title: Pregnant women's perception of cesarean section on demand.
abstract: OBJECTIVE
  To assess pregnant women's awareness of and attitudes towards cesarean section (CS) on demand, as well as to identify specific target groups by focusing on differences dependant on the participants' background, parity and intended mode of delivery.
  
  
  METHODS
  The study was conducted at two centers during three months. German-speaking pregnant women were invited to answer an anonymous, structured questionnaire. We compared urban vs. rural, nulliparous vs. parous and women opting for a CS vs. denying this wish, with regard to awareness and attitudes towards CS on demand.
  
  
  RESULTS
  Ninety-two percent of the 201 participants were aware of the possibility to deliver by CS on demand. Their sources of information were mostly print media reports, television, or friends. Pain avoidance and missing the birth experience were the main reasons for and against CS on demand, respectively. For women opting for CS on demand, traumatically-experienced previous birth and the child's well-being were other important reasons for a CS.
  
  
  CONCLUSIONS
  Because negative birth experience appears to be decisive for pregnant women's attitude towards CS on demand and their perception of CS seems to be partly based on misconceptions, antenatal counseling should focus on these aspects.
authors.affiliation: Department of Obstetrics and Gynecology, University of Basel, Switzerland. stschudin@uhbs.ch
authors.forename: Sibil
authors.initials: S
authors.lastname: Tschudin
authors.forename: Judith
authors.initials: J
authors.lastname: Alder
authors.forename: Stephanie
authors.initials: S
authors.lastname: Hendriksen
authors.forename: Johannes
authors.initials: J
authors.lastname: Bitzer
authors.forename: Karoline Aebi
authors.initials: KA
authors.lastname: Popp
authors.forename: Rosanna
authors.initials: R
authors.lastname: Zanetti
authors.forename: Irene
authors.initials: I
authors.lastname: Hösli
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Holzgreve
authors.forename: Verena
authors.initials: V
authors.lastname: Geissbühler
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000523:psychology*; D003430:Cross-Sectional Studies; D017558:Elective Surgical Procedures / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D011247:Pregnancy; D011639:Public Opinion; D013557:Switzerland; D055815:Young Adult