Brenda Nabawanuka
Mountains of the moon University, UgandaTitle: Choice of mode of delivery and associated factors among pregnant women with one previous scar at two urban antenatal clinics, Uganda
Abstract
Background: There are unacceptably high rates of cesarean births in Uganda yet success rates for a vaginal birth after cesarean section are 60% to 80%. The study sought to identify the choice of mode of delivery and the associated factors among pregnant women with one previous scar with non-recurrent indications for cesarean section.
Methods: A descriptive cross-sectional study that was conducted among pregnant women with one previous scar with non-recurrent indications for cesarean section at two antenatal clinics in Uganda, Uganda. An interviewer administered semi-structured questionnaire was used on 169 purposively selected women, data was analyzed using STATA17, descriptive statistics and logistic regression analyses were conducted to identify factors associated with choice of mode of delivery.
Results: The mean age of participants was 28(4.88) years. More than two-thirds of participants preferred a trial of labor. A perception that a cesarean section is risky (aOR=2.89, CI; 1.01-7.07, p=.04) affects body image (aOR=3.78, CI; 1.00-14.3, p=.05) and fear of vaginal delivery (aOR =0.27, CI: 0.08-0.96, p=.04) were significantly associated with the choice of mode of delivery.
Conclusions and recommendations: High cesarean section could be provider driven, this calls for educating health workers and women about the benefits and risks of cesarean sections. Relaxation training programs led by midwives to prevent pain during delivery and psycho-education for women with anxiety and fear of normal vaginal labor and lastly there is a need to strengthen public policies that improves the potential of women to make choices.
Biography
Brenda Nabawanuka has completed her Masters of Nursing (Midwifery and women’s health) from Makerere University, Uganda and currently a teaching assistant at Mountains of the Moon University, Western, Uganda. Dr Joyce Nankumbi is a lecturer at Makerere University, with a PhD and a masters of Nursing and Public health, working in the department of Nursing, Makerere University.
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