Mode of delivery preferences among multiparous women based on previous birth experience

Abstract Background Women’s empowerment, and maternal and neonatal health are important targets of the Sustainable Development Goals. Our objective is to examine the relationship between women’s empowerment and elective cesarean section (ECS), focusing on Vietnam, a country where the use of CS has increased rapidly in recent decades, which raises public health concerns. Methods We hypothesized that in the context of the developing biomedicalization of childbirth, women’s empowerment increases the use of ECS due to a woman’s enhanced ability to decide her mode of delivery. By using microdata from the 2013–2014 Multiple Indicator Clusters Survey, we conducted a multivariate analysis of the correlates of ECS. We studied a representative sample of 1343 institutional single birth deliveries. Due to higher ECS rates among multiparous (18.4%) than primiparous women (10.1%) and the potential interaction between parity and other correlates, we used separate models for primiparous and multiparous women. Results Among the indicators of women’s external resources, which include a higher level of education, having worked during the previous 12 months, and having one’s own mobile phone, only education differed between primiparous and multiparous women, with a higher level among primiparous women. Among primiparous women, no resource indicator was significantly linked to ECS. However, considering women’s empowerment facilitated the identification of the negative impact of having had fewer than 3 antenatal care visits on the use of ECS. Among multiparous women, disapproval of intimate partner violence (IPV) was associated with a doubled likelihood of undergoing ECS (odds ratio = 2.415), and living in an urban area also doubled the likelihood of ECS. The positive association with living in the richest household quintile was no longer significant when attitude towards IPV was included in the model. In both groups, being aged 35 or older increased the likelihood of undergoing ECS, and this impact was stronger in primiparous women. Conclusions These results underline the multidimensionality of empowerment, its links to other correlates and its contribution to clarifying the influence of these correlates, particularly for distinguishing between medical and sociocultural determinants. The results advocate for the integration of women's empowerment into policies aimed at reducing ECS rates.

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Prior breastfeeding experience and infant feeding at discharge among women with pregestational diabetes mellitus

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-190308 ◽

2020 ◽

Vol 13 (4) ◽

pp. 563-570 ◽

Cited By ~ 1

Author(s):

L. Cordero ◽

M.R. Stenger ◽

S.D. Blaney ◽

M.M. Finneran ◽

C.A. Nankervis

Keyword(s):

Diabetes Mellitus ◽

Infant Feeding ◽

Mode Of Delivery ◽

Feeding Preference ◽

Pregestational Diabetes ◽

First Feeding ◽

Multiparous Women ◽

Nicu Admission ◽

Living Children ◽

Exclusive Or

OBJECTIVE: To compare multiparous women with pregestational diabetes mellitus (PGDM) with and without prior breastfeeding (BF) experience and to ascertain their infants’ feeding type during hospitalization and at discharge. METHODS: A retrospective cohort study of 304 women with PGDM who delivered at ≥34 weeks gestational age (GA). Prior BF experience and infant feeding preference was declared prenatally. At discharge, BF was defined as exclusive or partial. RESULTS: BF experience and no experience groups were similar in diabetes type 1 and 2, race and number of pregnancies. Women with no experience had more spontaneous abortions (35 vs 27%), fewer term deliveries (51 vs 61%) and living children (median 1 vs 2). In the current pregnancy, mode of delivery: vaginal (36 & 37%), cesarean (64 & 63%), birthweight (3592 & 3515 g), GA (38 & 37 w), NICU admission (14 & 11%) and hypoglycemia (44 & 43%) were similar. Women with experience intended to BF (79 vs 46%), their infants’ first feeding was BF (64 vs 36%) and had lactation consults (96 vs 63%) more often than those without experience. At discharge, women with BF experience were different in rate of exclusive BF (33 vs 11%), partial BF (48 vs 25%) and formula feeding (19 vs 64%). CONCLUSION: Prior BF experience leads to better BF initiation rates while the absence of BF experience adds a risk for BF initiation failure. A detailed BF history could provide insight into obstacles that lead to unsuccessful BF experiences and may help define appropriate preventive or corrective strategies.

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Factors affecting mode of delivery in labour following a single previous birth by caesarean section

Journal of Obstetrics and Gynaecology ◽

10.3109/01443619609030044 ◽

1996 ◽

Vol 16 (5) ◽

pp. 353-357 ◽

Cited By ~ 10

Author(s):

J. M. Stronge ◽

Kathryn McQuillan ◽

M. Robson ◽

H. Johnson

Keyword(s):

Caesarean Section ◽

Mode Of Delivery ◽

Factors Affecting ◽

Previous Birth

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Women’s experience of unplanned out-of-hospital birth in paramedic care

10.21203/rs.2.9599/v3 ◽

2019 ◽

Author(s):

Belinda Flanagan ◽

Bill Lord ◽

Rachel Reed ◽

Gail Crimmins

Keyword(s):

Clinical Outcomes ◽

Interpersonal Skills ◽

Hospital Setting ◽

Birth Experience ◽

Personal Beliefs ◽

Birth Process ◽

Quality Research ◽

Hospital Birth ◽

Previous Birth ◽

Experiences Of Women

Abstract Background Healthcare literature describes predisposing factors, clinical risk, maternal and neonatal clinical outcomes of unplanned out-of-hospital birth; however, there is little quality research available that explores the experiences of mothers who birth prior to arrival at hospital. Methods This study utilised a narrative inquiry methodology to explore the experiences of women who birth in paramedic care. Results The inquiry was underscored by twenty-two narrative interviews of women who birthed in paramedic care in Queensland, Australia between 2011-2016. This data identified factors that contributed to the planned hospital birth occurring in the out-of-hospital setting. Women in this study began their story by discussing previous birth experience and their knowledge, expectations and personal beliefs concerning the birth process. Specific to the actual birth event, women reported feeling empowered, confident and exhilarated. However, some participants also identified concerns with paramedics practice; lack of privacy, poor interpersonal skills, and a lack of consent for certain procedures. Conclusions This study identified several factors and a subset of factors that contributed to their experiences of the planned hospital birth occurring in the out-of-hospital setting. Women described opportunities for improvement in the care provided by paramedics, specifically some deficiencies in technical and interpersonal skills.

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02 Women’s experience of unplanned out-of-hospital birth in paramedic care

Emergency Medicine Journal ◽

10.1136/emermed-2019-999.2 ◽

2019 ◽

Vol 36 (1) ◽

pp. e1.2-e2 ◽

Cited By ~ 2

Author(s):

Belinda Flanagan ◽

Bill Lord ◽

Rachel Reed ◽

Gail Crimmins

Keyword(s):

Hospital Setting ◽

Recent Experience ◽

Care Providers ◽

Birth Experience ◽

Intrapartum Care ◽

Care Needs ◽

Birth Process ◽

Hospital Birth ◽

Previous Birth ◽

Experiences Of Women

BackgroundParamedics assess, treat and transport labouring women who require intrapartum care in the out-of-hospital setting, yet very little is known about the experiences of mothers who birth whilst being supported by paramedics. Internationally, the healthcare literature describes predisposing factors, clinical risk and maternal and neonatal clinical outcome. However, there is little quality research available that explores the care provided by paramedics or that describes the views of women with recent experience of birth involving paramedic care.MethodsThrough narrative inquiry this study utilised a feminist approach to explore the experiences of women who birth in paramedic care, their care needs, and the physical, emotional and psychosocial issues surrounding these cases.Results22 narrative interviews with women who birthed in paramedic care in Australia within the last 5 years were undertaken. This identified a series of factors that contributed to the planned hospital birth occurring in the out-of-hospital setting. The Results identified the themes: Birth Knowledge, The Birth Experience and Reflections on Birth. Women in this study began their story by discussing previous birth experience and their knowledge and personal beliefs concerning the birth process. Women described their previous interactions with maternity care providers and issues that caused them to delay attending hospital. Specific to the birth event, women reported feeling empowered, confident and exhilarated during the birth. However, they also identified concerns with paramedics not providing privacy, having poor interpersonal skills, a lack of consent for procedures, feeling judged and issues related to bonding.ConclusionThis study identified a series of factors that contribute to the planned hospital birth occurring in the out-of-hospital setting. Women described various deficiencies in the antenatal and intrapartum care received by maternity services in Australia. Women also described opportunities for improvement in the care provided by paramedics, specifically deficiencies in technical and non-technical skills.

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Women’s experience of unplanned out-of-hospital birth in paramedic care

10.21203/rs.2.9599/v1 ◽

2019 ◽

Author(s):

Belinda Flanagan ◽

Bill Lord ◽

Rachel Reed ◽

Gail Crimmins

Keyword(s):

Clinical Outcomes ◽

Interpersonal Skills ◽

Hospital Setting ◽

Birth Experience ◽

Personal Beliefs ◽

Birth Process ◽

Quality Research ◽

Hospital Birth ◽

Previous Birth ◽

Experiences Of Women

Abstract Background Healthcare literature describes predisposing factors, clinical risk, maternal and neonatal clinical outcomes of unplanned out-of-hospital birth; however, there is little quality research available that explores the experiences of mothers who birth prior to arrival at hospital. Methods This study utilised a narrative inquiry methodology to explore the experiences of women who birth in paramedic care. Results The inquiry was underscored by twenty-two narrative interviews of women who birthed in paramedic care in Queensland, Australia between 2011-2016. This data identified factors that contributed to the planned hospital birth occurring in the out-of-hospital setting. Women in this study began their story by discussing previous birth experience and their knowledge, expectations and personal beliefs concerning the birth process. Specific to the actual birth event, women reported feeling empowered, confident and exhilarated. However, some participants also identified concerns with paramedics practice; lack of privacy, poor interpersonal skills, and a lack of consent for certain procedures. Conclusions This study identified several factors and a subset of factors that contributed to their experiences of the planned hospital birth occurring in the out-of-hospital setting. Women described opportunities for improvement in the care provided by paramedics, specifically some deficiencies in technical and interpersonal skills.

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Women’s experience of unplanned out-of-hospital birth in paramedic care

BMC Emergency Medicine ◽

10.1186/s12873-019-0267-9 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Belinda Flanagan ◽

Bill Lord ◽

Rachel Reed ◽

Gail Crimmins

Keyword(s):

Clinical Outcomes ◽

Interpersonal Skills ◽

Hospital Setting ◽

Birth Experience ◽

Personal Beliefs ◽

Birth Process ◽

Quality Research ◽

Hospital Birth ◽

Previous Birth ◽

Experiences Of Women

Abstract Background Healthcare literature describes predisposing factors, clinical risk, maternal and neonatal clinical outcomes of unplanned out-of-hospital birth; however, there is little quality research available that explores the experiences of mothers who birth prior to arrival at hospital. Methods This study utilised a narrative inquiry methodology to explore the experiences of women who birth in paramedic care. Results The inquiry was underscored by 22 narrative interviews of women who birthed in paramedic care in Queensland, Australia between 2011 and 2016. This data identified factors that contributed to the planned hospital birth occurring in the out-of-hospital setting. Women in this study began their story by discussing previous birth experience and their knowledge, expectations and personal beliefs concerning the birth process. Specific to the actual birth event, women reported feeling empowered, confident and exhilarated. However, some participants also identified concerns with paramedic practice; lack of privacy, poor interpersonal skills, and a lack of consent for certain procedures. Conclusions This study identified several factors and a subset of factors that contributed to their experiences of the planned hospital birth occurring in the out-of-hospital setting. Women described opportunities for improvement in the care provided by paramedics, specifically some deficiencies in technical and interpersonal skills.

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Birth plans-Impact on mode of delivery, obstetrical interventions, and birth experience satisfaction: A prospective cohort study

Birth ◽

10.1111/birt.12320 ◽

2017 ◽

Vol 45 (1) ◽

pp. 43-49 ◽

Cited By ~ 9

Author(s):

Yalda Afshar ◽

Jenny Y. Mei ◽

Kimberly D. Gregory ◽

Sarah J. Kilpatrick ◽

Tania F. Esakoff

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Mode Of Delivery ◽

Birth Experience ◽

Obstetrical Interventions

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Antenatal survey of women’s birthing choices in Qatar

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0148 ◽

2020 ◽

Vol 48 (6) ◽

pp. 589-599

Author(s):

Suruchi Mohan ◽

Rauf Ghani ◽

Stephen Lindow ◽

Tom Farrell

Keyword(s):

Mode Of Delivery ◽

Obstetric Care ◽

Antenatal Clinic ◽

Gulf Region ◽

Normal Delivery ◽

Care Services ◽

Previous Birth ◽

Hospital Stays ◽

Education Interventions ◽

Health Education Interventions

AbstractObjectivesAttitudes towards labour care and women’s choices for their preferred mode of delivery are documented in studies from the around the world, however less is known about women’s birth choices in the Middle East. This study was designed with the aim of exploring beliefs and attitudes in this region.MethodsVoluntary participation in an ethics-approved survey was offered to pregnant women attending the antenatal clinic at Sidra Medicine from August 2018 to January 2019 with no exclusion criteria.ResultsOf the 346 respondents, 58.1% were Arabic and the remainder expatriates. This group composition allowed comparison between women native and non-native to the Gulf region. Arabic and non-Arabic women differed significantly in previous birth experiences: the Arabs had had more doctor-led deliveries (45 vs. 34%), epidurals (56.6 vs. 45%) and episiotomies (65.7 vs. 54%). 70.2% of the respondents chose a normal delivery as their preferred birth mode though a smaller majority of the Arabic subgroup did (63.2 %). 60.4% preferred delivery by doctors and longer hospital stays (47.6), more so Arabic participants (64.7 and 68.6 %). Significantly less Arabs, would choose husbands as birth partners (51.2 vs. 86.2%) and more expressed a gender preference for doctors. Other group choices are presented.ConclusionsThough women in this region made comparable choices about mode of delivery as their Western counterparts, they demonstrated an expectation of a culturally distinct and more medicalized approach to care in labour. The findings highlight the need for further studies to inform regional obstetric care and health education interventions as well as tailoring maternity care services.

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Fertility intentions and the way they change following birth- a prospective longitudinal study

10.21203/rs.3.rs-15772/v2 ◽

2020 ◽

Author(s):

Heidi Preis ◽

Selen Tovim ◽

Pnina Mor ◽

Sorina Grisaru-Granovsky ◽

Arnon Samueloff ◽

...

Keyword(s):

Mode Of Delivery ◽

Fertility Intentions ◽

Self Report ◽

Birth Experience ◽

Developed Country ◽

Prospective Longitudinal Study ◽

Religious Women ◽

Number Of Children ◽

Birth Satisfaction ◽

Prospective Longitudinal

Abstract Introduction: Women's fertility intentions, their desired number of children and desired inter-pregnancy interval (IPI) are related to micro (personal) and macro (socio-cultural) level factors. We investigated factors that contribute to changes in women's fertility intentions in Israel, a developed country with high birth rates. Methods: Pregnant women (N=1163), recruited from prenatal clinics and hospitals in two major metropolitan areas, completed self-report questionnaires prenatally (≥24 weeks gestation) and postpartum (two months after childbirth). Women reported their socio-demographic background and obstetric history prenatally, their desired number of children and IPI at both time-points, and their objective and subjective birth experiences postpartum. Results: The findings indicated that background characteristics were related to prenatal fertility intentions. The strongest contributor to prenatal fertility intentions was degree of religiosity- the more religious women were, the more children they desired and the shorter their desired IPI. Women's postpartum fertility intentions were mostly consistent with their prenatal reports. In regression models, only being very-religious, more educated, and previously giving birth were protective against a decrease in desired number of children from before birth to after birth. Greater birth satisfaction and giving birth for the first time were protective of changing desired IPI. Conclusion: Having a negative birth experience could adversely affect women's fertility intentions, but in a pronatalist and medicalized birth culture, social pressures may decrease the effects of birth experiences on fertility intentions. Keywords: Fertility Intentions; Birth Experience; Religiosity; Interpregnancy Interval; Mode of Delivery.

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