Objective To relate subsequent obstetric performance with primary mode of delivery.
Design Postal questionnaire survey of womcn who delivered their first child five ycars ago.
Population Women who were delivered of thcir first baby in 1991 :
250 by normal vaginal delivery ;
250 by instrumcntal vaginal delivery ;
and 250 by caesarcan scction.
Main outcome measures Answers to fixed choice questions on fear of future childbirth, numbcr of subsequent children and reasons for no further children.
Overall, 222 (46.6%) women were initially frightened about future childbirth.
According to mode of delivery :
93 (57.1%) after instrumental vaginal ;
79 (47.9%) after caesarean section ;
and 50 (33.8%) after normal vaginal delivery.
Five years after the primary delivery, 99 women (20.8%) were still frightened about future childbirth :
instrumental vaginal group 41 (25.2%) ;
caesarean section group 43 (26.1%) ;
and normal vaginal group 15 (10.1%). In the group of women who were delivered by caesarean section 13% more women had not had a second child after five years comparcd with the normal vaginal delivery group ( (P<0.03, relative risk 1.46 (1.07-1.99)). In the group of women who had a vaginal instrumcntal delivery 6% more had not had a second child aftcr five years comparcd with normal vaginal delivcry group. (...)
Mots-clés Pascal : Accouchement, Délivrance, Césarienne, Voie vaginale, Technique obstétricale, Autoperception, Expérience subjective, Questionnaire, Enquête opinion, Homme, Femelle, Mère, Chirurgie, Perception sociale
Mots-clés Pascal anglais : Delivery, Third stage labor, Cesarean section, Vaginal route, Obstetrical technique, Self perception, Subjective experience, Questionnaire, Opinion inquiry, Human, Female, Mother, Surgery, Social perception
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0196138
Code Inist : 002B20G02. Création : 16/11/1999.