Influencing Factors and Rules of Behavioral Intention of Cesarean Section in Late Pregnancy

Objective: To explore the psychological and sociological factors that affect women's behavioural intention of cesarean section in late pregnancy, so as to provide theoretical basis for guiding the opinion orientation of key groups, encouraging pregnant women to adopt natural delivery and reducing the rate of cesarean section. Methods: Based on a longitudinal observational study of women's intention to cesarean section during pregnancy in Chongqing, China, multiple logistic regression was used to explore the influencing factors of women's selective cesarean section. Result: The results showed that 4.64% of pregnant women had selective cesarean section. The occupation of pregnant women, exercise in late pregnancy, delivery mode of surrounding parturients, and suggestion of husband/parents/friends were significantly affected the women's choice of mode of delivery. The results of multivariate analysis showed that cesarean section suggested by friends (OR=37.172), elderly parturient aged 30-35 (OR=6.285), and the gestation-parturition history (OR=3.462) were the risky factors associated with the increase of selective cesarean section. Conclusion: Pregnant women's childbirth related knowledge level, family and friends' suggestions affect pregnant women's choice of childbirth mode. Therefore, it is necessary to improve pregnant women's and their family and friends' childbirth related knowledge level, make more scientific suggestions for pregnant women's choice of childbirth mode, at the same time, strengthen women's attention to the golden age of childbirth.