EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia ,

ISSN 2394-3211

Impact Factor: 7.065

ICV - 79.57

Abstract

A STUDY ON PATIENTS PERSPECTIVE ON PERSONALIZED DECISION-MAKING OPTIONS ABOUT MODE OF DELIVERY: A CROSS SECTIONAL STUDY

Shamrao R. Wakode and Ritu A. Damahe*

ABSTRACT

Background:Although vaginal delivery remains most common delivery mode, overall cesarean rate reached 32.8% in 2010. Cause for this is multi-factorial and decision to deliver by cesarean section depends on variety of factors. Though it‟s safety in present era is proved. However cesarian sections should be done only for indicated cases. As a malpractice many cesarians done either unindicted or on patients demand. Hence present study undertaken to review patients opinion about various modes of delivery. Aims and Objectives: To study preferences and influencing factors for elective caesarean section or normal vaginal delivery among antenatal mothers. Methods: Prospective observational study in tertiary care centre of 360 term antenatal women was conducted. Patients were evaluated with respect to age, education, gravida, socioeconomic status, previous cesarean section were interviewed and questionnaire was provided. Results: We found 87% women preferred vaginal delivery while 13 % preferred cesarean section. We found socioeconomical status, gravida, previous mode of delivery and complications in previous delivery are the main determining factors for choosing mode of delivery. Majority who preferred vaginal delivery as it is natural process, short hospital stay, fear of surgery, prolonged bed rest after operative. Few preferred section due to fear of labour pain, fear of injury. Conclusion: After assessing knowledge, attitudes and preferences regarding mode of delivery, study concludes that majority of women irrespective of gravida, parity, previous obstetric history prefer vaginal delivery as compared to cesarean section. Factors like history of previous cesarean section, economical status, counselling in antenatal clinics and knowledge provided by husband and relatives may influence in making decisions. From specialist obstetricians view preference should be given to vaginal delivery.

Keywords: Mode of delivery, Attitude, Preferences, Knowledge.

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