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. 2010 Oct;111(1):28-31.
doi: 10.1016/j.ijgo.2010.04.034. Epub 2010 Jun 26.

Delivery route preferences of urban women of low socioeconomic status

Bela Kudish  1 , Shobha Mehta, Michael Kruger, Evie Russell, Robert J Sokol
Affiliations

Delivery route preferences of urban women of low socioeconomic status

Bela Kudish et al. Int J Gynaecol Obstet. 2010 Oct.

Abstract

Objective: To identify the main determinants of mode of delivery preference among urban dwelling women of lower socioeconomic status (SES).

Methods: Over a 12-month period, a self-completion 36-item questionnaire was administered to a convenience sample of 308 women within the first 3 postpartum days. Non-parametric tests were used for analysis.

Results: Study participants were mostly African American (>85%), single mothers (>75%), and unemployed (≥55%). Among the women, 85.7% had vaginal delivery (VD) and 14.3% had cesarean delivery (CD). Women who preferred CD (10%) were more likely to be concerned about a vaginal tear/episiotomy during VD, forceps, and a "big" baby compared with women who preferred VD, for whom "pushing the baby out myself" and "fear of cesarean" were the most important factors. In the final model of 7 factors, the 3 main factors found to positively impact maternal preference for CD were a vaginal cut during VD (P<0.001), higher mean BMI (P=0.001), and cesarean as the most recent delivery type (P<0.001). The total explained variance by this model was 46%.

Conclusions: Short-term complications of a VD, higher BMI, and a previous cesarean delivery are the most significant factors that impact the preferences of women of lower SES for future mode of delivery.

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Conflict of interest statement

Conflict of interest

The authors have no conflicts of interest.

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