Published: 2017-10-26

Preferences of pregnant women regarding mode of delivery: a questionnaire based study

Poojan Dogra, Reena Sharma


Background: The rising rate of caesarean section is the subject of concern worldwide. The aim of our study was to know the knowledge, attitude and preferences of pregnant women towards the mode of delivery in a tertiary care centre and hence to see weather this is a contributing factor towards rinsing trend of caesarean delivery or not.  

Methods: This was a prospective questionnaire study conducted on 100 antenatal women in third trimester who attended the antenatal clinic in SLBS GMC Mandi at Nerchowk from 1st June, 2017 to 1st September 2017.The information regarding socio-demographic profile, obstetric history, knowledge and attitude statements towards vaginal delivery and caesarean section was collected and analysed.

Results: Total of 100 women was interviewed in our study. Out of these, majority (85%) had received education up to High school and above. Majority of the women (90%) had the positive attitude towards vaginal delivery. The most frequently mentioned source of information about the mode of delivery was relatives and friends. Almost half of women agreed to the statement that vaginal delivery creates a more affectionate mother and baby relationship.  Majority of women co-relate that caesarean section was associated with more complications and not good in long term outcome. Economic factors did not play an important role in deciding caesarean birth.

Conclusions: Majority of pregnant women interviewed were interested to deliver vaginally, while some women were indecisive due to lack of knowledge and some due to apprehension of labor pains during vaginal delivery wanted to undergo a caesarean section. Appropriate counselling of pregnant women and their partners will help in changing their outlook and make them a better judge while choosing their preferences.


Caesarean delivery, Vaginal delivery, Preferences, Mode of delivery

Full Text:



Tedesco RP, Maia NL Filho, Mathias L, Benez AL, Castro VCL, Bourroul GM, et al. Fatores determinantes para as expectativas de primigestas acerca da via de parto. Rev Bras Ginecol Obstet. 2004;26(10):791-8.

Najmi RS. An audit of caesarean section carried out in tertiary care maternity unit. J Coll Physicians Surg Pak. 1999;9:20-3.

Alimohamadian M. The effect of pregnant women’s request on elective cesarean section rate. Payesh. 2003;2(2):133-9.

World Health Organisation. Appropriate technology for birth. Lancet. 1985;2(8452):436-7.

Cunningham FG, MacDonald PG, Gant NF, Leveno KJ, Gilstrap LC, Hankins GDV, et al. Caesarean delivery and caesarean hysterectomy. In: Cunningham et al editors. Williams Obstetrics. 20th ed. Stamford, CT: Appleton & Lange; 1997: 509-531.

WHO Statement on caesarean section rates; 2015, WHO reference number: WHO/RHR/15.02. Available at publications/maternal_perinatal_health/cs-statement/ en/. Accessed on 15 July 2016.

Lei H, Wen SW, Walker M. Determinants of caesarean delivery among women hospitalized for childbirth in a remote population in China. J Obstet Gynaecol Can. 2003;25:937-43.

Aali BS, Motamedi B. Women’s knowledge and attitude towards modes of delivery in Kerman, Islamic Republic of Iran. Eastern Mediterran Health J. 2005;11(4):663-72.

Adageba RK, Danso KA, Adusu A, Ankobea F. Awareness and Perceptions of and Attitudes towards Caesarean Delivery among Antenatal. Ghana Med J. 2008;42(4):137–40.

Naithani U, Prerna B, Chauhan SS, Kumar D, Gupta S, Kirti. Knowledge, attitude and acceptance of antenatal women towards labor analgesia and cesarean section in a medical college hospital in India. J Obstet Anaesthesia Critical Care. 2011;1(1):13-20.

International Institute for Population Sciences and ORC Macro, Report of the National Family Health Survey (NFHS-III).2006; Mumbai: IIPS.

Ajeet S, Jaydeep N, Nandkishore K, Nisha R. Women’s knowledge, perceptions, and potential demand towards caesarean section. National J Community Med. 2011;2(2):244-8.