside in rural areas than for urban women, which is consistent with results obtained by [20,21]. Women with secondary and higher education were less likely to be divorced compared to women with no education.…”

Preference of cesarean delivery and its associated factors among pregnant women attending ante natal care at public health facilities of Debrebrehan City, Ethiopia: Cross-sectional study

“…Similar studies have been conducted in Ethiopia and other countries. This result is almost similar to the study in the southern part of Ethiopia and in Harer, which is 24.6% and 28%, respectively [ 21 , 31 ]. The similarity may be that both studies were conducted during the ANC visit.…”

Implementation of Robson classification for caesarean section using health insurance claims: the experience of Indonesia

“…The high CS rates in group 1 (nulliparous women in spontaneous labor) could drive the increase rate of CS in subsequent pregnancies (group 5) [26]. Factors that might be associated with the increase CS rate in the first pregnancy are advanced maternal age [27], obesity [28], hypertension during pregnancy [29], fear of pain in labor, convenience [30], physician-induced demand [31], and inappropriate maternity care [32,33]. In our study, only 15.8% of the mothers were in the age group above 35 years old.…”