Preferences Of Pregnant Women Research Articles

Pain relief for childbirth: The preferences of pregnant women, midwives and obstetricians

To compare the personal preferences of pregnant women, midwives and obstetricians regarding a range of physical, psychosocial and pharmacological methods of pain relief for childbirth. Self-completed questionnaires were posted to a consecutive sample of 400 pregnant women booked-in to a large tertiary referral centre for maternity care in South Australia. A similar questionnaire was distributed to a national sample of 500 obstetricians as well as 425 midwives at: (1) the same hospital as the pregnant women, (2) an outer-metropolitan teaching hospital and (3) a district hospital. Eligible response rates were: pregnant women 31% (n=123), obstetricians 50% (n=242) and midwives 49% (n=210). Overall, midwives had a greater personal preference for most of the physical pain relief methods and obstetricians a greater personal preference for pharmacological methods than the other groups. Pregnant women's preferences were generally located between the two care provider groups, though somewhat closer to the midwives. All groups had the greatest preference for having a support person for labour with more than 90% of all participants wanting such support. The least preferred method for pregnant women was pethidine/morphine (14%). There are differences in the personal preferences of pregnant women, midwives and obstetricians regarding pain relief for childbirth. It is important that the pain relief methods available in maternity care settings reflect the informed preferences of pregnant women.

Anaesthesia for caesarean delivery: Choice of technique among antenatal attendees in North-eastern Nigeria

The objective of this study is to document the anaesthetic preference of pregnant women in two tertiary institutions in North-eastern Nigeria. This was a cross-sectional study of pregnant women seen at the antenatal clinics of the university of Maiduguri teaching hospital and Federal Medical Centre, Yola, from August to October 2009. A total of 254 women were interviewed. They were aged 18–43 with a mean of 28.56 ± 5.602 years. The parity ranged from 1–9 with a mean of 2.71 ± 1.956. Most (178, 70.1%) respondents preferred general anaesthesia and the commonest reason for the preference was various forms of fear 128 (71.9 %). The commonest reason for preference for regional anaesthesia was to watch the procedure live 50 (65.8%). Age (χ2 = 52.364, p = 0.000), education (χ2 = 8.780, p = 0.032), occupation (χ2 = 18.555, p = 0.002) and religion (χ2 = 4.936, p = 0.026) were significantly associated with preference for general anaesthesia. Only age (p = 0.000, OR 8.17, CI = 0.000–1.00) retained significance after multivariate analysis. Considering the fact that the global trend is towards regional anaesthesia due to lower morbidity and mortality, the high preference for general anaesthesia in our survey is worrisome. Health education during antenatal clinics should highlight the superiority of regional over general anaesthesia for caesarean delivery.

Sucos para gestantes: um estudo de mercado

Among other benefits, a healthy diet during pregnancy contributes to the reduction of mother and child mortality, prematurity rates and malformation of babies. Functional juices are an alternative in the composition of adequate diets for this segment of the population. As well as the natural nutrients of fruits and vegetables, they are enriched with vitamins and minerals. Facing the fact that a juice specifically conceived for pregnant women does not exist in the Brazilian market, one has tried with this study to develop an alternative proposal for this public. In order to do that, one has tried to know the tendencies and innovations in the market of juices through readings and verification of products sold in supermarkets. One has also searched about the demands, that is, preferences of pregnant women. Thus, besides a bibliographical research, a questionnaire formulated that was applied to this public. The obtained results point out to the iron deficiencies, aggravated during pregnancy, and the precariousness of alternatives currently offered in the market of ready to drink juices enriched with this mineral. The study concludes with a description of the characteristics of a new product that considers the needs and the gaps existing in the offer of juices for pregnant women. Key words: juice, health, practicality, pregnant woman, market.

Screening options for Down syndrome: how women choose in real clinical setting

To study pregnant women's preference among various screening options for Down syndrome (DS) in routine clinical setting, and its potential association with women's demographic characteristics. Women aged 35 years and older carrying singleton pregnancy were offered a variety of screening tests for DS before 14 weeks of gestation. Their preference was confirmed by the test they actually underwent. The association between women's choice of test and a number of demographic characteristics was studied using multinomial regression. Among 1967 eligible women, 619 opted for first-trimester screening test (FTS), 924 for partial integrated test (PIT), and 424 for full integrated test (FIT). Nulliparous women and working mothers were more likely to choose FTS and FIT. Women with history of subfertility were more likely to choose FIT. Women with family history of chromosomal abnormalities were more likely to choose FTS. The choice of screening test could be predicted for 49.9% of women using four demographic characteristics. Among older women of predominantly Chinese ethnicity, integrated test is a favorite alternative to FTS. Their choice of DS screening test can be predicted by their obstetric and socioeconomic characteristics. Many women show willingness to pay for a test with a lower false-positive rate.

Attitudes About Prenatal Hiv Testing in Turkey

The aim of this study was to assess the attitudes of Turkish pregnant women and antenatal health care providers towards prenatal HIV testing. A self-administered questionnaire was used. The relationships between the different groups' knowledge and attitudes were analysed by using the chi-squared statistic. A total of 494 pregnant women and 181 care providers participated. Forty-four per cent of the pregnant women thought that prenatal HIV testing should be mandatory, and 84% of the health care providers thought it should be performed routinely or be mandatory. The majority of the pregnant women (74%) and half of the care providers agreed that the test results should be disclosed first to the pregnant woman. The study results also revealed that most of the prenatal care providers would not protect pregnant women's autonomy and privacy, contrary to the pregnant women's own preferences. It is essential to establish national prenatal HIV testing policies in order to prevent unethical practices and ensure satisfaction for pregnant women and health care providers.

Chilean women’s preferences regarding mode of delivery: which do they prefer and why?

Caesarean section rates in Chile are reported to be as high as 60% in some populations. The purpose of this study was to determine pregnant Chilean women's preferences towards mode of delivery. Interviewer-administered cross-sectional survey. Prenatal clinics in Santiago, Chile. Population Pregnant women in Santiago, Chile. Of 180 women completing the questionnaire, 90 were interviewed at a private clinic (caesarean delivery rate 60%) and 90 were interviewed at a public clinic (cesarean delivery rate 22%). Data collected included demographics, preferred mode of delivery, and women's attitudes towards vaginal and caesarean deliveries. Mode of delivery preferences, perceptions of mode of delivery measured on a 1-7 Likert scale. The majority of women (77.8%) preferred vaginal delivery, 9.4% preferred caesarean section, and 12.8% had no preference. There was no statistical difference in preference between the public clinic (11% preferred caesarean) and the private clinic (8% preferred caesarean, P= 0.74). Overall, women preferring caesarean birth were slightly older than other groups (31.6 years, versus 28.4 years for women who preferred vaginal and 27.3 years for women who had no preference, P= 0.05), but there were otherwise no differences in parity, income, or education. On a scale of 1-7, women preferring caesarean birth rated vaginal birth as more painful, while women preferring vaginal birth rated it as less painful (5.8 versus 3.7, P= 0.003). Whether vaginal or caesarean, each group felt that their preferred mode of delivery was safer for their baby (P < 0.001). Chilean women do not prefer caesarean section to vaginal delivery, even in a practice setting where caesarean delivery is more prevalent. Thus, women's preferences is unlikely to be the most significant factor driving the high caesarean rates in Chile.

Ethnicity and depression treatment preferences of pregnant women

African American, Hispanic, and White women between 12 and 32 weeks gestation were recruited to examine their depression treatment preferences. The 73 women who participated were interviewed after their prenatal visit. Nineteen percent of women had symptoms of moderate or severe depression. Women with moderate or severe symptoms of depression were more likely to believe that antidepressants were an acceptable treatment than those without symptoms or with only minor depression symptoms. There were only small differences among the three ethnic groups for antidepressant use preference but most women found them to be unacceptable. In contrast, approximately half of the White women felt that herbal medicines were acceptable compared with 16 and 22 percent for African Americans and Hispanics, respectively. Only 44 percent of African American women felt that counseling from a mental health professional was an acceptable treatment for depression compared to 68 percent for White and 61 percent for Hispanic women. Similarly, African American women were less likely to believe that waiting and getting over depression symptoms naturally was acceptable compared to Hispanic and White women.

S5-02-05 Involvement of aberrant regulation of PI3K and MAPK cascades in AD TAU phosphorylation

Yoga may be well suited for depressed and anxious pregnant women, given reported benefits of meditation and physical activity and pregnant women's preference for nonpharmacological treatments.We randomly assigned 46 pregnant women with symptoms of depression and anxiety to an 8-week yoga intervention or treatment-as-usual (TAU) in order to examine feasibility and preliminary outcomes.Yoga was associated with high levels of credibility and satisfaction as an intervention for depression and anxiety during pregnancy. Participants in both conditions reported significant improvement in symptoms of depression and anxiety over time; and yoga was associated with significantly greater reduction in negative affect as compared to TAU (β = −0.53, SE = 0.20, p = .011).Prenatal yoga was found to be a feasible and acceptable intervention and was associated with reductions in symptoms of anxiety and depression; however, prenatal yoga only significantly outperformed TAU on reduction of negative affect.

Pregnant women's preferences and knowledge of term breech management, in an Australian setting

Objective: to assess women's familiarity with breech presentation and external cephalic version (ECV), and to identify women's preferences and attitudes regarding breech management. Design: cross-sectional survey. Setting: King George V (KGV) Memorial Hospital for Mothers and Babies, Sydney, Australia, a major metropolitan teaching hospital. Population: 174 pregnant women (20–38 weeks gestation) attending KGV for antenatal care in 2001. Methods: data were obtained from a self-administered questionnaire that was distributed through the antenatal clinics. Main outcome measures: women's familiarity of breech presentation and ECV, women's attitude towards ECV, decision to attempt ECV, and with whom participants would like to make a decision regarding ECV. Findings: of the 174 respondents, 85% could correctly identify breech presentation, and 66% had heard of ECV. For 87% this information was from books, and family/friends, and not their midwife/doctor. Equal numbers of women responded that they would or would not choose ECV (39%), and the remaining 22% were uncertain. Factors influencing their decision included concerns about the safety for the baby, ECV not guaranteeing vaginal birth despite successful version, and ECV not being effective enough. Seventy-two per cent wanted to make the decision to attempt ECV together with their doctor. Conclusion: although the majority of the women had a preference for vaginal birth, their knowledge of ECV appeared insufficient to enable them to make informed decisions about attempting ECV. These findings suggest that care-providers should offer women information on ECV, in a shared-decision-making environment.

A qualitative study of information about available options for childbirth venue and pregnant women's preference for a place of delivery

Aim: to explore the level of information about possible venues for childbirth among pregnant women, and to establish the midwives’ involvement in giving information and helping women to make choices about where they want to give birth. Design: qualitative study using tape-recorded unstructured interviews. Setting: the South East of England. Participants: 33 pregnant women; 20 planning a hospital birth and 13 planning a home birth recruited between 32 and 42 weeks of pregnancy. Findings: women planning a home birth were well informed about the options available to them, while the majority of those planning a hospital birth were less informed about the availability of home birth and assumed that the hospital was the only option. Midwives did not initiate the discussion of availability of home birth but supported those who already knew and asked for it. Conclusions: almost a decade after the adoption of Changing Childbirth (DoH 1993) recommendations as policy in England there is still evidence of lack of information among pregnant women regarding services available to them. In this study the midwives’ reluctance to inform women about home birth as a possible venue for childbirth, has been demonstrated.

Assessment of pregnant women's preference for the method of delivery

International Journal of Gynecology & ObstetricsVolume 70, Issue S2 p. B160-B160 Status of women Assessment of pregnant women's preference for the method of delivery E.C. Nwosu, E.C. NwosuSearch for more papers by this authorJ. Saijad, J. SaijadSearch for more papers by this authorH. Hamed, H. HamedSearch for more papers by this authorG. Ramsden, G. RamsdenSearch for more papers by this author E.C. Nwosu, E.C. NwosuSearch for more papers by this authorJ. Saijad, J. SaijadSearch for more papers by this authorH. Hamed, H. HamedSearch for more papers by this authorG. Ramsden, G. RamsdenSearch for more papers by this author First published: 10 December 2003 https://doi.org/10.1016/S0020-7292(00)83248-8AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume70, IssueS22000Pages B160-B160 RelatedInformation

Patient preference for self-collected cultures for group B streptococcus in pregnancy

To determine pregnant women's preference for self-culture technique, 251 women between 24 and 42 weeks gestation were interviewed after performing self-collected cultures (vaginal and rectal) for group B streptococcus. Patient receptiveness to self-culture, the ability to perform self-culture, and the desire for choice in the future were derived using the Patient Preference Tool. The majority of women (77%, n = 194) gave positive descriptions of self-culture technique, and the majority of women preferred self-culture technique over nurse-collected sampling (57%, n = 142). Seventy-nine percent ( n = 197) stated their desire to have a choice about self-culture in the future when similar testing was needed, and 89% ( n = 224) believed that other women would also like this choice. Additionally, patient samples were highly correlated with nurse-collected samples for accuracy of culture results. This study provides data supporting that women desire active participation in their care.

Substance Abuse by Pregnant Women

From medical constraints to child care needs, substance- abusing pregnant women present unique challenges for treatment providers. This article provides findings from a statewide survey of treatment providers questioned about the treatment offered pregnant abusers in the State of Iowa. Providers were asked about the incidence of pregnant women seeking treatment, drugs of preference of pregnant women, and services offered these clients. A call is made for treatment approaches which recognize the special needs of pregnant women.

Gender preferences of pregnant women and emotional reaction to information regarding fetal gender and postpartum: An examination of freud's view about motivation for motherhood

Freud (1933) suggested that women enter motherhood with a motivation to compensate for anatomical and psychological inferiority. This motivation is reflected in the desire to bear a son. Freud's idea was investigated by examining pregnant women's preferences regarding fetal gender and their emotional reactions (anxiety and depression) to information about fetal gender following an ultrasound examination and postpartum. Subjects were first-time and third-time pregnant women. In the third-time pregnant group only women who had two previous children of the same gender were investigated. First-time pregnant women did not express a predominant preference for any gender, third-time pregnant women preferred a child of a gender they did not have. In the first pregnancy, after the examination, subjects experienced a significant decrease in depression, and postpartum a significant elevation in both emotions. Preference and information about fetal gender affected depression only when they interacted with the time of measurement. In the third pregnancy, anxiety and depression were highest after the examination and the strongest elevation in both emotions was reported by women who had two sons, preferred a daughter and were informed they will deliver a son. The findings in both pregnancies put doubt on Freud's ideas about the motivation for motherhood, and suggest that social factors may also play a part in determining mother's attitude and emotional reactions towards fetal and neonate's gender.

Student and qualified midwives' attitudes to aspects of obstetric practice.

Midwife groups qualified for less than 5 years, 5-10 years and more than 10 years, and a group of student midwives, expressed degrees of agreement/disagreement with statements relating to aspects of obstetric practice. Responses were factor analysed and six interpretable rotated factors were obtained. Factors 1 to 3 represented 'patient-centred' attitudes to obstetric issues of increasing technicality. Factor 1 could be construed as a broad attitude to women's rights, factor 2 as an attitude to pregnant women's preferences being the main determinant of obstetric decisions of a relatively non-technical nature and factor 3 as an attitude to pregnant women exercising control in relation to obstetric decisions where technical expertise may be a major consideration. Different patterns of factor score differences between the four length of qualification groups and between student nationality subgroups were found for these factors. Implications of these distinctive patterns for the training of midwives are discussed.