TITLE:
Incongruence between the Preferred Mode of Delivery and Risk of Childbirth Complications among Antepartum Women in Mulago Hospital, Uganda
AUTHORS:
Dan Kabonge Kaye, Annettee Nakimuli, Othman Kakaire, Michael Odongo Osinde, Nelson Kakande, Scovia Nalugo Mbalinda
KEYWORDS:
Quality of Care, Intrapartum Care, Preference for Mode of Delivery, Decision-Making
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.14,
October
21,
2014
ABSTRACT: Objective: Women’s preferences for the mode of delivery provide
clues on their knowledge and perceptions of anticipated risk of childbirth
complications.The objective was toinvestigateincongruence between preferred mode of delivery and risk of
adverse pregnancy outcomes. Methods: Through a cross-sectional study, data werecollected from 327women admitted to Mulago
hospital. Data included socio-demographiccharacteristics, past medical, gynaecological and obstetric
history, pregnancy complications, knowledge of pregnancy complications and
preferred mode of delivery. The preferred mode of delivery and knowledge of
related risks for adverse pregnancy outcomes were compared. Results: The mean
age of participants was 24.7 years (±5.9), ranging14-43 years, of whom 41.4% were
nulliparous. The preferred mode of delivery was vaginal (84.1%). Incongruence(preference for a mode of
delivery that did not correspond to expected or anticipated risks) occurred in
88 (26.9%) of the women, and was associated with having secondary school or
higher level of education (OR 2.49, CI 1.52-4.08) and history of previous vaginal delivery (OR 3.82,CI 1.94-7.49). Conclusion: One in four
women had incongruence between preferred mode of delivery and risks of adverse
pregnancy outcomes, which calledfor urgent interventions to improve decision-making about
intrapartum care.