Women´s preferences | Primiparous women | Multiparous women | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Total (n = 2,846) | PPA model of care (n = 2,084) | Standard of care model (n = 762) | P value | Total (n = 1,948) | PPA model of care (n = 487) | Standard of care model (n = 1,461) | P value | |||||||
n | % | n | % | n | % | n | % | n | % | n | % | |||
Preference of type of birth in early pregnancy | < 0.001 | < 0.001 | ||||||||||||
Vaginal | 1825 | 64.1 | 1428 | 68.5 | 397 | 52.1 | 911 | 46.8 | 340 | 69.8 | 572 | 39.1 | ||
C-section | 745 | 26.2 | 467 | 22.4 | 278 | 36.5 | 900 | 46.2 | 132 | 27.2 | 767 | 52.5 | ||
No preference | 275 | 9.7 | 188 | 9.0 | 87 | 11.4 | 137 | 7.0 | 15 | 3.0 | 122 | 8.4 | ||
Reasons to prefer vaginal birth: | ||||||||||||||
Benefits of vaginal birth | 1577 | 86.4 | 1247 | 87.4 | 329 | 83.0 | 0.054 | 671 | 73.7 | 244 | 71.9 | 427 | 74.7 | 0.421 |
Fear of C-section | 116 | 6.3 | 99 | 7.0 | 16 | 4.1 | 0.083 | 46 | 5.1 | 22 | 6.5 | 24 | 4.2 | 0.221 |
Benefits for the child | 180 | 9.9 | 149 | 10.4 | 31 | 7.9 | 0.155 | 58 | 6.3 | 18 | 5.3 | 40 | 7.0 | 0.443 |
Information | 308 | 17.0 | 236 | 16.5 | 73 | 18.6 | 0.412 | 117 | 12.8 | 44 | 13.1 | 73 | 12.7 | 0.898 |
Other women´s histories | 154 | 8.5 | 125 | 8.8 | 29 | 7.4 | 0.422 | 45 | 5.0 | 25 | 7.3 | 20 | 3.6 | 0.019 |
Previous positive experience with vaginal birth | 234 | 25.7 | 137 | 40.3 | 98 | 17.0 | < 0.001 | |||||||
Previous negative experience with C-section | 67 | 7.3 | 13 | 3.7 | 54 | 9.5 | 0.005 | |||||||
Reasons to prefer C-section | ||||||||||||||
Fear of labor pain | 424 | 56.8 | 270 | 57.9 | 153 | 55.1 | 0.512 | 272 | 30.2 | 38 | 28.5 | 234 | 30.5 | 0.616 |
Fear of vaginal birth | 47 | 6.3 | 32 | 6.9 | 15 | 5.2 | 0.413 | 28 | 3.2 | 1 | 0.6 | 28 | 3.6 | 0.050 |
Information | 35 | 4.7 | 22 | 4.7 | 14 | 4.9 | 0.902 | 25 | 2.7 | 5 | 3.9 | 20 | 2.5 | 0.333 |
Convenience | 75 | 10.0 | 41 | 8.8 | 34 | 12.2 | 0.192 | 55 | 6.1 | 9 | 6.8 | 46 | 6.0 | 0.694 |
Safety | 10 | 1.3 | 6 | 1.3 | 4 | 1.3 | 0.990 | 4 | 0.4 | 1 | 0.4 | 3 | 0.4 | 0.948 |
Benefits for the child | 5 | 0.7 | 3 | 0.7 | 2 | 0.7 | 0.895 | 2 | 0.2 | 1 | 0.6 | 1 | 0.2 | 0.285 |
Woman´s health problems | 85 | 11.4 | 47 | 10.0 | 38 | 13.6 | 0.207 | 81 | 9.0 | 11 | 8.4 | 70 | 9.1 | 0.826 |
Other women´s histories | 114 | 15.3 | 76 | 16.2 | 39 | 13.9 | 0.428 | 42 | 4.7 | 8 | 6.1 | 34 | 4.5 | 0.409 |
Twin pregnancy | 10 | 1.3 | 2 | 0.5 | 7 | 2.6 | 0.014 | 16 | 1.8 | 0 | 16 | 2.1 | 0.177 | |
Tubal ligation | 81 | 9.0 | 16 | 12.4 | 64 | 8.4 | 0.096 | |||||||
Previous C-section | 78 | 8.6 | 19 | 14.6 | 58 | 7.6 | 0.008 | |||||||
Previous positive experience with C-section | 345 | 38.4 | 37 | 28.2 | 308 | 40.2 | 0.005 | |||||||
Previous negative experience with vaginal birth | 82 | 9.1 | 20 | 15.0 | 62 | 8.0 | 0.020 | |||||||
Changed preference during pregnancy | ||||||||||||||
Vaginal to C-section | 326 | 17.9 | 204 | 14.3 | 122 | 30.8 | < 0.001 | 193 | 21.2 | 46 | 13.7 | 146 | 25.6 | < 0,001 |
C-section to Vaginal | 156 | 21.0 | 123 | 26.4 | 33 | 11.8 | < 0.001 | 45 | 5.0 | 12 | 9.3 | 32 | 4.2 | 0.005 |
Reasons for changing preference (vaginal to C-section) | ||||||||||||||
Woman´s health problem | 101 | 30.8 | 65 | 32.1 | 35 | 28.7 | 0.512 | 53 | 27.4 | 13 | 29.1 | 39 | 26.9 | 0.799 |
Fetus condition | 101 | 31.0 | 52 | 25.6 | 49 | 40.0 | 0.008 | 53 | 27.5 | 12 | 26.5 | 41 | 27.8 | 0.869 |
Information provided by obstetrician | 30 | 9.3 | 16 | 7.9 | 14 | 11.7 | 0.293 | 35 | 17.9 | 8 | 16.4 | 27 | 18.4 | 0.801 |
Convenience of C-section | 42 | 12.9 | 29 | 14.2 | 13 | 10.8 | 0.361 | 17 | 8.9 | 4 | 9.6 | 13 | 8.6 | 0.835 |
Fear of vaginal birth | 76 | 23.3 | 59 | 29.1 | 17 | 13.5 | 0.001 | 32 | 16.5 | 7 | 15.2 | 25 | 16.9 | 0.833 |
Previous C-section | 6 | 3.0 | 1 | 1.8 | 5 | 3.4 | 0.540 | |||||||
Tubal ligation | 7 | 3.6 | 2 | 4.1 | 5 | 3.5 | 0.809 | |||||||
Reasons for changing preference (C-section to vaginal) | ||||||||||||||
Benefits of a vaginal birth | 38 | 24.1 | 32 | 25.7 | 6 | 18.0 | 0.392 | 14 | 30.7 | 4 | 29.8 | 10 | 31.0 | 0.933 |
Family and friends | 17 | 10.8 | 13 | 10.4 | 4 | 12.2 | 0.826 | 3 | 6.5 | 1 | 5.8 | 2 | 6.8 | 0.884 |
Fear of C-section | 13 | 8.1 | 12 | 9.4 | 1 | 3.1 | 0.147 | 4 | 8.0 | 1 | 3.8 | 3 | 9.6 | 0.398 |
Information provided by obstetrician | 52 | 33.2 | 44 | 35.8 | 8 | 23.4 | 0.207 | 16 | 35.2 | 4 | 32.5 | 12 | 36.2 | 0.788 |
Other sources of information | 69 | 44.1 | 50 | 40.3 | 19 | 58.4 | 0.114 | 7 | 16.2 | 3 | 22.1 | 4 | 13.9 | 0.437 |
Preference of type of birth at the end of pregnancy | < 0.001 | < 0.001 | ||||||||||||
Vaginal | 1655 | 58.1 | 1347 | 64.6 | 307 | 40.3 | 764 | 39.2 | 306 | 62.8 | 459 | 31.4 | ||
C-section | 914 | 32.1 | 547 | 26.2 | 368 | 48.2 | 1046 | 53.7 | 166 | 34.2 | 880 | 60.2 | ||
Not informed | 278 | 9.8 | 191 | 9.1 | 87 | 11.4 | 138 | 7.1 | 15 | 3.0 | 123 | 8.4 |