Chilean women's preferences regarding mode of delivery: which do they prefer and why?

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dc.contributor.authorAngeja, A. C. E.
dc.contributor.authorWashington, A. E.
dc.contributor.authorVargas, J. E.
dc.contributor.authorGomez, R.
dc.contributor.authorRojas, I.
dc.contributor.authorCaughey, A. B.
dc.date.accessioned2025-01-21T01:05:51Z
dc.date.available2025-01-21T01:05:51Z
dc.date.issued2006
dc.description.abstractObjective Caesarean section rates in Chile are reported to be as high as 60% in some populations. The purpose of this study was to determine pregnant Chilean women's preferences towards mode of delivery.
dc.description.abstractDesign Interviewer-administered cross-sectional survey.
dc.description.abstractSetting Prenatal clinics in Santiago, Chile.
dc.description.abstractPopulation Pregnant women in Santiago, Chile.
dc.description.abstractMethods Of 180 women completing the questionnaire, 90 were interviewed at a private clinic (caesarean delivery rate 60%) and 90 were interviewed at a public clinic (cesarean delivery rate 22%). Data collected included demographics, preferred mode of delivery, and women's attitudes towards vaginal and caesarean deliveries.
dc.description.abstractMaion outcome measures Mode of delivery preferences, perceptions of mode of delivery measured on a 1-7 Likert scale.
dc.description.abstractResults The majority of women (77.8%) preferred vaginal delivery, 9.4% preferred caesarean section, and 12.8% had no preference. There was no statistical difference in preference between the public clinic (11% preferred caesarean) and the private clinic (8% preferred caesarean, P = 0.74). Overall, women preferring caesarean birth were slightly older than other groups (31.6 years, versus 28.4 years for women who preferred vaginal and 27.3 years for women who had no preference, P = 0.05), but there were otherwise no differences in parity, income, or education. On a scale of 1-7, women preferring caesarean birth rated vaginal birth as more painful, while women preferring vaginal birth rated it as less painful (5.8 versus 3.7, P = 0.003). Whether vaginal or caesarean, each group felt that their preferred mode of delivery was safer for their baby (P < 0.001).
dc.description.abstractConclusions Chilean women do not prefer caesarean section to vaginal delivery, even in a practice setting where caesarean delivery is more prevalent. Thus, women's preferences is unlikely to be the most significant factor driving the high caesarean rates in Chile.
dc.description.funderNICHD NIH HHS
dc.fuente.origenWOS
dc.identifier.doi10.1111/j.1471-0528.2006.01069.x
dc.identifier.eissn1471-0528
dc.identifier.issn1470-0328
dc.identifier.urihttps://doi.org/10.1111/j.1471-0528.2006.01069.x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/96030
dc.identifier.wosidWOS:000241234600006
dc.issue.numero11
dc.language.isoen
dc.pagina.final1258
dc.pagina.inicio1253
dc.revistaBjog-an international journal of obstetrics and gynaecology
dc.rightsacceso restringido
dc.subjectcaesarean
dc.subjectelective caesarean
dc.subjectmode of delivery
dc.subjectpatient preferences
dc.subject.ods03 Good Health and Well-being
dc.subject.ods05 Gender Equality
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa05 Igualdad de género
dc.titleChilean women's preferences regarding mode of delivery: which do they prefer and why?
dc.typeartículo
dc.volumen113
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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