What are Polish women afraid of in vaginal birth? – A Cross-Sectional Study

Introduction. Fear of childbirth is a specific feeling related to approaching birth that ranges from negligible to very intense. Women’s choices and doubts regarding the way of birth may be related to a lack of knowledge about the benefits and advantages of VB or a fear of this method of childbearing. Aim. The aim of the study was to assess knowledge regarding labour, its possible complications and ways to prepare for vaginal delivery among Polish women Material and Methods. A cross-sectional study was performed among 4721 women who were pregnant or who had had at least one delivery. A self-composed questionnaire was distributed via the internet in 2018. Results. It seems that 13.9% of the respondents were pregnant, 49.2% women gave birth vaginally and 30.8% had a caesarean delivery. Most of the respondents were afraid of the pain associated with the labour (75% pregnant women, 63.4% women after vaginal birth, 59.1% women after caesarean section), and 57.8% of respondents would like to avoid episiotomy, but only 27,5% of them used any methods of perineal protection for vaginal delivery. Also, 43.4 % of respondents believe that vaginal delivery may have a negative impact on satisfaction in their sexual life, 26% of respondents think that a caesarean section scar has no impact on subsequent pregnancies, and 41% claim that women who had a caesarean delivery feel discriminated against as a cesarean section is considered to be a labour failure in society. Conclusions. Women’s knowledge on the advantages and risks related to the methods of labour is insufficient, which may affect their preferences regarding vaginal or cesarean birth.

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Perinatal determinants of D-dimer levels in a cross-sectional study of low risk pregnant women

Obstetric Medicine ◽

10.1177/1753495x15625547 ◽

2016 ◽

Vol 9 (2) ◽

pp. 78-82

Author(s):

NM Murphy ◽

AS Khashan ◽

DI Broadhurst ◽

O Gilligan ◽

K O’Donoghue ◽

...

Keyword(s):

Caesarean Section ◽

Pregnant Women ◽

Vaginal Delivery ◽

Elective Caesarean Section ◽

Mode Of Delivery ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

D Dimer ◽

In Pregnancy

Background To examine perinatal determinants of the antenatal levels of D-dimers. Methods Cross-sectional study of 760 low risk pregnant women recruited into five gestational groups. Variables examined in antenatal groups included maternal age, body mass index, parity, smoking, family history venous thromboembolism (VTE) and previous use of the oral contraceptive pill (OCP). Onset of labour and mode of delivery were also examined in the post-natal group. Results D-dimer levels in group 4 (38–40 + 6) were significantly lower in the women with a history of taking the OCP when compared to those that had not taken it in the past ( P = 0.027). In the day 2 post-natal group, the median level of D-dimer was significantly higher in primparous when compared to multiparous women ( P = 0.015). The median D-dimer levels were significantly lower in the elective Caesarean section group in comparison to spontaneous onset ( P = 0.003) and induction of labour ( P = 0.016). When the mode of delivery was examined, the median D-dimer levels were significantly lower in those that had an elective Caesarean section when compared to normal vaginal delivery ( P = 0.008) and instrumental vaginal delivery ( P = 0.007). Women post elective Caesarean section had a significantly lower D-dimer than those after emergency Caesarean section ( P = 0.008). Discussion There are some significant differences in D-dimer levels when certain perinatal determinants are examined. This work is potentially beneficial to the future diagnosis of VTE in pregnancy as it supports previously published recommended D-dimer levels for the diagnosis of VTE in pregnancy.

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Feasibility of Conducting a Trial Assessing Benefits and Risks of Planned Caesarean Section Versus Planned Vaginal Birth: A Cross-Sectional Study

Maternal and Child Health Journal ◽

10.1007/s10995-020-03073-4 ◽

2021 ◽

Author(s):

Melissa M. Amyx ◽

◽

Fernando Althabe ◽

Julie Rivo ◽

Verónica Pingray ◽

...

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Vaginal Birth ◽

Sectional Study ◽

Cross Sectional ◽

Section Versus

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Evaluation of psychosocial and biological parameters in women seeking for a caesarean section and women who are aiming for vaginal delivery: a cross-sectional study

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-018-4654-3 ◽

2018 ◽

Vol 297 (4) ◽

pp. 897-905 ◽

Cited By ~ 4

Author(s):

Benjamin Tuschy ◽

Sebastian Berlit ◽

Paul Stützer ◽

Stefanie Lis ◽

Christian Schmahl ◽

...

Keyword(s):

Caesarean Section ◽

Vaginal Delivery ◽

Cross Sectional Study ◽

Biological Parameters ◽

Sectional Study ◽

Cross Sectional

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Attitudes of Primary Pregnant Women Toward Preference of Birth Method in Dezful, Iran: A Cross-Sectional Study

Modern Health Science ◽

10.30560/mhs.v4n1p1 ◽

2021 ◽

Vol 4 (1) ◽

pp. p1

Author(s):

Mahnaz Nosratabadi ◽

Nasrin Sarabi ◽

Leila Masoudiyekta ◽

Zahra Abbaspoor ◽

Aziz Kassani

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Cesarean Delivery ◽

Vaginal Delivery ◽

Cross Sectional Study ◽

Vaginal Birth ◽

Normal Vaginal Delivery ◽

Sectional Study ◽

Delivery Method ◽

Cross Sectional

Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.

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A cross-sectional study on factors influencing caesarean section rates in a tertiary care hospital, Jhansi (Uttar Pradesh)

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20213544 ◽

2021 ◽

Vol 8 (9) ◽

pp. 4404

Author(s):

Swati Singh ◽

Anil Kumar Malhotra

Keyword(s):

Caesarean Section ◽

Caesarean Delivery ◽

Caesarean Section Rate ◽

Tertiary Care ◽

Cross Sectional Study ◽

Health Care Facilities ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Maternal Risk

Background: Worldwide rise in caesarean delivery (CD) rates during the last three decades has been a cause of alarm. The rates of such delivery have increased dramatically in recent years from 12% in 1990 to 24% in 2008. Tertiary care centers have high caesarean section rates but areas where health care facilities are not available may have maternal deaths due to lack of C-section facilities. The present study was conducted to determine the prevalence of caesarean section, to assess the association between caesarean section with socio-demographic determinants and maternal risk factors.Methods: Cross-sectional study was conducted during January 2016 to April 2016. A total of 288 pregnant females admitted in obstetric ward of medical college Jhansi formed the study population, a simple random sampling technique was adopted for the study. A study tool was pre-designed and pre-tested interview schedule. The data collected was entered in MS excel and analyzed using SPSS 24 version.Results: The study showed that 73 (25.34%) of our study participants have delivered by caesarean section. Caesarean section was significantly associated with literacy, place of residence, education status, socio-economic status and occupation of the husband. Caesarean section was significantly associated with maternal risk factors like obesity, pregnancy induced hypertension, gestational diabetes mellitus and polyhydromnios.Conclusions: Present study found a high caesarean section rate as compared to the WHO standard. Utilization of antenatal care, better doctor patient communication, doctor’s commitment to reduce the rate of LSCS, may help to reduce the increasing rate of caesarean delivery.

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Delivery Mode Preference and Associated Factors among Pregnant Mothers in Harar Regional State, Eastern Ethiopia: A Cross-Sectional Study

BioMed Research International ◽

10.1155/2021/1751578 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Fissaha Tekulu Welay ◽

Berhanu Gebresilassie ◽

Guesh Gebreayezgi Asefa ◽

Meresa Berwo Mengesha

Keyword(s):

Caesarean Section ◽

Antenatal Care ◽

Associated Factors ◽

Caesarean Delivery ◽

Mode Of Delivery ◽

Cross Sectional Study ◽

Delivery Mode ◽

Sectional Study ◽

Cross Sectional ◽

Pregnant Mothers

Background. The right to prefer mode of delivery is a crucial component of compassionate and respectful care that fosters both maternal and neonatal well-being as the failure to respect the mother’s interest increases to the risk of maternal depression and posttraumatic stress. Thus, the aim of the study was to assess delivery mode preference and associated factors among pregnant women. Methods and Materials. The study was conducted in two hospitals and two health centers. We used a cross-sectional study design incorporating 398 pregnant mothers attending an antenatal care follow-up from February to May 2018. The study excluded pregnant mothers with any previous uterine surgery including caesarean delivery from participation due to their restricted chance to prefer their mode of delivery. Data were collected by using a pretested questionnaire. Data were entered to EpiData Manager version 3.1 and exported to Statistical Package for the Social Sciences version 22 for analysis. Besides, the analysis included both the bivariate and multivariable analyses to check the association between dependent and independent variables. Finally, level of statistical significance was declared at P value < 0.05. Result. The participant’s level of response was 100% (398). The age of the mothers ranges from 15 to 45 years old. The delivery mode preference of the caesarean section (C/S) and spontaneous vertex delivery (SVD) was 115 (28.9%) and 283 (71.1%), respectively. The study revealed that planned 47 pregnancy [AOR, 1.76; CI: 0.89-3.47], young age [AOR, 12.9; CI: 0.23-7.1], and primigravida [AOR, 1.24; CI: 0.29-5.2] were among the variables associated with maternal preference of caesarean section. Conclusion and Recommendation. Nearly one-third of the mothers preferred caesarean delivery as their mode of delivery due to fear of labor pain and repeated vaginal examination by the care providers. This is particularly seen in women who had received higher education level, claim their pregnancy as planned, their choice of delivery at hospital, young aged, pregnant for the first time, and those who had visited antenatal care repeatedly. This implies that policy makers and stakeholders should exert due emphasis to ongoing desire of caesarean delivery as the procedure is not without risk, if it is done without indication. For researchers, we recommend to investigate the preference of mode of delivery in a much broader aspect.

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Self-Perceived Life Satisfaction during the First Wave of the COVID-19 Pandemic in Sweden: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126234 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6234

Author(s):

Christina Brogårdh ◽

Catharina Sjödahl Hammarlund ◽

Frida Eek ◽

Kjerstin Stigmar ◽

Ingrid Lindgren ◽

...

Keyword(s):

Life Satisfaction ◽

Online Survey ◽

Satisfaction With Life ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Sexual Life ◽

Life Domains ◽

Sectional Study ◽

Cross Sectional ◽

Perceived Life Satisfaction

Currently, there is limited knowledge on how the Swedish strategy with more lenient public health restrictions during the COVID-19 pandemic has influenced people’s life satisfaction. Here, we investigated self-reported life satisfaction during the first wave of the pandemic in Sweden, and perceived changes in life satisfaction in relation to various sociodemographic factors. A total of 1082 people (mean age 48 (SD 12.2); 82% women) responded to an online survey during autumn 2020 including the “Life Satisfaction Questionnaire-11”. A majority (69%) were satisfied with life as a whole, and with other important life domains, with the exception of contact with friends and sexual life. An equal share reported that life as a whole had either deteriorated (28%) or improved (29%). Of those that perceived a deterioration, 95% considered it to be due to the pandemic. Regarding deteriorated satisfaction with life as a whole, higher odds were found in the following groups: having no children living at home; being middle aged; having other sources of income than being employed; and having a chronic disease. The Swedish strategy might have contributed to the high proportion of satisfied people. Those who perceived a deterioration in life satisfaction may, however, need attention from Swedish Welfare Authorities.

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The status of integrated care on the chronic abuse of alcohol response - A cross-sectional study

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1152 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Moreira de Sousa ◽

L Lopes ◽

P Costa ◽

G Martins-Coelho ◽

R Capucho

Keyword(s):

Alcohol Consumption ◽

Alcohol Abuse ◽

Negative Impact ◽

Cross Sectional Study ◽

Treatment Team ◽

Health Administration ◽

Sectional Study ◽

Cross Sectional ◽

Number Of Patients ◽

Index Value

Abstract Background In 2017, the risk-weighted prevalence of alcohol consumption was the health indicator with a more negative impact on the Institute for Health Metrics and Evaluation Sustainable Development Goals Health Index Value in Portugal. According to data from 2012-14, the Alto Tâmega and Barroso (ATB) had the highest value of Years of potential life lost (YPLL) in North Portugal - 4570,1/10.000 people. Liver chronic disease was the specific cause of death that contributed to the value of YPLL - 465,4/10.000 people. Methods A cross-sectional study was conducted with data from the Northern Health Administration and the General Directorate for Intervention on Addictive Behaviours and Dependencies. We compared the number of patients with chronic alcohol consumption (CAC) in 2018, the leading causes of death between 2012-14, the main morbidity causes according to data from primary healthcare (PHC) physicians in 2018 and the number of patients in specialized treatment team (STT) for alcohol abuse treatment in 2018 in ATB. Results In 2018, 2643 patients of ATB had a diagnosis of CAC; only 178 were followed by an STT. Although CAC had a massive influence on YPLL, this was only the 11º cause of morbidity in ATB according to the data from PHC. The number of women with CAC was stable between 2012 (n = 284) and 2018 (n = 291). In the same period, there was an increase of 52,86% of CAC on men (n = 1523 to n = 2348). Even though 18,4% of YPLL due to chronic liver disease happen in women, only 11,2%of the patients with CAC in the PHC are women. Conclusions There is a need for the improvement of CAC diagnosis in PHC, and the improvement of referral of patients to STT and hospital care. Besides, to reach the SDG3, there is the need to work intensely on SDG 17 (partnership for the goals). The Public Health Unit of ATB is organizing Operation PROMETEU to improve communication, institutional collaboration, and monitoring of the existing health activities that are tackling CAC. Key messages The need to integrate data from different healthcare sources for a better analysis on health problems. The urgent need to tackle the alcohol abuse problem in ATB.

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