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Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China

BACKGROUND: An unnecessary Caesarean section (CS) can cause increased maternal and perinatal morbidity and other adverse short- and long-term outcomes. However, countries worldwide have witnessed an increasing trend toward the use of CS. Our objectives were to explore the influencing factors associa...

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Autores principales: Shi, Yuhui, Jiang, Ying, Zeng, Qingqi, Yuan, Yanfei, Yin, Hui, Chang, Chun, Pang, Ruyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869289/
https://www.ncbi.nlm.nih.gov/pubmed/27185247
http://dx.doi.org/10.1186/s12884-016-0897-9
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author Shi, Yuhui
Jiang, Ying
Zeng, Qingqi
Yuan, Yanfei
Yin, Hui
Chang, Chun
Pang, Ruyan
author_facet Shi, Yuhui
Jiang, Ying
Zeng, Qingqi
Yuan, Yanfei
Yin, Hui
Chang, Chun
Pang, Ruyan
author_sort Shi, Yuhui
collection PubMed
description BACKGROUND: An unnecessary Caesarean section (CS) can cause increased maternal and perinatal morbidity and other adverse short- and long-term outcomes. However, countries worldwide have witnessed an increasing trend toward the use of CS. Our objectives were to explore the influencing factors associated with the mode of birth among childbearing women in Hunan Province and to provide evidence and suggestions for the improvement and further understanding of vaginal birth (VB) in China. METHODS: A total of 977 childbearing women (375 pregnant women and 602 mothers of infants) were enrolled in this study using a two-stage cluster sampling method, and a self-administered questionnaire was used to collect data relating to the mode of birth. A t-test and χ(2)-test were used to analyse the differences between groups, and logistic regression analysis was used to explore the factors that influenced the mode of birth. RESULTS: The VB ratio was 46.2 %, while the CS ratio was 53.8 % in Hunan Province. Among women whose preference was VB, only 69.4 % gave birth by VB. Among women whose preference was CS, 98.1 % gave birth by CS. The top four reasons for preferring CS were a lack of confidence in VB (37.3 %), an abnormality in the prenatal examination (36.6 %), the notion that the baby would suffer fewer risks (34.8 %) and the fear of pain from VB (32.7 %). Age, prenatal examination, and doctors’ suggestion were significantly associated with women’s mode of birth preference, while place of household registration, husband’s preference, prenatal examination and doctors’ suggestion had a significant influence on women who changed their choice from VB to CS. CONCLUSIONS: The percentage of CS in Hunan was extremely high. Medical factors, such as abnormalities in prenatal examinations, and non-medical factors, such as a lack of confidence in VB, the fear of pain during VB, the desire to select the time of birth and healthy birth systems, should be seriously considered. Targeted health promotion interventions should be implemented to improve the performance of VB. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12884-016-0897-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-48692892016-05-18 Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China Shi, Yuhui Jiang, Ying Zeng, Qingqi Yuan, Yanfei Yin, Hui Chang, Chun Pang, Ruyan BMC Pregnancy Childbirth Research Article BACKGROUND: An unnecessary Caesarean section (CS) can cause increased maternal and perinatal morbidity and other adverse short- and long-term outcomes. However, countries worldwide have witnessed an increasing trend toward the use of CS. Our objectives were to explore the influencing factors associated with the mode of birth among childbearing women in Hunan Province and to provide evidence and suggestions for the improvement and further understanding of vaginal birth (VB) in China. METHODS: A total of 977 childbearing women (375 pregnant women and 602 mothers of infants) were enrolled in this study using a two-stage cluster sampling method, and a self-administered questionnaire was used to collect data relating to the mode of birth. A t-test and χ(2)-test were used to analyse the differences between groups, and logistic regression analysis was used to explore the factors that influenced the mode of birth. RESULTS: The VB ratio was 46.2 %, while the CS ratio was 53.8 % in Hunan Province. Among women whose preference was VB, only 69.4 % gave birth by VB. Among women whose preference was CS, 98.1 % gave birth by CS. The top four reasons for preferring CS were a lack of confidence in VB (37.3 %), an abnormality in the prenatal examination (36.6 %), the notion that the baby would suffer fewer risks (34.8 %) and the fear of pain from VB (32.7 %). Age, prenatal examination, and doctors’ suggestion were significantly associated with women’s mode of birth preference, while place of household registration, husband’s preference, prenatal examination and doctors’ suggestion had a significant influence on women who changed their choice from VB to CS. CONCLUSIONS: The percentage of CS in Hunan was extremely high. Medical factors, such as abnormalities in prenatal examinations, and non-medical factors, such as a lack of confidence in VB, the fear of pain during VB, the desire to select the time of birth and healthy birth systems, should be seriously considered. Targeted health promotion interventions should be implemented to improve the performance of VB. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12884-016-0897-9) contains supplementary material, which is available to authorized users. BioMed Central 2016-05-16 /pmc/articles/PMC4869289/ /pubmed/27185247 http://dx.doi.org/10.1186/s12884-016-0897-9 Text en © Shi et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Shi, Yuhui
Jiang, Ying
Zeng, Qingqi
Yuan, Yanfei
Yin, Hui
Chang, Chun
Pang, Ruyan
Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China
title Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China
title_full Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China
title_fullStr Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China
title_full_unstemmed Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China
title_short Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China
title_sort influencing factors associated with the mode of birth among childbearing women in hunan province: a cross-sectional study in china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869289/
https://www.ncbi.nlm.nih.gov/pubmed/27185247
http://dx.doi.org/10.1186/s12884-016-0897-9
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