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01.12.2016 | Research article | Ausgabe 1/2016 Open Access

BMC Pregnancy and Childbirth 1/2016

Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China

Zeitschrift:
BMC Pregnancy and Childbirth > Ausgabe 1/2016
Autoren:
Yuhui Shi, Ying Jiang, Qingqi Zeng, Yanfei Yuan, Hui Yin, Chun Chang, Ruyan Pang
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12884-016-0897-9) contains supplementary material, which is available to authorized users.
Yuhui Shi and Ying Jiang are co-first author.

Competing interests

The authors declare that they have no competing interest.

Authors’ contribution

YS, co-investigator, had primary responsibility for the conception of the analysis, oversight of the implementation of the research, analysis and preparation of the manuscript. YJ, co-investigator, performed data analyses, drafted the manuscript and incorporated critical revisions. QZ, YY, co-investigator, assisted with data acquisition, cleaning and analysis. HY contributed to the interpretation of the results and revised successive versions of the article. CC, as a co-investigator, was responsible for the management of data collection, training, oversight and interpretation of the data and critical revisions of the manuscript. RP assisted with study implementation and assisted with critical revisions of the manuscript. All of the authors provided critical revisions of the manuscript and final approval of its content.

Abstract

Background

An unnecessary Caesarean section (CS) can cause increased maternal and perinatal morbidity and other adverse short- and long-term outcomes. However, countries worldwide have witnessed an increasing trend toward the use of CS. Our objectives were to explore the influencing factors associated with the mode of birth among childbearing women in Hunan Province and to provide evidence and suggestions for the improvement and further understanding of vaginal birth (VB) in China.

Methods

A total of 977 childbearing women (375 pregnant women and 602 mothers of infants) were enrolled in this study using a two-stage cluster sampling method, and a self-administered questionnaire was used to collect data relating to the mode of birth. A t-test and χ 2-test were used to analyse the differences between groups, and logistic regression analysis was used to explore the factors that influenced the mode of birth.

Results

The VB ratio was 46.2 %, while the CS ratio was 53.8 % in Hunan Province. Among women whose preference was VB, only 69.4 % gave birth by VB. Among women whose preference was CS, 98.1 % gave birth by CS. The top four reasons for preferring CS were a lack of confidence in VB (37.3 %), an abnormality in the prenatal examination (36.6 %), the notion that the baby would suffer fewer risks (34.8 %) and the fear of pain from VB (32.7 %). Age, prenatal examination, and doctors’ suggestion were significantly associated with women’s mode of birth preference, while place of household registration, husband’s preference, prenatal examination and doctors’ suggestion had a significant influence on women who changed their choice from VB to CS.

Conclusions

The percentage of CS in Hunan was extremely high. Medical factors, such as abnormalities in prenatal examinations, and non-medical factors, such as a lack of confidence in VB, the fear of pain during VB, the desire to select the time of birth and healthy birth systems, should be seriously considered. Targeted health promotion interventions should be implemented to improve the performance of VB.
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