scholarly journals Knowledge and Attitudes of Pregnant Thai Women Regarding Modes of Birth: A Hospital-Based Study in Southern Thailand

2021 ◽  
Vol 14 (1) ◽  
pp. 484-491
Author(s):  
Phawat Matemanosak ◽  
Chitkasaem Suwanrath
Keyword(s):  
Cesarean Section ◽  
Multivariate Logistic Regression Analysis ◽  
Vaginal Birth ◽  
Singleton Pregnancy ◽  
Poor Knowledge ◽  
Thai Women ◽  
Factors Associated ◽  
Cesarean Birth ◽  
Knowledge And Attitudes ◽  
Positive Attitudes

Objective: This study aimed to determine the knowledge and attitudes of pregnant Thai women regarding modes of birth. Methods: A cross-sectional study was conducted at Songklanagarind Hospital. A total of 605 women with a singleton pregnancy and gestational age >20 weeks who attended an antenatal clinic from September 2018 to June 2019 were recruited. Women having a history of cesarean section, or any condition associated with indications for cesarean section, having a fetus with an obvious anomaly, could not read or write in the Thai language, or could not complete the questionnaire were excluded. Their knowledge and attitudes regarding modes of birth were evaluated through self-administered questionnaires. Results: Most women (69.4%) had poor knowledge scores (<5), with a median score of 3 (range, 0-9). Only 14.5% of women knew about serious complications of cesarean section in future pregnancies(placental adherence). Multivariate logistic regression analysis showed that factors associated with adequate knowledge scores (>5) were high educational levels (OR 2.06; 95% CI 1.23-3.47), high incomes (OR 1.96; 95%CI 1.32-2.90), and multiparity(OR 1.73; 95%CI 1.18-2.52). Most women had positive attitudes towards vaginal birth. Only 10.2% of women had a preference for cesarean birth. Factors associated with the preference for cesarean birth were advanced maternal age (OR 3.10; 95%CI 1.72-5.60), having an underlying disease (OR 3.61; 95% CI 1.79-7.25), and poor knowledge scores (OR 2.43; 95% CI 1.21-4.91). Conclusion: Most pregnant Thai women had poor knowledge of the modes of birth. However, the majority of women had positive attitudes towards vaginal birth.

scholarly journals Factors associated with successful vaginal birth after cesarean section and its outcome in Asella Referral and Teaching Hospital, Ethiopia

2020 ◽  
Vol 7 (1) ◽  
pp. 39
Author(s):  
Hulemenash T. Girma ◽  
Hussein Mekonnen ◽  
Endalew G. Sendo ◽  
Jembere T. Deressa
Keyword(s):  
Cesarean Section ◽  
Teaching Hospital ◽  
Sampling Technique ◽  
Multivariate Regression Analysis ◽  
Case Control ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Singleton Pregnancy ◽  
Potential Implication ◽  
Factors Associated

<p class="abstract"><strong>Background:</strong> Planned vaginal birth after cesarean section is appropriate for and offered to the majority of women with a singleton pregnancy of cephalic presentation at 37 weeks or beyond. The main purpose of the study was to assess factors associated with successful vaginal birth after cesarean section and its outcome in Asella Referral and Teaching Hospital.  </p><p class="abstract"><strong>Methods:</strong> An institutional based case-control study conducted to identify factors associated with successful vaginal birth after cesarean section and its outcome in a two years period. The data was collected from patients’ charts after tracing a patient’s number, a double proportion sampling technique was used to determine sample size using EPI info version 7.1.4.0, and multivariate regression analysis of independent variables associated with successful vaginal birth after cesarean section was performed with unmatched case control.   </p><p class="abstract"><strong>Results:</strong> Two hundred eighty-eight (288) mothers with history of one previous cesarean delivery attempted vaginal birth after cesarean section. This study found significant successful vaginal birth after cesarean section in mothers with previous vaginal birth, prior successful vaginal delivery after cesarean section, presented with cervical dilatation more than or equal to 4 cm and intact membrane at admission. Meconium&gt;grade I and duration of labour&gt;481minute negatively affected the success rate but weight did not affect vaginal birth after cesarean outcome.</p><p class="abstract"><strong>Conclusions:</strong> Careful selection of mother is the corner stone of successful vaginal birth after cesarean section with special consideration of gestational age, condition of membrane, and develops national evidence-based clinical practice guidelines for potential implication.  </p>

scholarly journals Factors Associated with Successful Vaginal Birth After a Primary Cesarean Section in Women with an Optimal Inter-Delivery Interval

2021 ◽  
Vol Volume 13 ◽  
pp. 903-909
Author(s):  
Raha Maroyi ◽  
Bahaya Naomi ◽  
Madeline K Moureau ◽  
Balungwe Sifa Marceline ◽  
Celeste Ingersoll ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Vaginal Birth ◽  
Factors Associated

Assessment of risk factors associated with pre-term labour in Tertiary care Hospitals, Lahore

2021 ◽  
Vol 15 (1) ◽  
pp. 13-17
Author(s):  
Tanzeela Zafar ◽  
Iram Manzoor ◽  
Fariha Farooq
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Cesarean Section ◽  
Preterm Births ◽  
Intrauterine Death ◽  
Singleton Pregnancy ◽  
Factors Associated ◽  
History Of ◽  
Tract Infections ◽  
Inter Pregnancy Interval

Background: Pakistan has one of the highest rates of preterm births, nearly 16 for every 100 babies born. Around 4% of these premature babies, are at highest likelihood of death. The objective of this study was to assess association of multiple risk factors with preterm birth in Pakistani women. Patients and methods:  An analytical cross-sectional study was carried out in Obstetrics and Gynecology Department of Akhtar Saeed Trust Hospital and Farooq Hospital, West Wood Branch, Lahore from October 2018 to December 2019. Total 116 pregnant females who gave birth to preterm babies with gestational age between 20-37 weeks were included. Data about patients’ socio-demographic profile, previous obstetric history and current gestational profile was collected using closed ended structured questionnaire. Variables were presented in the form of frequency tables. Chi-square and Fisher exact test were applied to establish association of various risk factors and preterm presentation of patients’ in hospital. A p-value ≤ 0.05 was taken as significant. Results: Out of 116 participants, 49 (42.2%) were aged between 20-25 years, 47 (40.5%) were illiterate. Of the total sample 60 (51.7 %) participants were obese (BMI >30). Eighty-two (70.7%) patients were multigravida and 65 (56.1%) gave the history of previous cesarean section. Significant association was found between preterm birth and multi-parity (p=0.001), previous history of abortion (p=0.000), intrauterine death (p=0.001), infertility (p=0.04), cesarean-section (p=0.000), and inter-pregnancy interval of less than 24 months (p=0.007). Other significant factors associated with preterm labour were urinary tract infections (p=0.001), documented fever more than 101oF (p=0.000), anemia (p=0.000), singleton pregnancy (p=0.000) and cephalic fetal presentation (p=0.002), during current pregnancy. Conclusion: Multi-gravidity, history of abortion, intrauterine death, previous infertility, cesarean-section, inter-pregnancy interval of less than 24 months, UTI, genital tract infection, anemia, singleton pregnancy and cephalic fetal presentation during current pregnancy were observed to be significantly associated with preterm births.

scholarly journals Factors associated with vaginal birth after previous cesarean section in Brazilian women

2005 ◽  
Vol 18 (2) ◽  
pp. 107-113 ◽  
Author(s):  
José Guilherme Cecatti ◽  
Helaine Maria Besteti Pires ◽  
Aníbal Faúndes ◽  
Maria José Duarte Osis
Keyword(s):  
Cesarean Section ◽  
Vaginal Birth ◽  
Previous Cesarean Section ◽  
Factors Associated ◽  
Previous Cesarean

scholarly journals Maternal and obstetrical factors associated with a successful trial of vaginal birth after cesarean section

2014 ◽  
Vol 15 (4) ◽  
pp. 245-249 ◽  
Author(s):  
Ibrahim A. Abdelazim ◽  
Assem A. M. Elbiaa ◽  
Mohamed Al-Kadi ◽  
Amr H. Yehia ◽  
Bassam M. Sami Nusair ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Factors Associated ◽  
Successful Trial

scholarly journals Predictors of Success Of Vaginal Birth After Previous Cesarean Section

2017 ◽  
Vol 4 (1) ◽  
pp. 13-17
Author(s):  
Maimoona Qadir ◽  
Sohail Amir
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Gestational Age ◽  
Maternal Age ◽  
Vaginal Birth ◽  
Bishop Score ◽  
Predictors Of Success ◽  
Singleton Pregnancy ◽  
History Of ◽  
Previous Cesarean

BACKGROUNDWomen eligible for vaginal birth after cesarean section (VBAC) have lower morbidity rates than women who undergo subsequent elective cesarean sections.Objective:To identify the obstetric parameters those influence the success of vaginal delivery in women with previous cesarean section.METHODOLOGYThis descriptive cross sectional study was conducted at Gynaecology and Obstetrics Department of Khyber Teaching Hospital, Peshawar from 1st May 2015 to 31st April 2016.Inclusion criteria was all women of any age or parity presenting at >36weeks gestational age, with singleton pregnancy, vertex presentation, estimated fetal weight of 2.5 -3.5kg and documented previous lower uterine segment cesarean section for a non recurrent cause. Five predictors of success of vaginal birth after previous cesarean including maternal age, gestational age, and history of vaginal delivery, onset of labor and bishop score were evaluated in each patient.RESULTSOut of 100 women, 64 had VBAC and 36 had cesarean section. Fifty five were booked and 45 were non booked. Total women with history of VBAC were 24, out of these 16(66%) had VBAC and 8(33%) had repeat cesarean section. Ninety three had spontaneous onset of labor whereas 7 were induced,88 patients had Bishop score >5,out of these 61(69%) ended in VBAC and 27(30.6%) had cesarean section. The most common age group where VBAC occurred in majority was 25- 35 years. Thirty nine (61%) women had period of gestation between 38weeks to 39weeks+6days. Mean maternal age was 29.42 + 3.54 yearsCONCLUSIONHistory of vaginal delivery, spontaneous sonset of labor and Bishop score >5 are the factors which are associated with more chances of vaginal delivery after cesarean section.

scholarly journals Prevalence and Factors Associated with Antepartum Depression: A University Hospital-Based

2021 ◽  
Vol 73 (10) ◽  
pp. 652-660
Author(s):  
Pavarisa Choosuk ◽  
Jarurin Pitanupong ◽  
Chitkasaem Suwanrath
Keyword(s):  
Logistic Regression ◽  
Unintended Pregnancy ◽  
Low Income ◽  
Multivariate Logistic Regression Analysis ◽  
Self Esteem ◽  
Multivariate Logistic Regression ◽  
Care Clinic ◽  
Thai Women ◽  
Factors Associated ◽  
Antepartum Depression

Objective: This study aimed to assess the prevalence of and factors associated with antepartum depression among Thai women. Materials and Methods: All pregnant women attending the Antenatal Care Clinic at Songklanagarind Hospital from June to August 2020 were invited to participate and evaluated through self-administered questionnaires. Multivariate logistic regression models were used for the data analysis in order to control for potential confounders. Results: 435 women were in their first, second, and third trimester of pregnancy (20.2 %, 39.5 %, and 40.2 %, respectively). The majority of them reported normal Rosenberg’s Self-esteem Scale scores (83.4 %) and a high level of perceived social support (74.5 %). Moreover, according to the Edinburgh Postnatal Depression Scale (EPDS) scores, the prevalence of antepartum depression was 10.6 %. A multivariate logistic regression analysis showed that factors associated with antepartum depression were second trimester of pregnancy, survival and below-survival levels of income, unintended pregnancy, and low level of self-esteem. Conclusion: One-tenth of pregnant Thai women suffered from depression. Advanced gestational age, low income, unintended pregnancy, and low self-esteem were significant factors associated with antepartum depression.

scholarly journals Factors Associated with Successful Trial of Labor after Cesarean Section: A Retrospective Cohort Study

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Aram Thapsamuthdechakorn ◽  
Ratanaporn Sekararithi ◽  
Theera Tongsong
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Success Rate ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Vaginal Birth ◽  
Factors Associated ◽  
Audit System ◽  
Trial Of Labor ◽  
Potential Factor

Objective. To determine the effectiveness of trial of labor after cesarean section (TOLAC) and the factors associated with a successful TOLAC. Materials and Methods. A retrospective cohort study was conducted on consecutive singleton pregnancies with a previous single low-transverse cesarean section planned for TOLAC at a tertiary teaching hospital. The potential risk factors of a successful TOLAC were compared with those associated with a failed TOLAC. A simple audit system used in the first two years was also taken into account in the analysis as a potential factor for success. Results. During the study period, 2,493 women were eligible for TOLAC and 704 of them were scheduled for TOLAC, but finally 592 underwent TOLAC. Among them, 355 (60%) had a successful vaginal birth and 237 (40%) had a failed TOLAC. The independent factors associated with the success rate included the audit system, prior vaginal birth, low maternal BMI, and lower birth weight or gestational age, whereas induction of labor and recurring indications in previous pregnancy significantly increased the risk of having a failed TOLAC. Strikingly, the strongest predictor of a successful TOLAC was the audit system with OR of 6.4 (95%CI: 3.9-10.44), followed by a history of vaginal birth in previous pregnancies (OR: 3.2; 95%CI: 1.87-5.36). Conclusion. The simple audit system had the greatest impact on the success rate of TOLAC, instead of the less powerful obstetrical factors as reported in previous reports. The audit system is the only potential factor that could be strengthened to improve the success rate.

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