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Int Urogynecol J Pelvic Floor Dysfunct. 2008 Nov;19(11):1527-31. doi: 10.1007/s00192-008-0680-1. Epub 2008 Jul 17.

Preferences and concerns for delivery: an antepartum survey.

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  • 1Department of Obstetrics and Gynecology, Bethesda North Hospital, 10475 Montgomery Road Suite 4G, Cincinnati, OH, 45242, USA.


Little is known regarding patient preferences for method of delivery despite concern about rising cesarean section rates. We hypothesize that the majority of pregnant women desire a vaginal birth. An anonymous survey was distributed to pregnant women assessing demographics, pregnancy history, delivery preference, and concern for outcomes. Five-hundred fifty respondents completed the survey; 43% were nulliparous. The majority preferred vaginal delivery (89.6%). Reasons included reduced recovery pain (72%), scars (68%), and bleeding (48%). Cesarean deliveries were believed to cause more maternal injuries (39%), but affect sexual function less (35%). Nulliparas were more concerned about vaginal support damage (p = .005), sexual function changes (p < or = 0.001), and need for episiotomy (p < or = .001). Despite this, 93% of nulliparas chose vaginal birth. Increased parity was associated with preference for cesarean delivery (r = 0.108, p = 0.013). Despite nulliparas' concerns about complications of vaginal delivery, the majority of pregnant women would choose vaginal birth.

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