Determinants of preference for elective caesarean section in Hong Kong Chinese pregnant women.
OBJECTIVE
To find the clinical and socio-demographic determinants for Hong Kong Chinese women who preferred elective caesarean section.


METHODS
Cross-sectional interview survey.


METHODS
University teaching hospital, Hong Kong.


METHODS
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.


METHODS
The clinical and socio-demographic determinants of preference for elective caesarean section, in women who could have a trial of vaginal delivery.


RESULTS
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).


CONCLUSIONS
Previous caesarean section and conception by in-vitro fertilisation were determinants for women preferring elective caesarean section.
Pang
Selina M W
SM
Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong. selina.pang@gmail.com
Leung
Danny T N
DT
Leung
T Y
TY
Lai
C Y
CY
Lau
T K
TK
Chung
Tony K H
TK
D000328:Adult; D001294:Attitude to Health; D002585:Cesarean Section; D003430:Cross-Sectional Studies; D005260:Female; D005307:Fertilization in Vitro; D006723:Hong Kong; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D010298:Parity; D017060:Patient Satisfaction; D011247:Pregnancy