Abstract

Objective:To explore the factors influencing women’s selection of the delivery method of their second child.Methods:A questionnaire survey was administered among 431 women in the age range of interest from January 2015 to January 2017, and the survey results were evaluated and analyzed statistically. The experts evaluating the questionnaire are professionals in the Department of Obstetrics and Gynecology, Heji Hospital Affiliated to Changzhi Medical College.Results:A total of 70.99% of subjects were 28-35 years old. Approximately 82.35% wished to undergo vaginal delivery, and the remaining 17.65% expressed to undergo cesarean delivery. The reasons for cesarean delivery included the following: fetal factors: worry about fetal health (33.33%), birth trauma (12.90%), and fetal macrosomia (38.17%); maternal factors: advanced age (36.56%), inability to bear uterine contraction pains (21.51%), worry about uracratia after vaginal delivery (10.75%), worry about perineum laceration (8.60%) and the impacts on sexual gratification after delivery (5.38%); social factors: faster delivery mode (54.84%), selection of birth time (27.96%), and better planning of maternity leave (17.20%).Conclusion:Most women tend to undergo vaginal delivery. However, due to the influence of age, educational level and other factors, an increasing number of women prefer cesarean delivery. Medical institutions have the responsibility for providing overall and fair medical information to women of childbearing age to help them make informed choices regarding mode of delivery.

Highlights

  • Delivery is an important event in women’s lives

  • As the two-child policy is implemented in China, an increasing number of women of reproductive age, including older women, choose to have a second child

  • It is believed that vaginal delivery is the most natural delivery method

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Summary

Introduction

Delivery is an important event in women’s lives. As the two-child policy is implemented in China, an increasing number of women of reproductive age, including older women, choose to have a second child. The factors influencing women’s second-child delivery method are explored in this study. We wished to provide the best delivery plan based on the actual situation of the mother in the future. It is believed that vaginal delivery is the most natural delivery method. Since cesarean delivery involves operation and anesthesia risks as well as many intraoperative

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