From: Fear of childbirth and elective caesarean section: a population-based study
Preference for elective CS | Delivery by elective CS | ||||
---|---|---|---|---|---|
Variables | No. persons | Cases (%) | Adjusted OR | Cases (%) | Adjusted OR |
(95 % CI) | (95 % CI) | ||||
Fear of childbirth week 32 (W-DEQ) | |||||
Low score (<85) | 1655 | 130 (7.9) | 1.0 | 73 (4.4) | 1.0 |
High score (≥85) | 134 | 44 (32.8) | 4.6 (2.9–7.3)*** | 17 (12.7) | 2.4 (1.2–4.9)* |
Social support | |||||
Strong | 725 | 58 (8.0) | 1.0 | 30 (4.1) | 1.0 |
Moderate | 895 | 94 (10.5) | 1.1 (0.8–1.6) | 48 (5.4) | 1.4 (0.8–2.4) |
Poor | 169 | 22 (13.0) | 1.0 (0.6–1.9) | 12 (7.1) | 2.0 (0.9–4.6) |
Educational level (years) | |||||
≤ 12 | 554 | 72 (13.0) | 1.0 | 35 (6.3) | 1.0 |
> 12 | 1235 | 102 (8.3) | 0.6 (0.4–0.9)** | 55 (4.5) | 0.9 (0.5–1.5) |
Maternal age (years) | |||||
≤ 25 | 177 | 20 (11.3) | 1.0 | 7 (4.0) | 1.0 |
26–35 | 1269 | 116 (9.1) | 1.0 (0.6–1.7) | 56 (4.4) | 0.9 (0.4–2.2) |
≥ 36 | 343 | 38 (11.1) | 1.3 (0.7–2.5) | 27 (7.9) | 1.6 (0.6–4.4) |
Sexual abuse | |||||
No | 1490 | 132 (8.9) | 1.0 | 71 (4.8) | 1.0 |
Coerced | 211 | 28 (13.3) | 1.4 (0.9–2.3) | 11 (5.2) | 0.9 (0.4–1.9) |
Forced | 88 | 14 (15.9) | 1.0 (0.5–2.0) | 8 (9.1) | 0.7 (0.3–1.8) |
Mental health | |||||
No mental impairment | 1585 | 136 (8.6) | 1.0 | 75 (4.7) | 1.0 |
Anxiety or depression | 131 | 24 (18.3) | 1.7 (1.0–2.9)* | 8 (6.1) | 0.9 (0.4–2.2) |
Both anxiety and depression | 73 | 14 (19.2) | 1.1 (0.5–2.2) | 7 (9.6) | 0.9 (0.3–2.5) |
Medical risk factors | |||||
None | 1422 | 107 (7.5) | 1.0 | 21 (1.5) | 1.0 |
One | 313 | 53 (16.9) | 2.4 (1.6–3.5)*** | 56 (17.9) | 14.3 (8.3–24.8)*** |
Two or more | 54 | 14 (25.9) | 4.3 (2.2–8.7)*** | 13 (24.1) | 21.6 (9.6–48.7)*** |
Previous overall birth experience | |||||
Good | 845 | 63 (7.5) | 1.0 | 38 (4.5) | 1.0 |
Bad | 72 | 26 (36.1) | 4.1 (2.2–7.4)*** | 23 (31.9) | 8.1 (3.9–16.7)*** |
No previous delivery experience | 872 | 85 (9.7) | 1.4 (0.9–2.0) | 29 (3.3) | 1.0 (0.6–1.7) |