Kovavisarach Ekachai, Sukontaman Wipawan
J Med Assoc Thai. 2017 Feb;100 Suppl 1:S131-5.
Pregnant women who prefer cesarean delivery may request it without any obstetric indication, and this could be one of the reasons for the high rates of cesarean deliveries.
To determine the route of delivery preferred by Thai pregnant women.
A cross-sectional study was performed of Thai pregnant women who attended the antenatal care (ANC) clinic in Rajavithi Hospital between February 1, 2011 and July 31, 2011. Participants were interviewed by one of the researchers using questionnaires relating to their preferred route of delivery assuming they were in the scenario of term pregnancy with uncomplicated singleton cephalic presentation.
Most cases (418/440, 95%) preferred vaginal delivery. The most common reason given for choosing vaginal delivery was faster recovery (49.8%) while the main motivation stated for cesarean delivery was fear of pain during vaginal delivery (68.2%). Dissatisfaction with previous birth experience was the only factor significantly associated with preference for cesarean delivery (p<0.05).
Most Thai pregnant women (95%) attending the ANC clinic at Rajavithi Hospital preferred vaginal delivery. Dissatisfaction with previous birth experience was the only factor significantly associated with choice of the cesarean route.
倾向于剖宫产的孕妇可能在没有任何产科指征的情况下要求剖宫产，这可能是剖宫产率居高不下的原因之一。
确定泰国孕妇偏好的分娩方式。
对2011年2月1日至2011年7月31日期间在拉贾维蒂医院产前保健（ANC）门诊就诊的泰国孕妇进行了一项横断面研究。研究人员之一使用与她们假设处于足月妊娠且单胎头先露无并发症情况下偏好的分娩方式相关的问卷对参与者进行访谈。
大多数病例（418/440，95%）偏好阴道分娩。选择阴道分娩最常见的原因是恢复更快（49.8%），而剖宫产的主要动机是害怕阴道分娩时的疼痛（68.2%）。对既往分娩经历不满意是与剖宫产偏好显著相关的唯一因素（p<0.05）。
在拉贾维蒂医院产前保健门诊就诊的大多数泰国孕妇（95%）偏好阴道分娩。对既往分娩经历不满意是与剖宫产选择显著相关的唯一因素。
