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

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 postpart...

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Detalles Bibliográficos
Autores principales: Perrotta, Carla, Romero, Mariana, Sguassero, Yanina, Ingram, Carolyn, Righetti, Natalia, Gialdini, Celina, Betran, Ana P, Ramos, Silvina
Formato: Artículo
Lenguaje:Inglés
Publicado: 2022
Materias:
Acceso en línea:http://repositorio.cedes.org/handle/123456789/4706
Aporte de:
id I61-R167-123456789-4706
record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
topic PARTO
ENTORNO DEL PARTO
PRIORIDAD DEL PACIENTE
MODO DE NACIMIENTO
PARTO VAGINAL
CESÁREA
HOSPITALES PÚBLICOS
PAÍSES EN DESARROLLO
ARGENTINA
spellingShingle PARTO
ENTORNO DEL PARTO
PRIORIDAD DEL PACIENTE
MODO DE NACIMIENTO
PARTO VAGINAL
CESÁREA
HOSPITALES PÚBLICOS
PAÍSES EN DESARROLLO
ARGENTINA
Perrotta, Carla
Romero, Mariana
Sguassero, Yanina
Ingram, Carolyn
Righetti, Natalia
Gialdini, Celina
Betran, Ana P
Ramos, Silvina
Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
topic_facet PARTO
ENTORNO DEL PARTO
PRIORIDAD DEL PACIENTE
MODO DE NACIMIENTO
PARTO VAGINAL
CESÁREA
HOSPITALES PÚBLICOS
PAÍSES EN DESARROLLO
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 indicatd 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.
format Artículo
author Perrotta, Carla
Romero, Mariana
Sguassero, Yanina
Ingram, Carolyn
Righetti, Natalia
Gialdini, Celina
Betran, Ana P
Ramos, Silvina
author_facet Perrotta, Carla
Romero, Mariana
Sguassero, Yanina
Ingram, Carolyn
Righetti, Natalia
Gialdini, Celina
Betran, Ana P
Ramos, Silvina
author_sort Perrotta, Carla
title Women's mode of birth preferences and preparedness of hospitals to support vaginal birth in the public health sector in Argentina
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
publishDate 2022
url http://repositorio.cedes.org/handle/123456789/4706
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