Aims and Background: The study aims to assess the impact of continuous counselling on maternal decision-making regarding the mode of delivery, with a focus on informed choices between vaginal delivery and caesarean section without medical indication. The increase in caesarean delivery on maternal request (CDMR) has raised concerns regarding maternal and neonatal health and healthcare resources.
Methods: A pseudo-randomized design was employed involving 580 pregnant women attending antenatal care at Kalinga Institute of Medical Sciences, Bhubaneswar. Participants were divided into two groups: an intervention group receiving continuous counselling and a control group receiving standard care. Data were collected on maternal preferences, delivery mode, and reasons for elective caesarean requests through questionnaires and medical records.
Results: The intervention group showed a significant reduction in the preference for CDMR, with 71.9% opting for vaginal delivery. Key factors influencing maternal decisions included socioeconomic status, educational level, and occupation. Statistical analysis indicated that counselling significantly impacted delivery mode and reduced hospital stay.
Conclusion: Continuous counselling positively influenced maternal decision-making, leading to a preference for vaginal delivery and reduced CDMR rates. These findings underscore the importance of counselling in promoting informed choices, potentially reducing unnecessary caesarean sections and improving maternal and neonatal outcomes.
International Journal of Clinical Obstetrics and Gynaecology
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Research Journals