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Determinants of preference for elective caesarean section in Hong Kong Chinese pregnant women

Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine 05/2007; 13(2):100-5.
Source: PubMed

ABSTRACT To find the clinical and socio-demographic determinants for Hong Kong Chinese women who preferred elective caesarean section.
Cross-sectional interview survey.
University teaching hospital, Hong Kong.
A cohort of consecutive Hong Kong Chinese pregnant women (n=660) attending a government-funded obstetric unit catering deliveries in the New Territories in Hong Kong in 2002.
The clinical and socio-demographic determinants of preference for elective caesarean section, in women who could have a trial of vaginal delivery.
The overall prevalence for maternal preference for elective caesarean section was 16.7% (95% confidence interval, 13.8-19.6). The factors associated with preferring elective caesarean section were: previous elective caesarean section (odds ratio=7.6; 95% confidence interval, 2.0-28.7) and previous emergency caesarean section (3.8; 1.8-8.2). Among nulliparous women, the prevalence of preference for elective caesarean section was 16.8% (95% confidence interval, 13.0-20.6). Conception by in-vitro fertilisation was found to be significantly associated with preferring elective caesarean section in nulliparous women (odds ratio=5.2; 95% confidence interval, 1.0-26.4).
Previous caesarean section and conception by in-vitro fertilisation were determinants for women preferring elective caesarean section.

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    • "Perceived risks of vaginal birth include prolonged labour, physical trauma and concern for fetal well-being (Quinlivan et al., 1999; Edwards and Davies, 2001; Hildingsson et al., 2002; Pakenham et al., 2006; Waldenströ m et al., 2006; Wiklund et al., 2008). In non-Western populations, a wish to avoid pain, previous caesarean section, having conceived with the aid of reproductive technology, and fear of sub-standard care were the primary rationales offered by women who preferred a caesarean section (Bé hague et al., 2002; Lei et al., 2003; Angeja et al., 2006; Pang et al., 2007). It is suggested that the phenomenon might also be explained as a marker of women's empowerment and social status in an age of consumerism (Bryant et al., 2007; Andrist, 2008). "
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