Preference and factors associated with the type of delivery among new mothers in a public maternity hospital

Vale, Luana Dantas; Lucena, Eudes Euler de Souza; Holanda, Cristyanne Samara Miranda de; Cavalcante, Rosângela Diniz; Santos, Marquiony Marques dos

doi:10.1590/1983-1447.2015.03.50032

Acessibilidade / Reportar erro

Brasil

Revista Gaúcha de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Papers • Rev. Gaúcha Enferm. 36 (3) • Sept 2015 • https://doi.org/10.1590/1983-1447.2015.03.50032 copy

Preference and factors associated with the type of delivery among new mothers in a public maternity hospital

Preferencia y factores associados al tipo de parto entre parturientas de una maternidade

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

To identify reproductive and socioeconomic factors that influence the preference for a method of childbirth.

Method:

Data were collected using semi-structured interviews with 233 women in postpartum care. Data were analyzed using association tests, namely the Chi-square test and multiple logistic regression.

Results:

The preference for vaginal childbirth was cited by 58% of women. The main reasons for this preference were quick postpartum recovery, a negative experience in Caesarean childbirth and fulfilment through motherhood. Analysis of the logistic models of preference for vaginal delivery according to the independent variables revealed a greater occurrence in women who had previous experience of this type of delivery (PR: 1.91; CI: 1.15-3.17) and had received prior guidance (PR: 1.76; CI: 1.06-2.90).

Conclusion:

Findings highlight the need to transform the model of care provided during pregnancy and childbirth.

Parturition; Perception; Women's health

Variables	Categories	Caesarean	Normal
Variables	Categories	N	%	n	%
Employment	Employed	42	18	30	12.9
	Unemployed	60	25.7	51	21.9
	Self-employed	11	4.7	5	2.1
	Other	18	7.7	16	6.9
Education	Illiterate	0	0	3	1.3
	Did not finish primary school	21	9	30	12.9
	Finished primary school	10	4.3	15	6.4
	Did not finish secondary school	29	12.4	17	7.7
	Finished secondary school	55	23.6	34	14.6
	Did not finish university	10	4.3	0	0
	Finished university	6	2.6	2	0.9
Marital status	Married	42	18	20	8.6
	Single	45	19.3	31	13.3
	Common-law marriage	42	18	48	20.6
	Divorced	2	0.9	3	1.3
Family income	Up to 1 minimum wage	26	11.1	30	12.9
	1-2 minimum wages	72	30.9	61	26.2
	3-4 minimum wages	28	12	11	4.7
	5 minimum wages or more	5	2.1	0	0
	Total	131	56.2	102	43.8

Variables	Categories	Preference for vaginal birth
Variables	Categories	n	%	p value	PR	CI (95%)
Age	Under 24 years	69	57.0	0.790	0.956	0.768 -1.190
Age	Over or equal to 24 years	65	59.6
Type of employment	Formal	41	58.6	0.790	0.956	0.768 -1.190	1.000	1.008	0.795 -1.277
Type of employment	Informal	93	58.1				1.000	1.008	0.795 -1.277
Education	Illiterate up to basic education 1 completed	48	61.5	0.561	1.088	0.869 -1.361
Education	From basic education 2 to higher education completed	86	56.6
Marital status	Married	90	59.2	0.561	1.088	0.869 -1.361	0.629	1.081	0.844-1.383
Marital status	Single	40	54.8				0.629	1.081	0.844-1.383
Family income	Up to 2 minimum wages	109	58.3	1.000	1.003	0.757 -1.328
Family income	3 salaries or more	25	58.1
Prenatal consultation	Up to 3 consultations	4	57.1	1.000	1.003	0.757 -1.328	1.000	0.980	0.511-1.880
Prenatal consultation	4 consultations or more	130	58.3				1.000	0.980	0.511-1.880
Type of previous birth	Normal	43	68.3	0.017	1.606	1.079 -2.391
Type of previous birth	Caesarean	17	42.5
Gestational age	Less than 39 weeks	68	56.2	0.017	1.606	1.079 -2.391	0.593	0.928	0.746-1.155
Gestational age	Equal to or more than 39 weeks	66	60.6				0.593	0.928	0.746-1.155
Complications at childbirth	Yes	30	57.7	1.000	0.987	0.759 -1.285
Complications at childbirth	No	104	58.4
Prenatal professional	Doctor	31	45.6	1.000	0.987	0.759 -1.285	0.034	0.729	0.545-0.977
Prenatal professional	Nurse	80	62.5				0.034	0.729	0.545-0.977
Delivery guidelines	Yes	81	65.9	0.018	1.329	1.057-1.673
Delivery guidelines	No	53	49.6

Variables^a	Categories	PR	CI (95%)	PRaj	CIaj (95%)
Variables^a	Reference	Exposure
Type of previous birth	Normal	Caesarean	CI (95%)	PRaj	CIaj (95%)		1.81	1.15-2.84	1. 91^b	1.15-3.17
Previous guidelines	Yes	No	1.48	1.08-2.01	1.76^b	1.06 - 2.90

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Author's address: Eudes Euler de Souza Lucena Rua André Sales, 667, Paulo XI 59300-000 Caicó - RN E-mail: eudeseuler@hotmail.com