Factors Influencing Decision-Making for Cesarean Section among Primigravidae

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Kanokwan Tienmontree
Sopen Chunuan
Sasikarn Kala


This descriptive study aimed to explore the influencing factors on decision-making for cesarean section among primigravidae. The sample consisted of 325 primigravidae who visited antenatal clinics at Hatyai Hospital and Songkhla Hospital from January to April 2019. They were recruited with a purposive clustering method. The research instruments for data collection comprised 6 sets of questionnaires to obtain information on 1)demographic characteristics, 2)fear of childbirth, 3) attitudes toward giving birth, 4)social support from health care providers, 5) perception of the risks of cesarean section, and 6) decision-making for cesarean section. Data were analyzed using descriptive statistics and logistic regression. The results of this study showed three predictive variables significant in the final model, including fear of childbirth, attitude toward birth and perception of the risks of cesarean section, and could explain the decision-making for cesarean section among primigravidae with statistical significance and prediction of 48% (Nagelkerke R2=.48, p<.05), and the final model correctly clarified 78.50% (overall percentage=78.50). Therefore, nurses should provide essential information to reduce fear of childbirth, encourage pregnant women to have positive attitudes toward giving natural birth, and promote the correct comprehensive content of the risk of cesarean section in order to reduce the cesarean section rate among primigravidae.


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Tienmontree ก, Chunuan โ, Kala ศ. Factors Influencing Decision-Making for Cesarean Section among Primigravidae. NJPH (วารสาร พ.ส.) [Internet]. 2021 Apr. 25 [cited 2022 May 21];31(1):96-109. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/250650


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