Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study
Introduction: The rate of cesarean section (CS) for non-medical reasons has risen and it is a concern for health care. Women’s preferences may vary across countries for psychosocial or obstetric reasons. Methods: A prospective cohort study of 6549 women in routine antenatal care giving birth in Belg...
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ftntnutrondheimi:oai:ntnuopen.ntnu.no:11250/2443632 2023-05-15T16:48:44+02:00 Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study Ryding, Elsa Lena Lukasse, Mirjam Kristjansdottir, Hildur Steingrimsdottir, Thora Schei, Berit 2016 http://hdl.handle.net/11250/2443632 https://doi.org/10.1080/0167482X.2016.1181055 eng eng Taylor and Francis Journal of Psychosomatic Obstetrics and Gynaecology. 2016, 37 (3), 75-83. urn:issn:0167-482X http://hdl.handle.net/11250/2443632 https://doi.org/10.1080/0167482X.2016.1181055 cristin:1363612 75-83 37 Journal of Psychosomatic Obstetrics and Gynaecology 3 Journal article Peer reviewed 2016 ftntnutrondheimi https://doi.org/10.1080/0167482X.2016.1181055 2019-09-17T06:52:23Z Introduction: The rate of cesarean section (CS) for non-medical reasons has risen and it is a concern for health care. Women’s preferences may vary across countries for psychosocial or obstetric reasons. Methods: A prospective cohort study of 6549 women in routine antenatal care giving birth in Belgium, Iceland, Denmark, Estonia, Norway or Sweden. Preference for mode of birth was self-reported in mid-pregnancy. Birth outcome data were collected from hospital records. Results: A CS was preferred by 3.5% of primiparous women and 8.7% of the multiparous women. Preference for CS was associated with severe fear of childbirth (FOC), with a negative birth experience in multiparous women and with depressive symptoms in the primiparous. Women were somewhat more prone to prefer a cesarean in Iceland, odd ratio (OR) 1.70 (1.02–2.83), adjusted for age, education, depression, FOC, history of abuse, previous cesarean and negative birth experience. Out of the 404 women who preferred CS during pregnancy, 286 (70.8%) delivered by CS, mostly for a medical indication. A total of 9% of the cesareans in the cohort had a non-medical indication only. Conclusions: Women’s preference for CS often seems to be due to health concerns. Both medical and psychological factors need to be addressed in antenatal counseling. Obstetricians need to convey accurately to women the risks and benefits of CS in her specific case. Maternity professionals should identify and explore psychosocial reasons for women’s preferences. submittedVersion This is a manuscript of an article published by Taylor & Francis in Journal of Psychosomatic Obstetrics & Gynecology on 08 Jun 2016, available online: http://www.tandfonline.com/doi/full/10.1080/0167482X.2016.1181055 Article in Journal/Newspaper Iceland NTNU Open Archive (Norwegian University of Science and Technology) Norway Journal of Psychosomatic Obstetrics & Gynecology 37 3 75 83 |
institution |
Open Polar |
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NTNU Open Archive (Norwegian University of Science and Technology) |
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ftntnutrondheimi |
language |
English |
description |
Introduction: The rate of cesarean section (CS) for non-medical reasons has risen and it is a concern for health care. Women’s preferences may vary across countries for psychosocial or obstetric reasons. Methods: A prospective cohort study of 6549 women in routine antenatal care giving birth in Belgium, Iceland, Denmark, Estonia, Norway or Sweden. Preference for mode of birth was self-reported in mid-pregnancy. Birth outcome data were collected from hospital records. Results: A CS was preferred by 3.5% of primiparous women and 8.7% of the multiparous women. Preference for CS was associated with severe fear of childbirth (FOC), with a negative birth experience in multiparous women and with depressive symptoms in the primiparous. Women were somewhat more prone to prefer a cesarean in Iceland, odd ratio (OR) 1.70 (1.02–2.83), adjusted for age, education, depression, FOC, history of abuse, previous cesarean and negative birth experience. Out of the 404 women who preferred CS during pregnancy, 286 (70.8%) delivered by CS, mostly for a medical indication. A total of 9% of the cesareans in the cohort had a non-medical indication only. Conclusions: Women’s preference for CS often seems to be due to health concerns. Both medical and psychological factors need to be addressed in antenatal counseling. Obstetricians need to convey accurately to women the risks and benefits of CS in her specific case. Maternity professionals should identify and explore psychosocial reasons for women’s preferences. submittedVersion This is a manuscript of an article published by Taylor & Francis in Journal of Psychosomatic Obstetrics & Gynecology on 08 Jun 2016, available online: http://www.tandfonline.com/doi/full/10.1080/0167482X.2016.1181055 |
format |
Article in Journal/Newspaper |
author |
Ryding, Elsa Lena Lukasse, Mirjam Kristjansdottir, Hildur Steingrimsdottir, Thora Schei, Berit |
spellingShingle |
Ryding, Elsa Lena Lukasse, Mirjam Kristjansdottir, Hildur Steingrimsdottir, Thora Schei, Berit Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study |
author_facet |
Ryding, Elsa Lena Lukasse, Mirjam Kristjansdottir, Hildur Steingrimsdottir, Thora Schei, Berit |
author_sort |
Ryding, Elsa Lena |
title |
Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study |
title_short |
Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study |
title_full |
Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study |
title_fullStr |
Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study |
title_full_unstemmed |
Pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study |
title_sort |
pregnant women's preference for cesarean section and subsequent mode of birth - a six-country cohort study |
publisher |
Taylor and Francis |
publishDate |
2016 |
url |
http://hdl.handle.net/11250/2443632 https://doi.org/10.1080/0167482X.2016.1181055 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
75-83 37 Journal of Psychosomatic Obstetrics and Gynaecology 3 |
op_relation |
Journal of Psychosomatic Obstetrics and Gynaecology. 2016, 37 (3), 75-83. urn:issn:0167-482X http://hdl.handle.net/11250/2443632 https://doi.org/10.1080/0167482X.2016.1181055 cristin:1363612 |
op_doi |
https://doi.org/10.1080/0167482X.2016.1181055 |
container_title |
Journal of Psychosomatic Obstetrics & Gynecology |
container_volume |
37 |
container_issue |
3 |
container_start_page |
75 |
op_container_end_page |
83 |
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