The preferred mode of delivery among primigravida Middle Eastern Women. A questionnaire based study

Abstract

The preferred mode of delivery among primigravida Middle Eastern Women. A questionnaire based study Batool Ali H. Alkhazal1 , Majed Abdullah Halawani1 , Ibtihal Omar Alsahabi1 , Hassan S.O. Abduljabbar2, * 1 College of medicine, King Abdulaziz University, 21412Jeddah, Saudi Arabia 2Department of Obstetrics & Gynecology, Medical College, King Abdulaziz University, 21452Jeddah, Kingdom of Saudi Arabia *Correspondence: profaj17@yahoo.com (Hassan S.O. Abduljabbar) DOI:10.31083/j.ceog.2021.03.2384 This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/). Submitted: 26 November 2020 Revised: 18 January 2021 Accepted: 22 January 2021 Published: 15 June 2021 Background: Cesarean section (C/S) and Vaginal delivery are two methods of delivery, Cesarean section sometimes indicted for obstetrical reason but primigravida might have a preference of the mode of delivery. Our aim was to explore the preferred mode of delivery chosen by pregnant nulliparous women visiting the out-patient Obstetrics Department at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. A secondary aim was to identify associated factors and investigate reasons for their preference. Method: This was a cross-sectional study conducted at KAUH from October 2018–October 2019. All nulliparous women who were willing to participate were included. The questionnaire had 19 questions, containing six domains. Results: 104 primigravida women participated; their ages ranged from 18 to 41 years(mean±SD27.31±5.41). 85.5%preferredspontaneousvaginal delivery (SVD) because they considered it to be natural (OR (95% CI) = 0.696 (0.575–0.842) P<0.001). They also preferred SVD because of a quick recovery (OR (95% CI) = 0.084 (0.011–0.670) P = 0.003). Pain or concern about the stress to herself or her baby did not aȞfect the mother's decision. The husband inȠluenced the decision (OR (95% CI) = 11.944 (2.710–52.644) P = 0.002), more so than the inȠluence of the woman's mother (OR 95% CI = 0.225 (0.063–0.806) P = 0.029). The inȠluence of doctors and friends was not significant (P= 0.132 and 0.627, respectively). Conclusion: The preferred mode of delivery chosen by primigravid pregnant women was SVD, only 13.5% preferred C/S. Factors that have a positive impact on the preference for C/S were anxiety, fear of labor pain, and negative labor experience. Keywords Cesarean section; Mode of delivery; Primigravida