Knowledge and Preference Towards Mode of Delivery among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Profile of the Study Population
3.2. Knowledge Towards Mode of Delivery
3.3. Factors Associated with a Lack of Adequate Knowledge on Mode of Delivery
3.4. Preferred Mode of Delivery for Current Pregnancy
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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N (Valid %) | |
---|---|
Age (mean = 30.6 years ± 5.8 SD) | |
18–24 | 209 (16.0) |
25–29 | 350 (26.9) |
≥30 | 744 (57.1) |
Educational attainment | |
Two-year diploma and above | 639 (53.1) |
Secondary schooling and below | 565 (46.9) |
Missing | 99 |
Husband’s educational attainment | |
Two-year diploma and above | 628 (50.2) |
Secondary schooling and below | 623 (49.8) |
Missing/Do not know | 52 |
Employed | |
No | 830 (68.9) |
Yes | 374 (31.1) |
Missing | 99 |
Gestational trimester (mean gestational age = 6.4 months ± 2.2 SD) | |
First | 184 (14.1) |
Second | 409 (31.4) |
Third | 710 (54.5) |
Parity (mean = 3.0 ± 1.8 SD) | |
Nulliparous (1st pregnancy) | 279 (23.4) |
At least one child | 913 (76.6) |
Missing | 111 |
Gravidity (mean = 3.6 ± 2.2 SD) | |
Never been pregnant before | 394 (30.2) |
At least one pregnancy | 909 (69.8) |
Mode of last delivery | |
Vaginal | 772 (79.2) |
CS | 203 (20.8) |
Missing/Nulliparous | 328 |
Previous eventful pregnancy | |
Never | 199 (23.1) |
1–2 events | 494 (57.4) |
≥3 events | 168 (12.9) |
Missing/nulliparous | 442 |
Preferred mode of upcoming delivery | |
CS | 122 (9.4) |
Vaginal | 1128 (86.9) |
Have not decided | 48 (3.6) |
Missing | 5 |
Knowledge Item | Expected Answer | Reported Answer | |
---|---|---|---|
Correct | Incorrect or Not Sure | ||
n (%) | n (%) | ||
Cesarean delivery is less painful | Strongly agree/agree | 311 (23.9) | 992 (76.1) |
Maternal complications of cesarean delivery are greater | Strongly agree/agree | 813 (62.4) | 490 (37.6) |
Infection risk of cesarean delivery is higher than vaginal delivery | Strongly agree/agree | 599 (46.0) | 704 (54.0) |
Emotional relationship between mother and baby after vaginal delivery is better | Strongly agree/agree | 824 (63.2) | 479 (36.8) |
Infants born by cesarean section are smarter compared with those born by vaginal delivery | Strongly disagree/disagree | 493 (37.8) | 810 (62.2) |
Infant bone fractures are impossible in cesarean section delivery | Strongly disagree/disagree | 219 (16.8) | 1084 (83.2) |
It is reasonable to request cesarean section again for next delivery after the first cesarean section | Strongly agree/agree | 432 (33.2) | 871 (66.8) |
Respiratory disorders in infants born by cesarean section are less likely than those born by vaginal delivery | Strongly disagree/disagree | 245 (18.8) | 1058 (81.2) |
Hemorrhage after cesarean delivery is less than after vaginal delivery | Strongly disagree/disagree | 210 (16.1) | 1093 (83.9) |
Cesarean section is reasonable when the baby is in breech presentation | Strongly agree/agree | 771 (59.2) | 532 (40.8) |
Adequacy of knowledge (mean score = 3.7 ± 2.2 SD) | |||
Lack of adequate knowledge (score 0–5) | 1022 (78.4) | ||
Adequate knowledge (score 6–10) | 281 (21.6) |
OR (95% CI) | aOR (95% CI) | |
---|---|---|
Age, years | ||
≥30 | 1.00 | 1.00 |
25–29 | 0.97 (0.72–1.31) | 0.90 (0.61–1.33) |
18–24 | 1.61 (1.07–2.44) 1 | 3.07 (1.07–8.86) 1 |
Educational attainment | ||
Two-years diploma or above | 1.00 | 1.00 |
Secondary schooling or below | 1.31 (0.99–1.73) | 1.34 (0.95–1.89) |
Husband’s educational attainment | ||
Two-years diploma or above | 1.00 | 1.00 |
Secondary schooling or below | 1.06 (0.81–1.38) | 1.08 (0.79–1.31) |
Current working status | ||
Working | 1.00 | 1.00 |
Not working | 1.18 (0.88–1.58) | 1.12 (0.85–1.59) |
Gestational trimester | ||
Third | 1.00 | 1.00 |
Second | 0.93 (0.69–1.26) | 0.71 (0.48–1.04) |
First | 0.86 (0.58–1.27) | 0.75 (0.46–1.24) |
Parity | ||
At least one child | 1.00 | 1.00 |
Nulliparous | 1.19 (0.85–1.68) | – |
Gravidity | ||
Never been pregnant before | 1.00 | 1.00 |
At least one pregnancy | 0.99 (0.75–1.33) | – |
Previous eventful pregnancy | ||
≥3 events | 1.00 | 1.00 |
1–2 events | 1.33 (0.88–2.01) | 1.36 (0.88–2.12) |
Never | 1.28 (0.79–2.1 | 1.39 (0.88–2.37) |
Mode of last delivery | ||
Vaginal | 1.00 | 1.00 |
CS | 1.81 (1.18–2.75) 2 | 1.90 (1.06–3.40) 1 |
CS, (after excluding nulliparous women) | 1.89 (1.13–3.16) 1 | 2.15 (1.22–3.79) 2 |
Preferred mode of delivery for current pregnancy | ||
Vaginal | 1.00 | 1.00 |
CS | 1.97 (1.14–3.38) 1 | 1.41 (0.66–3.00) |
Have not decided yet | 2.08 (0.87–4.94) | 1.02 (1.04–3.33) |
CS 122 (%) | Vaginal 1128 (%) | p-Value | OR (95% CI) | aOR (95% CI) | |
---|---|---|---|---|---|
Age | <0.001 | ||||
18–24 | 95 (77.9) | 625 (55.4) | 1.00 | 1.08 (1.02–1.14) 2 | |
25–29 | 25 (20.5) | 308 (27.3) | 7.91 (1.85–33.79) 3 | ||
≥30 | 2 (1.6) | 195 (17.3) | 14.82 (3.62–60.67) 4 | ||
Educational attainment | 0.811 | ||||
Two-years diploma and above | 59 (51.8) | 551 (52.9) | 1.00 | – | |
Secondary schooling and below | 55 (48.2) | 490 (47.1) | 1.05 (0.71–1.54) | ||
Husband’s educational attainment | 0.265 | ||||
Two-years diploma and above | 53 (44.9) | 545 (50.3) | 1.00 | – | |
Secondary schooling and below | 65 (55.1) | 538 (49.7) | 1.24 (0.85–1.82) | ||
Employed | 0.004 | ||||
No | 65 (57.0) | 738 (70.9) | 1.00 | 1.00 | |
Yes | 49 (43.0) | 303 (29.1) | 1.84 (1.24–2.72) 3 | 1.96 (1.13–3.40) 2 | |
Gestational trimester | 0.462 | ||||
First | 16 (13.1) | 159 (14.1) | 1.00 | – | |
Second | 44 (36.1) | 345 (30.6) | 1.26 (0.70–2.14) | ||
Third | 62 (50.8) | 624 (55.3) | 0.99 (0.56–1.76) | ||
Parity1 | <0.001 | ||||
Nulliparous | 10 (8.8) | 248 (24.1) | 1.00 | ||
At least one child | 103 (91.2) | 782 (75.9) | 3.27 (1.68–6.35) 4 | 1.60 (0.30–8.37) | |
Gravidity1 | 0.001 | ||||
Never been pregnant before | 20 (16.4) | 349 (30.9) | 1.00 | 1.00 | |
At least one pregnancy | 102 (83.6) | 779 (69.1) | 2.28 (1.39–3.75) 2 | 1.38 (0.50–3.84) | |
Mode of last delivery | <0.001 | ||||
Vaginal | 20 (18.7) | 737 (87.5) | 1.00 | 1.00 | |
CS | 87 (81.3) | 105 (12.5) | 30.53 (18.02–51.73) 4 | 31.10 (17.71–55.71) 4 | |
Knowledge level | 0.013 | ||||
Adequate knowledge | 16 (13.1) | 258 (22.9) | 1.00 | 1.00 | |
Lack of adequate knowledge | 106 (86.9) | 870 (77.1) | 1.97 (1.14–3.38) 2 | 1.70 (0.81–3.57) |
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Al-Rifai, R.H.; Elbarazi, I.; Ali, N.; Loney, T.; Oulhaj, A.; Ahmed, L.A. Knowledge and Preference Towards Mode of Delivery among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study. Int. J. Environ. Res. Public Health 2021, 18, 36. https://doi.org/10.3390/ijerph18010036
Al-Rifai RH, Elbarazi I, Ali N, Loney T, Oulhaj A, Ahmed LA. Knowledge and Preference Towards Mode of Delivery among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study. International Journal of Environmental Research and Public Health. 2021; 18(1):36. https://doi.org/10.3390/ijerph18010036
Chicago/Turabian StyleAl-Rifai, Rami H., Iffat Elbarazi, Nasloon Ali, Tom Loney, Abderrahim Oulhaj, and Luai A. Ahmed. 2021. "Knowledge and Preference Towards Mode of Delivery among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study" International Journal of Environmental Research and Public Health 18, no. 1: 36. https://doi.org/10.3390/ijerph18010036
APA StyleAl-Rifai, R. H., Elbarazi, I., Ali, N., Loney, T., Oulhaj, A., & Ahmed, L. A. (2021). Knowledge and Preference Towards Mode of Delivery among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study. International Journal of Environmental Research and Public Health, 18(1), 36. https://doi.org/10.3390/ijerph18010036