DỰ ĐỊNH LỰA CHỌN ĐƯỜNG SINH CỦA THAI PHỤ 3 THÁNG CUỐI KHÁM THAI TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI NĂM 2023 VÀ MỘT SỐ YẾU TỐ LIÊN QUAN

Abstract

The use of cesarean section as a method of childbirth is increasing, one of the identified reasons for this trend is the preference and active choice of expectant mothers for this method. Therefore, we conducted this study with the objective of investigating the preferred mode of delivery among pregnant women in the last three months of pregnancy and identifying factors influencing their decision-making process. Subjects and research method: A cross-sectional study was conducted on 355 pregnant women in their last three months of pregnancy who sought antenatal care at Hanoi Obstetrics & Gynecology Hospital from July 2023 to December 2023. Results: The results revealed that 80.28% of the participants expressed a preference for vaginal birth, while 19.72% indicated a desire for cesarean section. The strongest predictor of a pregnant woman's decision to opt for a cesarean section is the intention to choose the time of birth (OR = 28.05, p< 0.05). Additionally, pregnant women who were religious, employed, and were multiparous women are more likely to choose a cesarean section, with odds ratios of 3.14, 6.07, and 2.56, respectively, compared to other pregnant women (p< 0.05). Conclusion: Despite the preference for vaginal delivery among many participants in this study, there was also a notable proportion who expressed a preference for cesarean section. Further in-depth studies are needed to determine necessary interventions for reducing the cesarean section rate when there is no medical indication.