International Urogynecology Journal

, Volume 19, Issue 11, pp 1527–1531

Preferences and concerns for delivery: an antepartum survey

  • Jessica N. Bracken
  • Vicki L. Dryfhout
  • Linda M. Goldenhar
  • Rachel N. Pauls
Original Article

DOI: 10.1007/s00192-008-0680-1

Cite this article as:
Bracken, J.N., Dryfhout, V.L., Goldenhar, L.M. et al. Int Urogynecol J (2008) 19: 1527. doi:10.1007/s00192-008-0680-1


Little is known regarding patient preferences for method of delivery despite concern about rising cesarean section rates. We hypothesize that the majority of pregnant women desire a vaginal birth. An anonymous survey was distributed to pregnant women assessing demographics, pregnancy history, delivery preference, and concern for outcomes. Five-hundred fifty respondents completed the survey; 43% were nulliparous. The majority preferred vaginal delivery (89.6%). Reasons included reduced recovery pain (72%), scars (68%), and bleeding (48%). Cesarean deliveries were believed to cause more maternal injuries (39%), but affect sexual function less (35%). Nulliparas were more concerned about vaginal support damage (p = .005), sexual function changes (p ≤ 0.001), and need for episiotomy (p ≤ .001). Despite this, 93% of nulliparas chose vaginal birth. Increased parity was associated with preference for cesarean delivery (r = 0.108, p = 0.013). Despite nulliparas’ concerns about complications of vaginal delivery, the majority of pregnant women would choose vaginal birth.


Cesarean deliveryPatient preferencesVaginal delivery

Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  • Jessica N. Bracken
    • 1
  • Vicki L. Dryfhout
    • 2
  • Linda M. Goldenhar
    • 3
  • Rachel N. Pauls
    • 4
  1. 1.Department of Obstetrics and GynecologyBethesda North HospitalCincinnatiUSA
  2. 2.Hatton Institute for Research and EducationGood Samaritan HospitalCincinnatiUSA
  3. 3.Office of Evaluation and Research, Medical Student EducationUniversity of Cincinnati College of MedicineCincinnatiUSA
  4. 4.Division of Urogynecology and Reconstructive Pelvic Surgery, Director, Women’s Center for Specialized CareGood Samaritan HospitalCincinnatiUSA