Pregnant women's perception of cesarean section on demand.
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.
Tschudin
Sibil
S
Department of Obstetrics and Gynecology, University of Basel, Switzerland. stschudin@uhbs.ch
Alder
Judith
J
Hendriksen
Stephanie
S
Bitzer
Johannes
J
Popp
Karoline Aebi
KA
Zanetti
Rosanna
R
Hösli
Irene
I
Holzgreve
Wolfgang
W
Geissbühler
Verena
V
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