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首页> 外文期刊>Patient Preference and Adherence >Women’s cesarean section preferences and influencing factors in relation to China’s two-child policy: a cross-sectional study
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Women’s cesarean section preferences and influencing factors in relation to China’s two-child policy: a cross-sectional study

机译：与中国“二胎”政策相关的妇女剖宫产喜好及其影响因素：一项横断面研究

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Objective: This study explored women’s preference for cesarean section (CS) and the preference for cesarean sections’ influencing factors, particularly nonmedical factors. Methods: A cross-sectional study was conducted in four tertiary hospitals in Hohhot. We recruited 1,169 pregnant women at ≥28 gestational weeks and classified subjects into three groups by delivery mode preference: vaginal birth (VB), CS, and “no clear preference”. We identified the influencing factors of women’s choices by multinomial logistic regression. The adjusted relative-risk ratios (aRRRs) for the factors affecting the preference for CS and “no clear preference” categories and their 95% CIs were computed, using the preference for VB as the reference group. Results: VB was preferred by 80.3% of the subjects, 8.8% preferred CS, and 10.9% had not decided yet. In the multinomial logistic regression, pregnant women intending to have more than one child were less likely to prefer CS (aRRR: 0.37; 95% CI: 0.22–0.61); choosing a lucky day for baby birth was the strongest factor for CS preference (aRRR: 12.36; 95% CI: 6.62–23.08), and other factors for CS preference were being aged 40 years and above (aRRR: 4.21; 95% CI: 1.43–12.40), being ethnic minority (aRRR: 2.00; 95% CI: 1.17, 3.41), feeling difficulty in getting pregnant (aRRR: 2.23; 95% CI: 1.20, 4.13), and having husband’s preference for CS (aRRR: 7.62; 95% CI: 4.00–14.54). The top reasons for preferring CS were the belief that CS was safer (51.5%), associated with less pain (40.8%), and better for baby’s and woman’s health (24.3% and 22.3%, respectively). Conclusion: Less than one-tenth of the study subjects preferred CS. The cultural beliefs had the strongest influence on the decision of delivery mode. Those intending to have two or more children following the two-child policy were less likely to choose CS.
机译：目的：本研究探讨了女性偏爱剖宫产（CS）以及偏爱剖宫产的影响因素，尤其是非医学因素。方法：在呼和浩特市的四家三级医院进行了横断面研究。我们在≥28个孕周时招募了1169名孕妇，并按照分娩方式偏好将受试者分为三类：阴道分娩（VB），CS和“无明显偏好”。我们通过多项Logistic回归确定了女性选择的影响因素。使用对VB的偏好作为参考组，计算了影响CS偏好和“无明确偏好”类别的因素及其95％CI的调整后相对风险比（aRRR）。结果：VB被80.3％的受试者优先，8.8％的CS优先，10.9％的受试者尚未决定。在多项式逻辑回归中，打算生育一个以上孩子的孕妇较不喜欢CS（aRRR：0.37; 95％CI：0.22-0.61）;选择婴儿幸运的一天是CS偏爱的最主要因素（aRRR：12.36; 95％CI：6.62-23.08），而其他CS偏爱因素则是40岁及以上（aRRR：4.21; 95％CI： 1.43-12.40），是少数民族（aRRR：2.00; 95％CI：1.17，3.41），感到怀孕困难（aRRR：2.23; 95％CI：1.20，4.13），并且丈夫偏爱CS（aRRR： 7.62; 95％CI：4.00-14.54）。偏爱CS的首要原因是相信CS更安全（51.5％），疼痛减轻（40.8％），对婴儿和女性的健康有益（分别为24.3％和22.3％）。结论：不到十分之一的研究对象偏爱CS。文化信仰对交付方式的决定影响最大。那些打算按照两个孩子的政策生两个或两个以上孩子的人不太可能选择CS。

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