Nguyen Tham Thi, Nguyen Long Hoang, Nguyen Ha Thu Thi, Dam Vu Anh Trong, Vu Thuc Minh Thi, Latkin Carl A, Zhang Melvyn W B, Ho Roger C M, Ho Cyrus S H
Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam.
Faculty of Nursing, Duy Tan University, Da Nang, Vietnam.
Front Med (Lausanne). 2024 Jan 30;11:1290232. doi: 10.3389/fmed.2024.1290232. eCollection 2024.
Understanding childbirth delivery and pain relief method preferences is important as a part of the shared decision-making process between pregnant women and health professionals. This study aimed to examine the preferences for childbirth delivery modes and pain relief methods and factors related to these preferences among pregnant women in Vietnam.
A cross-sectional survey on pregnant women was conducted in two obstetrics hospitals in Vietnam. Face-to-face interviews using a structured questionnaire were performed to collect information about sociodemographic characteristics, pregnancy characteristics, preferences for different childbirth delivery modes, and pain relief methods. Multivariate logistic regression was employed for determining associated factors with the preferences.
Of 576 pregnant women, 34% of participants preferred cesarean section. Most of the sample did not have any preferences for specific pharmacological pain relief methods (70.1%), while support from partner/relatives was the most preferable non-pharmacological method (61.3%), following by water birth (11.1%) and acupuncture (9.9%). Desire to have another baby, relatives' experience, selection date of birth, and instrumental social support were major drivers of the cesarean section selection. This preference was an important factor in the preference for pharmacological pain relief. Meanwhile, high levels of informational and emotional support were associated with non-pharmacological method preference.
This study highlighted a high preference rate for cesarean section in urban pregnant women in Vietnam. Holistic approaches from family, health facility, and policy should be performed to diminish the cesarean rate preference and promote the use of non-pharmacological pain relief methods during birth.
了解分娩方式和疼痛缓解方法的偏好是孕妇与医疗专业人员共同决策过程的重要组成部分。本研究旨在调查越南孕妇对分娩方式和疼痛缓解方法的偏好以及与这些偏好相关的因素。
在越南的两家产科医院对孕妇进行了横断面调查。使用结构化问卷进行面对面访谈，以收集有关社会人口学特征、妊娠特征、对不同分娩方式的偏好以及疼痛缓解方法的信息。采用多因素逻辑回归确定与偏好相关的因素。
在576名孕妇中，34%的参与者更喜欢剖宫产。大多数样本对特定的药物止痛方法没有偏好（70.1%），而伴侣/亲属的支持是最受欢迎的非药物方法（61.3%），其次是水中分娩（11.1%）和针灸（9.9%）。想要再要一个孩子、亲属的经验、出生日期的选择以及工具性社会支持是选择剖宫产的主要驱动因素。这种偏好是药物止痛偏好的一个重要因素。同时，高水平的信息支持和情感支持与非药物方法偏好相关。
本研究强调越南城市孕妇对剖宫产的偏好率较高。应采取家庭、医疗机构和政策的整体方法，以降低剖宫产率偏好，并促进分娩期间使用非药物止痛方法。
