From: Cesarean delivery on maternal request and its influencing factors in Chongqing, China
Characteristics | Total | Vaginal delivery | CDMR | P value | |||
---|---|---|---|---|---|---|---|
n | % | n | % | n | % | ||
Total | 736 | 100.00 | 655 | 89.00 | 81 | 11.00 | |
Demographic and socioeconomic characteristics | |||||||
Agea | 0.1823 | ||||||
<25 | 307 | 41.71 | 277 | 90.23 | 30 | 9.77 | |
25–30 | 324 | 44.02 | 290 | 89.51 | 34 | 10.49 | |
>30 | 98 | 13.32 | 82 | 83.67 | 16 | 16.33 | |
Place of residencea | 0.0753 | ||||||
Urban | 460 | 62.50 | 402 | 87.39 | 58 | 12.61 | |
Rural | 275 | 37.36 | 252 | 91.64 | 23 | 8.36 | |
Have you ever received higher educationa | 0.0623 | ||||||
No | 433 | 58.83 | 393 | 90.76 | 40 | 9.24 | |
Yes | 301 | 40.90 | 260 | 86.38 | 41 | 13.62 | |
Occupationa | 0.4011 | ||||||
Employed | 376 | 51.09 | 331 | 88.03 | 45 | 11.97 | |
Housewife/Unemployed | 359 | 48.78 | 323 | 89.97 | 36 | 10.03 | |
Monthly per capita household income (RMB)a | 0.0602 | ||||||
≤ 3000 | 177 | 24.05 | 160 | 90.40 | 17 | 9.60 | |
3001–5000 | 299 | 40.63 | 273 | 91.30 | 26 | 8.70 | |
≥ 5001 | 258 | 35.05 | 220 | 85.27 | 38 | 14.73 | |
Payment method of medical expensesa | 0.5926 | ||||||
At one’s own expense | 292 | 39.67 | 262 | 89.73 | 30 | 10.27 | |
Medical insurance | 442 | 60.05 | 391 | 88.46 | 51 | 11.54 | |
Prenatal information | |||||||
BMIa | 0.5312 | ||||||
< 18.5 | 131 | 17.80 | 118 | 90.08 | 13 | 9.92 | |
18.5–23.9 | 511 | 69.43 | 456 | 89.24 | 55 | 10.76 | |
≥ 24 | 90 | 12.23 | 77 | 85.56 | 13 | 14.44 | |
Drinking history | 0.2168* | ||||||
Yes | 8 | 1.09 | 6 | 75.00 | 2 | 25.00 | |
No | 728 | 98.91 | 649 | 89.15 | 79 | 10.85 | |
Smoking history | 1.0000* | ||||||
Active smoking | 8 | 1.09 | 7 | 87.50 | 1 | 12.50 | |
Passive smoking | 18 | 2.45 | 16 | 88.89 | 2 | 11.11 | |
No smoking | 710 | 96.47 | 632 | 89.01 | 78 | 10.99 | |
Parity | < 0.0001 | ||||||
0 (primiparity) | 457 | 62.09 | 388 | 84.90 | 69 | 15.10 | |
≥ 1 | 279 | 37.91 | 267 | 95.70 | 12 | 4.30 | |
Previous Medical History | 0.2424 | ||||||
Yes | 50 | 6.79 | 42 | 84.00 | 8 | 16.00 | |
No | 686 | 93.21 | 613 | 89.36 | 73 | 10.64 | |
Number of Abortions | 0.5282 | ||||||
0 | 450 | 61.14 | 404 | 89.78 | 46 | 10.22 | |
1 | 171 | 23.23 | 152 | 88.89 | 19 | 11.11 | |
≥ 2 | 115 | 15.63 | 99 | 86.09 | 16 | 13.91 | |
Personal factors | |||||||
Willingness of delivery mode in late pregnancy | < 0.0001 | ||||||
Uncertain | 295 | 40.08 | 265 | 89.83 | 30 | 10.17 | |
Tending to choose vaginal delivery | 409 | 55.57 | 371 | 90.71 | 38 | 9.29 | |
Tending to choose cesarean delivery | 32 | 4.35 | 19 | 59.38 | 13 | 40.63 | |
Exercise during pregnancy | 0.3272 | ||||||
Yes | 610 | 82.88 | 546 | 89.51 | 64 | 10.49 | |
No | 126 | 17.12 | 109 | 86.51 | 17 | 13.49 | |
Attending a school for pregnant women during pregnancy | 0.9026 | ||||||
Yes | 350 | 47.55 | 312 | 89.14 | 38 | 10.86 | |
No | 386 | 52.45 | 343 | 88.86 | 43 | 11.14 | |
Late-pregnancy stressa | 0.6195 | ||||||
No | 84 | 11.41 | 76 | 90.48 | 8 | 9.52 | |
Yes | 644 | 87.50 | 571 | 88.66 | 73 | 11.34 | |
Late-pregnancy anxietya | 0.3818 | ||||||
No | 648 | 88.04 | 578 | 89.20 | 70 | 10.80 | |
Yes | 78 | 10.60 | 67 | 85.90 | 11 | 14.10 | |
Late-pregnancy depressiona | 0.1539* | ||||||
No | 711 | 96.60 | 630 | 88.61 | 81 | 11.39 | |
Yes | 21 | 2.85 | 21 | 100.00 | 0 | 0.00 | |
Family factors | |||||||
Family carea | 0.8520 | ||||||
Low | 26 | 3.53 | 24 | 92.31 | 2 | 7.69 | |
Medium | 174 | 23.64 | 155 | 89.08 | 19 | 10.92 | |
High | 534 | 72.55 | 474 | 88.76 | 60 | 11.24 | |
Husband’s advice | 0.0315* | ||||||
Does not recommend cesarean delivery | 707 | 96.06 | 633 | 89.53 | 74 | 10.47 | |
Recommends cesarean delivery | 29 | 3.94 | 22 | 75.86 | 7 | 24.14 | |
Parents’ advice | 0.0033* | ||||||
Do not recommend cesarean delivery | 721 | 97.96 | 646 | 89.60 | 75 | 10.40 | |
Recommend cesarean delivery | 15 | 2.04 | 9 | 60.00 | 6 | 40.00 | |
In-laws’ advice | 0.0061* | ||||||
Do not recommend cesarean delivery | 724 | 98.37 | 648 | 89.50 | 76 | 10.50 | |
Recommend cesarean delivery | 12 | 1.63 | 7 | 58.33 | 5 | 41.67 | |
Social factors | |||||||
Social supporta | 0.7792 | ||||||
Low | 153 | 20.79 | 138 | 90.20 | 15 | 9.80 | |
Moderate | 431 | 58.56 | 382 | 88.63 | 49 | 11.37 | |
High | 129 | 17.53 | 113 | 87.60 | 16 | 12.40 | |
Delivery mode of surrounding mothers | 0.0268 | ||||||
Mainly vaginal delivery | 347 | 47.15 | 320 | 92.22 | 27 | 7.78 | |
Mainly cesarean delivery | 105 | 14.27 | 89 | 84.76 | 16 | 15.24 | |
The two delivery methods are equal | 284 | 38.59 | 246 | 86.62 | 38 | 13.38 | |
Friends’ advice | 0.0321* | ||||||
Do not recommend cesarean delivery | 713 | 96.88 | 638 | 89.48 | 75 | 10.52 | |
Recommend cesarean delivery | 23 | 3.13 | 17 | 73.91 | 6 | 26.09 | |
Doctors’ advicea | 0.0340* | ||||||
Do not recommend cesarean delivery | 714 | 97.01 | 638 | 89.36 | 76 | 10.64 | |
Recommend cesarean delivery | 12 | 1.63 | 8 | 66.67 | 4 | 33.33 | |
Medical staff service | 0.6003* | ||||||
Good | 693 | 94.16 | 618 | 89.18 | 75 | 10.82 | |
General | 40 | 5.43 | 34 | 85.00 | 6 | 15.00 | |
Poor | 3 | 0.41 | 3 | 100.00 | 0 | 0.00 |