@article{fdi:010090622,
  title = {{W}omen's caesarean section preferences : a multicountry cross-sectional survey in low- and middle-income countries},
  author = {{E}tcheverry, {C}. and {B}etrán, {A}. {P}. and {L}oenzien de, {M}yriam and {K}abor{\'e}, {C}. and {L}umbiganon, {P}. and {C}arroli, {G}. and {M}ac, {Q}. {N}. {H}. and {G}ialdini, {C}. and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o measure the proportion of women's preferences for {CS} in hospitals with high caesarean section rates and to identify related factors. {D}esign: {A} cross-sectional hospital -based postpartum survey was conducted. {W}e used multilevel multivariate logistic regression and probit models to analyse the association between women's caesarean section preferences and maternal characteristics. {P}robit models take into account selection bias while excluding women who had no preference. {S}etting: {T}hirty-two hospitals in {A}rgentina, {T}hailand, {V}ietnam and {B}urkina {F}aso were selected. {P}articipants: {A} total of 1,979 post-partum women with no potential medical need for caesarean section were included among a representative sample of women who delivered at each of the participating facilities during the data collection period. {F}indings: {T}he overall caesarean section rate was 23.3 %. {A}mong women who declared a preference in late pregnancy, 9 % preferred caesarean section, ranging from 1.8 % in {B}urkina {F}aso to 17.8 % in {T}hailand. {P}rimiparous women were more likely to prefer a caesarean section than multiparous women (beta =+0.16 [ +0.01; +0.31]; p = 0.04). {A}mong women who preferred caesarean section, doctors were frequently cited as the main influencers, and "avoid pain in labour" was the most common perceived benefit of caesarean section. {K}ey conclusions: {O}ur results suggest that a high proportion of women prefer vaginal birth and highlight that the preference for caesarean section is linked to women's fear of pain and the influence of doctors. {T}hese results can inform the development of interventions aimed at supporting women and their preferences, providing them with evidence -based information and changing doctors' behaviour in order to reduce the number of unnecessary caesarean sections.},
  keywords = {{C}aesarean section ; {W}omen's preferences ; {M}ode of birth ; {L}ow-and middle-income countries ; {ARGENTINE} ; {THAILANDE} ; {VIET} {NAM} ; {BURKINA} {FASO} ; {PAYS} {EN} {DEVELOPPEMENT}},
  booktitle = {},
  journal = {{M}idwifery},
  volume = {132},
  numero = {},
  pages = {103979 [10 ]},
  ISSN = {0266-6138},
  year = {2024},
  DOI = {10.1016/j.midw.2024.103979},
  URL = {https://www.documentation.ird.fr/hor/fdi:010090622},
}