Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada.
Birth. 2012 Mar;39(1):39-47. doi: 10.1111/j.1523-536X.2011.00511.x. Epub 2012 Jan 9.
Cesarean delivery on maternal request is a worldwide growing phenomenon. The goal of this study was to describe young nulliparous women's attitudes about cesarean delivery on maternal request.
A total of 140 nulliparous women in Canada aged between 18 and 24years and attending school from the vocational (n=53), college (n=61), and university (n=18) levels (n=8 other) participated in the survey. The self-administered questionnaire consisted of 23 open-ended questions. The outcome measure was the participant's attitude toward cesarean delivery on maternal request. Descriptive, bivariate, and multiple regression analyses were performed.
Many of the respondents (63%) had previously heard about cesarean delivery on maternal request, and of these women 28.6 percent had a favorable attitude toward the procedure. Sociodemographic variables were not associated with participants' attitudes toward cesarean delivery on maternal request except for place of residence and type of professional preferred for pregnancy care. Thinking that vaginal birth was more painful than cesarean delivery (p=0.012) and had more consequences for the mother (p<0.001) were related to a positive attitude toward cesarean delivery on maternal request. A positive attitude by peers was also associated with participants' favorable attitude toward cesarean delivery on maternal request (p<0.001). The overall predictive success of the model was 66.5 percent.
Young women are spreading the word about cesarean delivery on maternal request and may influence one another about their preferred delivery method. During prenatal visits practitioners need to address women's fear of vaginal birth and its consequences for the mother, counseling, and women's understanding of the consequences of cesarean delivery. This study supports the urgent need to systematically document cesarean delivery on maternal request as a medical procedure and to study its prevalence and related factors.
产妇要求剖宫产是一种在全球范围内不断增长的现象。本研究的目的是描述年轻初产妇对产妇要求剖宫产的态度。
共有 140 名年龄在 18 至 24 岁之间的加拿大未婚初产妇，分别来自职业（n=53）、学院（n=61）和大学（n=18）（n=8 其他），参与了这项调查。自填式问卷包括 23 个开放式问题。结果衡量指标是参与者对产妇要求剖宫产的态度。进行了描述性、双变量和多元回归分析。
许多受访者（63%）之前听说过产妇要求剖宫产，其中 28.6%的人对该手术持赞成态度。社会人口学变量与参与者对产妇要求剖宫产的态度无关，除了居住地和妊娠护理首选的专业类型。认为阴道分娩比剖宫产更痛苦（p=0.012），对母亲的影响更大（p<0.001）与对产妇要求剖宫产的积极态度有关。同伴的积极态度也与参与者对产妇要求剖宫产的赞成态度有关（p<0.001）。该模型的总体预测成功率为 66.5%。
年轻女性正在传播产妇要求剖宫产的信息，并且可能会互相影响她们首选的分娩方式。在产前检查期间，医生需要解决女性对阴道分娩的恐惧及其对母亲的影响，提供咨询，并让女性了解剖宫产的后果。本研究支持系统地记录产妇要求剖宫产作为一种医疗程序的迫切需要，并研究其流行率和相关因素。
