Factors associated with preference for cesarean delivery
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32025 |
Resumo: | OBJECTIVE: To study factors related to preference for cesarean delivery, among pregnant women without medical complications. METHODS: A cross-sectional study was carried out among 156 pregnant women, in a private clinic in the city of Osasco, State of São Paulo, from October 2000 to December 2001. The pregnant women were at 28 weeks of pregnancy or more, with no formal contraindication for vaginal delivery at the time of the interview. Sociodemographic data and past and present obstetric history were assessed by applying a questionnaire. The pregnant women were specifically asked what their current preference for delivery was. Pearson's Chi-square test and logistic regression for multivariate analysis were performed with a 5% significance level. RESULTS: Sixty-seven pregnant women (42.9%) said they had little motivation to undergo vaginal delivery. In the multivariate analysis, the following variables were statistically significant: previous vaginal birth (p=0.001; ORadj=0.04; 95% CI=0.01-0.12); husband's monthly income greater than 750 reais (p=0.006, ORadj=3.44; 95% CI=1.38-8.33). The women with a previous vaginal delivery presented 25-fold lower chance of choosing cesarean delivery. The opinion that the previous delivery experience was unsatisfactory was marginally associated with the main outcome (p=0.06; ORadj=0.42; 95% CI=0.16-1.05). CONCLUSIONS: Motivation for cesarean delivery is associated with influences such as the type and degree of satisfaction with previous delivery and income. |
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Factors associated with preference for cesarean delivery Fatores associados à preferência por cesareana Parto obstétricoParto normalSatisfação do pacienteConhecimentosatitudes e prática em saúdeDelivery obstetricsNatural childbirthPatient satisfactionHealth knowledgeattitudes & practice OBJECTIVE: To study factors related to preference for cesarean delivery, among pregnant women without medical complications. METHODS: A cross-sectional study was carried out among 156 pregnant women, in a private clinic in the city of Osasco, State of São Paulo, from October 2000 to December 2001. The pregnant women were at 28 weeks of pregnancy or more, with no formal contraindication for vaginal delivery at the time of the interview. Sociodemographic data and past and present obstetric history were assessed by applying a questionnaire. The pregnant women were specifically asked what their current preference for delivery was. Pearson's Chi-square test and logistic regression for multivariate analysis were performed with a 5% significance level. RESULTS: Sixty-seven pregnant women (42.9%) said they had little motivation to undergo vaginal delivery. In the multivariate analysis, the following variables were statistically significant: previous vaginal birth (p=0.001; ORadj=0.04; 95% CI=0.01-0.12); husband's monthly income greater than 750 reais (p=0.006, ORadj=3.44; 95% CI=1.38-8.33). The women with a previous vaginal delivery presented 25-fold lower chance of choosing cesarean delivery. The opinion that the previous delivery experience was unsatisfactory was marginally associated with the main outcome (p=0.06; ORadj=0.42; 95% CI=0.16-1.05). CONCLUSIONS: Motivation for cesarean delivery is associated with influences such as the type and degree of satisfaction with previous delivery and income. OBJETIVO: Estudar os fatores relacionados à preferência por cesariana, em gestantes sem intercorrências. MÉTODOS: Estudo transversal com 156 gestantes, de clínica privada na cidade de Osasco, Estado de São Paulo, no período de outubro de 2000 a dezembro de 2001. As gestantes estavam em idade gestacional de 28 semanas ou mais, sem contra-indicação formal para parto vaginal, no momento da entrevista. Foi aplicado questionário sobre informações sociodemográficas, história obstétrica passada e atual. Perguntou-se à gestante questão específica sobre preferência para o parto. Realizou-se teste do qui-quadrado de Pearson e regressão logística para análise multivariada, com nível de significância de 5%. RESULTADOS: Sessenta e sete (42,9%) gestantes se diziam pouco motivadas para parto vaginal. Na análise multivariada foram estatisticamente significativas as seguintes variáveis: parto vaginal prévio (pUniversidade de São Paulo. Faculdade de Saúde Pública2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3202510.1590/S0034-89102006000200007Revista de Saúde Pública; Vol. 40 No. 2 (2006); 226-232 Revista de Saúde Pública; Vol. 40 Núm. 2 (2006); 226-232 Revista de Saúde Pública; v. 40 n. 2 (2006); 226-232 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32025/34059https://www.revistas.usp.br/rsp/article/view/32025/34060Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFaisal-Cury, AlexandreMenezes, Paulo Rossi2012-07-08T22:59:54Zoai:revistas.usp.br:article/32025Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:59:54Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with preference for cesarean delivery Fatores associados à preferência por cesareana |
title |
Factors associated with preference for cesarean delivery |
spellingShingle |
Factors associated with preference for cesarean delivery Faisal-Cury, Alexandre Parto obstétrico Parto normal Satisfação do paciente Conhecimentos atitudes e prática em saúde Delivery obstetrics Natural childbirth Patient satisfaction Health knowledge attitudes & practice |
title_short |
Factors associated with preference for cesarean delivery |
title_full |
Factors associated with preference for cesarean delivery |
title_fullStr |
Factors associated with preference for cesarean delivery |
title_full_unstemmed |
Factors associated with preference for cesarean delivery |
title_sort |
Factors associated with preference for cesarean delivery |
author |
Faisal-Cury, Alexandre |
author_facet |
Faisal-Cury, Alexandre Menezes, Paulo Rossi |
author_role |
author |
author2 |
Menezes, Paulo Rossi |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Faisal-Cury, Alexandre Menezes, Paulo Rossi |
dc.subject.por.fl_str_mv |
Parto obstétrico Parto normal Satisfação do paciente Conhecimentos atitudes e prática em saúde Delivery obstetrics Natural childbirth Patient satisfaction Health knowledge attitudes & practice |
topic |
Parto obstétrico Parto normal Satisfação do paciente Conhecimentos atitudes e prática em saúde Delivery obstetrics Natural childbirth Patient satisfaction Health knowledge attitudes & practice |
description |
OBJECTIVE: To study factors related to preference for cesarean delivery, among pregnant women without medical complications. METHODS: A cross-sectional study was carried out among 156 pregnant women, in a private clinic in the city of Osasco, State of São Paulo, from October 2000 to December 2001. The pregnant women were at 28 weeks of pregnancy or more, with no formal contraindication for vaginal delivery at the time of the interview. Sociodemographic data and past and present obstetric history were assessed by applying a questionnaire. The pregnant women were specifically asked what their current preference for delivery was. Pearson's Chi-square test and logistic regression for multivariate analysis were performed with a 5% significance level. RESULTS: Sixty-seven pregnant women (42.9%) said they had little motivation to undergo vaginal delivery. In the multivariate analysis, the following variables were statistically significant: previous vaginal birth (p=0.001; ORadj=0.04; 95% CI=0.01-0.12); husband's monthly income greater than 750 reais (p=0.006, ORadj=3.44; 95% CI=1.38-8.33). The women with a previous vaginal delivery presented 25-fold lower chance of choosing cesarean delivery. The opinion that the previous delivery experience was unsatisfactory was marginally associated with the main outcome (p=0.06; ORadj=0.42; 95% CI=0.16-1.05). CONCLUSIONS: Motivation for cesarean delivery is associated with influences such as the type and degree of satisfaction with previous delivery and income. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32025 10.1590/S0034-89102006000200007 |
url |
https://www.revistas.usp.br/rsp/article/view/32025 |
identifier_str_mv |
10.1590/S0034-89102006000200007 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32025/34059 https://www.revistas.usp.br/rsp/article/view/32025/34060 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 40 No. 2 (2006); 226-232 Revista de Saúde Pública; Vol. 40 Núm. 2 (2006); 226-232 Revista de Saúde Pública; v. 40 n. 2 (2006); 226-232 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221784567447552 |