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dc.contributor.author
Liu, Nancy H.  
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Mazzoni, Agustina  
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Zamberlin, Nina  
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Colomar, Mercedes  
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Chang, Olivia H.  
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Arnaud, Lila  
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Althabe, Fernando  
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Belizan, Jose  
dc.date.available
2017-08-08T22:06:12Z  
dc.date.issued
2013-01  
dc.identifier.citation
Liu, Nancy H.; Mazzoni, Agustina; Zamberlin, Nina; Colomar, Mercedes; Chang, Olivia H.; et al.; Preferences for mode of delivery in nulliparous Argentinean women: a qualitative study; BioMed Central; Reproductive Health; 10; 2; 1-2013; 10-12  
dc.identifier.issn
1742-4755  
dc.identifier.uri
http://hdl.handle.net/11336/22084  
dc.description.abstract
BACKGROUND: Over the last three decades, cesarean section (CS) rates have been rising around the world despite no associated improvement in maternal and perinatal mortality and morbidity. The role of women's preferences for mode of delivery in contributing to the high CS rate remains controversial; however these preferences are difficult to assess, as they are influenced by culture, knowledge of risk and benefits, and personal and social factors. In this qualitative study, our objective was to understand women's preferences and motivational factors for mode of delivery. This information will inform the development and design of an assessment aimed at understanding the role of the women's preferences for mode of delivery. METHODS: We conducted 4 focus group discussions (FGDs) and 12 in-depth interviews with pregnant women in Buenos Aires, Argentina in 4 large non-public and public hospitals. Our sample included 29 nulliparous pregnant women aged 18-35 years old, with single pregnancies over 32 weeks of gestational age, without pregnancies resulting from assisted fertility, without known pre-existing medical illness or diseases diagnosed during pregnancy, without an indication of elective cesarean section, and who are not health professionals. FGDs and interviews followed a pre-designed guide based on the health belief model and social cognitive theory of health decisions and behaviors. RESULTS: Most of the women preferred vaginal delivery (VD) due to cultural, personal, and social factors. VD was viewed as normal, healthy, and a natural rite of passage from womanhood to motherhood. Pain associated with vaginal delivery was viewed positively. In contrast, women viewed CS as a medical decision and often deferred decisions to medical staff in the presence of medical indication. CONCLUSIONS: These findings converge with quantitative and qualitative studies showing that women prefer towards VD for various cultural, personal and social reasons. Actual CS rates appear to diverge from women's preferences and reasons are discussed.  
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application/pdf  
dc.language.iso
eng  
dc.publisher
BioMed Central  
dc.rights
info:eu-repo/semantics/openAccess  
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https://creativecommons.org/licenses/by/2.5/ar/  
dc.subject
Mode of Delivery  
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Cesarean Section  
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Women'S Preferences  
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Qualitative  
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Reumatología  
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Medicina Clínica  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Preferences for mode of delivery in nulliparous Argentinean women: a qualitative study  
dc.type
info:eu-repo/semantics/article  
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info:ar-repo/semantics/artículo  
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info:eu-repo/semantics/publishedVersion  
dc.date.updated
2017-08-07T15:57:39Z  
dc.journal.volume
10  
dc.journal.number
2  
dc.journal.pagination
10-12  
dc.journal.pais
Reino Unido  
dc.journal.ciudad
Londres  
dc.description.fil
Fil: Liu, Nancy H.. University of California; Estados Unidos  
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Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina  
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Fil: Zamberlin, Nina. Centro de Estudios de Estado y Sociedad; Argentina  
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Fil: Colomar, Mercedes. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina  
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Fil: Chang, Olivia H.. University of Tulane; Estados Unidos  
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Fil: Arnaud, Lila. University of Tulane; Estados Unidos  
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Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
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Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
dc.journal.title
Reproductive Health  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3561262/  
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info:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-10-2  
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info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/1742-4755-10-2