Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina

Autores
Perrotta, Carla; Romero, Mariana; Sguassero, Yanina; Ingram, Carolyn; Righetti, Natalia; Gialdini, Celina; Betrán, Ana P.; Ramos, Silvina
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: This paper reports on postpartum women's mode of birth (MOB) preferences across five public maternity hospitals in Argentina, the variables and motives associated with those preferences, and hospital services preparedness. Methods: A cross‐sectional study was conducted with postpartum women aged 15 years or older in geographically diverse public hospitals in Argentina between November 2018 to June 2019. Data on obstetric history, companionship, and MOB preference and motives were collected from mothers using a semistructured interviewer‐administered questionnaire. Hospital and participant characteristics, MOB preferences, and perceived advantages and disadvantages were described. Associations between vaginal birth preference, participant characteristics, and hospitals were assessed using odds ratios generated from mixed‐effect logistic regression analyses. Results: The sample included 621 postpartum women, 60% of whom had a vaginal birth. In three of the participating hospitals, most women indicated vaginal birth as their preferred MOB (90%); however, the preference for a vaginal birth was lower in the remaining two hospitals (67%). Differences in preferences across hospitals remained after adjusting by women's age or obstetric history. Cited motives for vaginal birth preference included faster recovery, feeling ready for a vaginal birth, and considering it a more natural process. Preference for a caesarean birth was based on perceptions of increased safety and avoiding pain. Conclusions: The characteristics of obstetric services revealed they are prepared for obstetric emergencies but have limited resources and support to sustain the process of vaginal birth. Despite the limited support, women giving birth in public maternity hospitals preferred vaginal delivery to a caesarean section. This study could not identify hospital variables associated with women's birth preferences across hospitals.
Fil: Perrotta, Carla. University College Dublin; Irlanda
Fil: Romero, Mariana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Estado y Sociedad; Argentina
Fil: Sguassero, Yanina. Centro Rosarino de Estudios Perinatales; Argentina
Fil: Ingram, Carolyn. University College Dublin; Irlanda
Fil: Righetti, Natalia. Centro de Estudios de Estado y Sociedad; Argentina
Fil: Gialdini, Celina. Centro Rosarino de Estudios Perinatales; Argentina
Fil: Betrán, Ana P.. Organizacion Mundial de la Salud; Argentina
Fil: Ramos, Silvina. Centro de Estudios de Estado y Sociedad; Argentina
Materia
CAESAREAN BIRTH
LOW–MIDDLE INCOME COUNTRY
PUBLIC HOSPITALS
VAGINAL BIRTH
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/235867
Acceder
id CONICETDig_b056278c3ca37037ecca943595672c0b
oai_identifier_str oai:ri.conicet.gov.ar:11336/235867
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in ArgentinaPerrotta, CarlaRomero, MarianaSguassero, YaninaIngram, CarolynRighetti, NataliaGialdini, CelinaBetrán, Ana P.Ramos, SilvinaCAESAREAN BIRTHLOW–MIDDLE INCOME COUNTRYPUBLIC HOSPITALSVAGINAL BIRTHhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: This paper reports on postpartum women's mode of birth (MOB) preferences across five public maternity hospitals in Argentina, the variables and motives associated with those preferences, and hospital services preparedness. Methods: A cross‐sectional study was conducted with postpartum women aged 15 years or older in geographically diverse public hospitals in Argentina between November 2018 to June 2019. Data on obstetric history, companionship, and MOB preference and motives were collected from mothers using a semistructured interviewer‐administered questionnaire. Hospital and participant characteristics, MOB preferences, and perceived advantages and disadvantages were described. Associations between vaginal birth preference, participant characteristics, and hospitals were assessed using odds ratios generated from mixed‐effect logistic regression analyses. Results: The sample included 621 postpartum women, 60% of whom had a vaginal birth. In three of the participating hospitals, most women indicated vaginal birth as their preferred MOB (90%); however, the preference for a vaginal birth was lower in the remaining two hospitals (67%). Differences in preferences across hospitals remained after adjusting by women's age or obstetric history. Cited motives for vaginal birth preference included faster recovery, feeling ready for a vaginal birth, and considering it a more natural process. Preference for a caesarean birth was based on perceptions of increased safety and avoiding pain. Conclusions: The characteristics of obstetric services revealed they are prepared for obstetric emergencies but have limited resources and support to sustain the process of vaginal birth. Despite the limited support, women giving birth in public maternity hospitals preferred vaginal delivery to a caesarean section. This study could not identify hospital variables associated with women's birth preferences across hospitals.Fil: Perrotta, Carla. University College Dublin; IrlandaFil: Romero, Mariana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Estado y Sociedad; ArgentinaFil: Sguassero, Yanina. Centro Rosarino de Estudios Perinatales; ArgentinaFil: Ingram, Carolyn. University College Dublin; IrlandaFil: Righetti, Natalia. Centro de Estudios de Estado y Sociedad; ArgentinaFil: Gialdini, Celina. Centro Rosarino de Estudios Perinatales; ArgentinaFil: Betrán, Ana P.. Organizacion Mundial de la Salud; ArgentinaFil: Ramos, Silvina. Centro de Estudios de Estado y Sociedad; ArgentinaJohn Wiley & Sons2022-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/235867Perrotta, Carla; Romero, Mariana; Sguassero, Yanina; Ingram, Carolyn; Righetti, Natalia; et al.; Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina; John Wiley & Sons; Reproductive, Female and Child Health; 1; 2; 10-2022; 111-1212768-7228CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/rfc2.16info:eu-repo/semantics/altIdentifier/doi/10.1002/rfc2.16info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:00:43Zoai:ri.conicet.gov.ar:11336/235867instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:00:43.597CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
title Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
spellingShingle Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
Perrotta, Carla
CAESAREAN BIRTH
LOW–MIDDLE INCOME COUNTRY
PUBLIC HOSPITALS
VAGINAL BIRTH
title_short Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
title_full Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
title_fullStr Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
title_full_unstemmed Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
title_sort Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
dc.creator.none.fl_str_mv Perrotta, Carla
Romero, Mariana
Sguassero, Yanina
Ingram, Carolyn
Righetti, Natalia
Gialdini, Celina
Betrán, Ana P.
Ramos, Silvina
author Perrotta, Carla
author_facet Perrotta, Carla
Romero, Mariana
Sguassero, Yanina
Ingram, Carolyn
Righetti, Natalia
Gialdini, Celina
Betrán, Ana P.
Ramos, Silvina
author_role author
author2 Romero, Mariana
Sguassero, Yanina
Ingram, Carolyn
Righetti, Natalia
Gialdini, Celina
Betrán, Ana P.
Ramos, Silvina
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv CAESAREAN BIRTH
LOW–MIDDLE INCOME COUNTRY
PUBLIC HOSPITALS
VAGINAL BIRTH
topic CAESAREAN BIRTH
LOW–MIDDLE INCOME COUNTRY
PUBLIC HOSPITALS
VAGINAL BIRTH
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: This paper reports on postpartum women's mode of birth (MOB) preferences across five public maternity hospitals in Argentina, the variables and motives associated with those preferences, and hospital services preparedness. Methods: A cross‐sectional study was conducted with postpartum women aged 15 years or older in geographically diverse public hospitals in Argentina between November 2018 to June 2019. Data on obstetric history, companionship, and MOB preference and motives were collected from mothers using a semistructured interviewer‐administered questionnaire. Hospital and participant characteristics, MOB preferences, and perceived advantages and disadvantages were described. Associations between vaginal birth preference, participant characteristics, and hospitals were assessed using odds ratios generated from mixed‐effect logistic regression analyses. Results: The sample included 621 postpartum women, 60% of whom had a vaginal birth. In three of the participating hospitals, most women indicated vaginal birth as their preferred MOB (90%); however, the preference for a vaginal birth was lower in the remaining two hospitals (67%). Differences in preferences across hospitals remained after adjusting by women's age or obstetric history. Cited motives for vaginal birth preference included faster recovery, feeling ready for a vaginal birth, and considering it a more natural process. Preference for a caesarean birth was based on perceptions of increased safety and avoiding pain. Conclusions: The characteristics of obstetric services revealed they are prepared for obstetric emergencies but have limited resources and support to sustain the process of vaginal birth. Despite the limited support, women giving birth in public maternity hospitals preferred vaginal delivery to a caesarean section. This study could not identify hospital variables associated with women's birth preferences across hospitals.
Fil: Perrotta, Carla. University College Dublin; Irlanda
Fil: Romero, Mariana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Estado y Sociedad; Argentina
Fil: Sguassero, Yanina. Centro Rosarino de Estudios Perinatales; Argentina
Fil: Ingram, Carolyn. University College Dublin; Irlanda
Fil: Righetti, Natalia. Centro de Estudios de Estado y Sociedad; Argentina
Fil: Gialdini, Celina. Centro Rosarino de Estudios Perinatales; Argentina
Fil: Betrán, Ana P.. Organizacion Mundial de la Salud; Argentina
Fil: Ramos, Silvina. Centro de Estudios de Estado y Sociedad; Argentina
description Background: This paper reports on postpartum women's mode of birth (MOB) preferences across five public maternity hospitals in Argentina, the variables and motives associated with those preferences, and hospital services preparedness. Methods: A cross‐sectional study was conducted with postpartum women aged 15 years or older in geographically diverse public hospitals in Argentina between November 2018 to June 2019. Data on obstetric history, companionship, and MOB preference and motives were collected from mothers using a semistructured interviewer‐administered questionnaire. Hospital and participant characteristics, MOB preferences, and perceived advantages and disadvantages were described. Associations between vaginal birth preference, participant characteristics, and hospitals were assessed using odds ratios generated from mixed‐effect logistic regression analyses. Results: The sample included 621 postpartum women, 60% of whom had a vaginal birth. In three of the participating hospitals, most women indicated vaginal birth as their preferred MOB (90%); however, the preference for a vaginal birth was lower in the remaining two hospitals (67%). Differences in preferences across hospitals remained after adjusting by women's age or obstetric history. Cited motives for vaginal birth preference included faster recovery, feeling ready for a vaginal birth, and considering it a more natural process. Preference for a caesarean birth was based on perceptions of increased safety and avoiding pain. Conclusions: The characteristics of obstetric services revealed they are prepared for obstetric emergencies but have limited resources and support to sustain the process of vaginal birth. Despite the limited support, women giving birth in public maternity hospitals preferred vaginal delivery to a caesarean section. This study could not identify hospital variables associated with women's birth preferences across hospitals.
publishDate 2022
dc.date.none.fl_str_mv 2022-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/235867
Perrotta, Carla; Romero, Mariana; Sguassero, Yanina; Ingram, Carolyn; Righetti, Natalia; et al.; Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina; John Wiley & Sons; Reproductive, Female and Child Health; 1; 2; 10-2022; 111-121
2768-7228
CONICET Digital
CONICET
url http://hdl.handle.net/11336/235867
identifier_str_mv Perrotta, Carla; Romero, Mariana; Sguassero, Yanina; Ingram, Carolyn; Righetti, Natalia; et al.; Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina; John Wiley & Sons; Reproductive, Female and Child Health; 1; 2; 10-2022; 111-121
2768-7228
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/rfc2.16
info:eu-repo/semantics/altIdentifier/doi/10.1002/rfc2.16
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1844613791958958080
score 13.070432

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