Delivery preferences of pregnant women: Do not underestimate the effect of friends and relatives.

INTRODUCTION

The mode of delivery is of vital importance to the health of both mother and child. We aimed to determine the preferences of pregnant women for the mode of delivery and the associated factors concerning their choices.

METHODS

In this descriptive study, a sample size of 418 individuals are needed to calculate an expected prevalence of 45% with an error of margin of 5%, a confidence interval of 95% and considering potential non-respondents of 10%. Sixteen subjects refused to take part in the study, 402 pregnant women presenting to hospitals in Erzurum city center during December 2016 and January 2017 consisted the study group. Distribution percentages were calculated based on the numbers of births in the hospitals. A questionnaire incluiding questions about sociodemographic characteristics, factors that may affect women's delivery preferences, delivery preferences, and the reasons for those preferences was used to collect the data. Data were analyzed on the SPSS 22.0 statistical software. The Chi-Square, Student t-tests and binary logistic regression analysis were used. p < 0.05 was regarded as statistically significant.

RESULTS

The proportion of cesarean delivery preferences was 69(17.2%). Women's preferences for normal vaginal delivery (NVD) or CS deliveries were significantly affected by the previous type of delivery (p < 0.001), type of pregnancy (natural vs. assisted) (p = 0.021) and problems in CS delivery among friends and relatives (p = 0.009). No statistically significant correlation was observed between delivery preferences and women's age, monthly family income, employment status, age at marriage, duration of the marriage, previous miscarriage, age at first delivery, and possession of information concerning types of delivery (p > 0.05). Multivariate analysis proved cesarean section experience, the presence of cesarean-related problems among relatives and educational status as independent affecting factors.

CONCLUSION

This investigation demonstrated women in Erzurum prefer substantially vaginal delivery. Family and relatives are essential for decision making, which suggests considering peer education as a method of information delivery.