281: Patients’ attitudes associated with cesarean delivery on maternal request in an urban population

Abstract

ObjectiveLimited data exists on patient attitudes toward cesarean delivery on maternal request (CDMR). We sought to explore attitudes and beliefs related to CDMR in our inner city population.Study designAnonymous questionnaires were distributed to patients between 18-20 weeks gestation at the time of the anatomy ultrasound. The survey assessed patient demographics, knowledge, perceived risks and attitudes about CDMR. Data was analyzed using Chi square and content analysis techniques.Results314 completed questionnaires were used in the final analysis, 188 written comments were provided by participants. Our patients (95%) did not believe that CDMR was advisable and felt that vaginal delivery was safer for mother (93%) and baby (88%). Qualitative analysis of patient responses was performed (Table). Of patients who did not believe CDMR was advisable, the most common explanations were “Normal is Better” and “Risk of Complications” (67%). Of patients who felt that CDMR was advisable, 75% believed that the decision should be left up to the individual.Tabled 1Qualitative content analysis: Do you think CDMR is advisable?Response categoryYesNoNormal is better036% (63)Risk associated8% (1)31% (53)Cesarean for problems only17% (2)13% (23)Experience should not be missed010% (17)Cutting is bad09% (15)Should be up to individual75% (9)1% (2) Open table in a new tab ConclusionThe overwhelming majority of women in our urban population do not think that CDMR is advisable. Patient attitudes on this controversial topic may vary across populations and this subject deserves further attention in the future. ObjectiveLimited data exists on patient attitudes toward cesarean delivery on maternal request (CDMR). We sought to explore attitudes and beliefs related to CDMR in our inner city population. Limited data exists on patient attitudes toward cesarean delivery on maternal request (CDMR). We sought to explore attitudes and beliefs related to CDMR in our inner city population. Study designAnonymous questionnaires were distributed to patients between 18-20 weeks gestation at the time of the anatomy ultrasound. The survey assessed patient demographics, knowledge, perceived risks and attitudes about CDMR. Data was analyzed using Chi square and content analysis techniques. Anonymous questionnaires were distributed to patients between 18-20 weeks gestation at the time of the anatomy ultrasound. The survey assessed patient demographics, knowledge, perceived risks and attitudes about CDMR. Data was analyzed using Chi square and content analysis techniques. Results314 completed questionnaires were used in the final analysis, 188 written comments were provided by participants. Our patients (95%) did not believe that CDMR was advisable and felt that vaginal delivery was safer for mother (93%) and baby (88%). Qualitative analysis of patient responses was performed (Table). Of patients who did not believe CDMR was advisable, the most common explanations were “Normal is Better” and “Risk of Complications” (67%). Of patients who felt that CDMR was advisable, 75% believed that the decision should be left up to the individual.Tabled 1Qualitative content analysis: Do you think CDMR is advisable?Response categoryYesNoNormal is better036% (63)Risk associated8% (1)31% (53)Cesarean for problems only17% (2)13% (23)Experience should not be missed010% (17)Cutting is bad09% (15)Should be up to individual75% (9)1% (2) Open table in a new tab 314 completed questionnaires were used in the final analysis, 188 written comments were provided by participants. Our patients (95%) did not believe that CDMR was advisable and felt that vaginal delivery was safer for mother (93%) and baby (88%). Qualitative analysis of patient responses was performed (Table). Of patients who did not believe CDMR was advisable, the most common explanations were “Normal is Better” and “Risk of Complications” (67%). Of patients who felt that CDMR was advisable, 75% believed that the decision should be left up to the individual. ConclusionThe overwhelming majority of women in our urban population do not think that CDMR is advisable. Patient attitudes on this controversial topic may vary across populations and this subject deserves further attention in the future. The overwhelming majority of women in our urban population do not think that CDMR is advisable. Patient attitudes on this controversial topic may vary across populations and this subject deserves further attention in the future.