Cent Eur J Nurs Midw 2021, 12(4):545-554 | DOI: 10.15452/cejnm.2021.12.0032

Mode of delivery preferences among multiparous women based on previous birth experience

Barbora Ďuríčeková, Zuzana Škodová, Martina Bašková
Department of Midwifery, Jessenius Faculty of Medicine, Comenius University in Bratislava, Slovakia

Aim: To explore associations between expectations regarding birth (including mode of delivery) and experience of the previous birth among multiparous women. Design: A cross-sectional study. Methods: A specially designed questionnaire was used to explore subjective perceptions of previous births. We also used the standardized questionnaire of birth-related fear (W-DEQ). Descriptive statistics and the ANOVA test, chi-square test, and Student t-test were used. The research group consisted of 111 pregnant women with a mean age of 31 (± 3.58) years. Results: Most women preferred cesarean section as a mode of delivery (63.1%). Women who preferred cesarean section less frequently considered experiencing every stage of the birth to be an advantage of vaginal delivery. They more often perceived pelvic floor damage as a disadvantage of vaginal delivery (p = 0.000), and shorter delivery time as an advantage of cesarean section (p = 0.048). Significant fear of childbirth was confirmed in 25.2% of respondents. We found statistical significance between cesarean section preference and increased fear of childbirth (p = 0.05). Conclusion: Focusing on the impact of childbirth on the psychological state of a woman, should be one of the priorities of midwives to reduce fear of subsequent labor and prevent serious mental health issues.

Keywords: cesarean section, fear of childbirth, preference, spontaneous birth

Received: March 31, 2021; Revised: September 22, 2021; Accepted: October 9, 2021; Prepublished online: November 3, 2021; Published: December 7, 2021  Show citation

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Ďuríčeková B, Škodová Z, Bašková M. Mode of delivery preferences among multiparous women based on previous birth experience. Central European Journal of Nursing and Midwifery. 2021;12(4):545-554. doi: 10.15452/cejnm.2021.12.0032.
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