Yamasmit Waralak, Chaithongwongwatthana Surasith
Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, University of Bangkok Metropolis, Bangkok, Thailand.
J Med Assoc Thai. 2012 May;95(5):619-24.
To explore the attitudes and wishes of Thai pregnant women regarding modes of delivery.
Four hundred fifteen pregnant women attending the Vajira Hospital antenatal clinic were included in the present study. Data was assembled from the voluntarily self-completion questionnaires completed by the eligible women.
Only 3.1% of the participants could give entirely correct answers in the knowledge module. Most of the respondents (87.5%) preferred vaginal delivery. The most popular reason for the preference for vaginal delivery was desire for a natural process. Fear of labor pain was the most frequent reason of the women who preferred cesarean section. The strongest predictor for patients' preference for cesarean delivery was a prior cesarean section (RR 11.1, 95% CI 4.7 to 26). Thirty-two percent of the participants felt that cesarean delivery on maternal request was their right and they desired to take part in the decision-making for their mode of delivery. Of those women who stated that cesarean section on demand was their right, the majority (77.3%) still preferred vaginal delivery.
Although the proportion of Thai pregnant women who wished to have a cesarean delivery was higher than that of women from other countries, the majority of study participants preferred vaginal delivery.
探讨泰国孕妇对分娩方式的态度和意愿。
本研究纳入了415名在瓦吉拉医院产前诊所就诊的孕妇。数据来自符合条件的女性自愿自行填写的问卷。
在知识模块中，只有3.1%的参与者能够给出完全正确的答案。大多数受访者（87.5%）更喜欢阴道分娩。选择阴道分娩最常见的原因是希望经历自然过程。害怕分娩疼痛是选择剖宫产的女性最常见的原因。患者选择剖宫产的最强预测因素是既往剖宫产史（相对危险度11.1，95%可信区间4.7至26）。32%的参与者认为应产妇要求进行剖宫产是她们的权利，并且她们希望参与分娩方式的决策。在那些表示应要求剖宫产是她们权利的女性中，大多数（77.3%）仍然更喜欢阴道分娩。
尽管希望进行剖宫产的泰国孕妇比例高于其他国家的女性，但大多数研究参与者更喜欢阴道分娩。
