A Comparative Study of Women’s Preference of Vaginal Delivery & Cesarean Delivery among Primi Mother who are Attending Antenatal OPD in Murshidabad Medical College & Hospital, Murshidabad

Abstract

Caesarean section is already quite common in developed country but it has gradually become common in developing country also. In terms of developing countries in India the caesarean section rates havecrossed10-15% (Recommended by WHO) which cause a severe public health concern. Even though caesarean section causes many complications &it's expensive, needed extra resources and observations, still the rate has increased from around7%(in1991) to 21% (in2021) &it is more likely that it may goes up to 29% within just few more years.  Objectives- To assess the preferences and existing knowledge of vaginal delivery &caesarean section among primipara mothers.  Methodology- A Non-experimental quantitative study with cross- sectional research design includes 100 primigravida mother through convenient sampling who has attended OPD clinic of Murshidabad Medical College & Hospital, West Bengal.  Results- The study results shows that majority of participants (82%) preferred vaginal delivery. But the preference of caesarean section is higher in primigravida between age group18-22years comparative to older primigravida and also the primigravida from urban community has preferred caesarean section(66.6%) over normal vaginal delivery. Those who preferred Caesarean section were influenced by fear of pain during the labour (18%) and14%feltit was safe for the baby.  Conclusion- Young generation and urban community are more interested in caesarean section due to fear of pain and injury to baby. Especially commercial private practices also provoke the normal people for the caesarean section by creating doubts and misleading them. Government and women need to develop a positive attitude towards the normal vaginal delivery and measures have to be undertaken to create awareness towards safe mode of delivery.