Impactos das assistências obstétricas e dos tipos de partos: experiências de primíparas

Objetivos: conhecer impactos e experiências em partos (vaginais e cesáreos) de primíparas. Métodos: estudadas 306 puérperas de termo (SUS), impactos e experiências nos partos esperados e ocorridos. Utilizou-se escala de valores para respostas psicométricas "em nenhum momento", "alguns momentos", "frequente", "maior parte do tempo" e "tempo todo". A cada termo indicativo da frequência de ocorrência foi atribuído número de 1 a 5. O questionário possuía duas partes: na primeira indicavam aspectos positivos quanto maior a frequência de ocorrência e na segunda, as experiências negativas, onde perguntas citadas exibiam exatamente as respostas inversas. Resultados: para a via de parto preferencial no acompanhamento pré-natal e o parto realizado: 101 (53,72%) ficaram satisfeitas com seu parto vaginal ocorrido, enquanto 88 (74,58%) dos partos cesáreas, desaprovaram a cesárea resultante (p < 0, 0001). Proporções maiores, positivas e significantes foram após o parto vaginal, por ser opção pessoal, rápida recuperação, melhor sensação com recém-nascido, receio de acidentes anestésicos. Provável incapacidade para em sua execução, o tempo e a dor intraparto, geraram impactos negativos significantes (p < 0, 0001). Estatisticamente significante, menor em preferência, a cesárea surgiu favoravelmente (p< 0, 0001) contra a dor intraparto e rapidez resolutiva; porém, foi desaprovada pela possibilidade de acidente anestésico (p < 0,0001). Conclusões: Predominaram favoravelmente experiências positivas para parto vaginal, com significância estatística. Impactos negativos para eles foram o tempo, sensação dolorosa e provável incapacidade para a execução partal. As soluções sugeridas para minimizá-las: atenções assistenciais adequadas devolvendo a autoconfiança às pacientes, além da utilização da analgesia intraparto. Apesar de significantemente menor em preferência, o parto cesáreo foi avaliado positivamente pelo receio da experiência dolorosa da parturição, e por sua rapidez resolutiva. A cesárea. teve significante e negativamente contra si, a possibilidade de acidente anestésico. Objectives: to know impacts and experiences in births (vaginalists and cesareans) of primiparous. Methods: 306 mothers at term (SUS) were studied, impacts and experiences in expected and actual deliveries. A scale of values was used for psychometric responses "at no time", "some moments", "frequent", "most of the time" and "all time". Each term indicating the frequency of occurrence was assigned a number from 1 to 5. The questionnaire had two parts: first indicated positive aspects, the higher the frequency of occurrence and the second, negative experiences, where the questions mentioned showed exactly the opposite answers. Results: for the preferred mode of delivery in prenatal care and delivery: 101 (53.72%) were satisfied with their vaginal delivery, while 88 (74.58%) of the cesarean deliveries disapproved the resulting cesareans (p < 0.0001). Larger, positive, and significant proportions were after vaginal delivery, as it is a personal option, quick recovery, better feeling with the newborn, fear of anesthetic accidents. Probable inability to perform, time and intrapartum pain, generated significant, negative impacts (p < 0,0001). Statistic significant, lower in preference, the cesarean appeared favorably (p<0.0001) against intrapartum pain and resolving speed; however, it was disapproved due to the possibility of an anesthetic accident (p < 0,0001). Conclusions: Positive experiences for vaginal delivery predominated, with statistical significance. Negative impacts for them were timing, painful sensation, and likely inability to perform birth. Suggested solutions to minimize them: adequate care assistance restoring self-confidence to patients, in addition to the use of intrapartum analgesia. Despite being significantly lower in preference, cesarean delivery was evaluated positively for fear of the painful experience of parturition, and for its rapid resolution. The cesarean. had significantly and negatively against itself, the possibility of an anesthetic accident.

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Twin entanglement revisited

Twin Research ◽

10.1375/twin.1.3.138 ◽

1998 ◽

Vol 1 (3) ◽

pp. 138-141 ◽

Cited By ~ 5

Author(s):

Richard B Kurzel

Keyword(s):

Cesarean Section ◽

Perinatal Mortality ◽

Vaginal Delivery ◽

Mode Of Delivery ◽

Frequency Of Occurrence ◽

Vaginal Deliveries ◽

Pelvic Inlet

AbstractA fear of interlocking twins is one factor that has led to a high Cesarean section (C/S) rate in breech (A)/vertex (B) (Bra/Vtxb) twins. We sought to estimate the frequency of occurrence of twin entanglement, and of interlocking Bra/Vtxb twins in vaginal deliveries. 541 twins and 48 195 deliveries were retrospectively studied for the period 1987–1995. The incidence of Bra/Vtxb deliveries was noted, and the number of deliveries marked by interlocking and collision of fetuses. The mode of delivery, reason for C/S, and sources of perinatal mortality were noted. Only 43 deliveries were Bra/Vtxb (7.9% of all twins) and of these only 14 (32.6%) were delivered vaginally. One case of interlocking (2.3% of all Bra/Vtxb pairs) and five cases of collision of twins (ie competition for entry into the pelvic inlet with obstruction) were noted. All cases mentioned were delivered by C/S. No perinatal mortality resulted from these cases. In recent years the trend has been for greater use of C/S and ultrasound in managing twin deliveries. In this study 67.4% of Bra/Vtxb twins were delivered by C/S. Although there are fewer vaginal deliveries of these twins and the rate for interlocking (2.3%; 95% CI: 0.06–12.3%) for the whole group has remained about the same, we found the rate in those twins allowed vaginal delivery was 6.7% (95% CI: 0.2–31.9%). The presentation at greatest risk for entanglement was found to be Bra/Vtxb.

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Predictors of Caesarean Delivery in Preterm Premature Rupture of Membranes

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.250 ◽

2019 ◽

Vol 7 (7) ◽

pp. 1124-1128 ◽

Cited By ~ 1

Author(s):

Samantha Mc Kenzie Stancu ◽

Liran Kobi Ash ◽

Cynthia Smeding ◽

Maisa Abdullah Alwan

Keyword(s):

Vaginal Delivery ◽

Caesarean Delivery ◽

Statistical Significance ◽

Mode Of Delivery ◽

University Education ◽

Health Concern ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Preterm Premature Rupture ◽

Pertinent Data

BACKGROUND: Preterm premature rupture of membranes (P-PROM) exerts a tremendous influence on pregnancy prognosis. Additionally, it is a major public health concern, as the cause of up to 40% of all preterm births. AIM: The objective of this study was to identify predictors of Caesarean Delivery in singleton pregnancies complicated by P-PROM. MATERIALS AND METHODS: This is a retrospective observational study of all consecutive singleton P-PROM deliveries (24-37 weeks) over an 18 months at a tertiary referral centre. Pertinent data was collected comprising demographics, obstetric history, pregnancy-associated pathology and delivery from electronic patient records. Univariate statistical analysis comprised Odds Ratio, 95% Confidence interval and Chi-square test with subsequent p-value with statistical significance set at p < 0.05. RESULTS: A total of 240 women delivered singletons following P-PROM over an 18-month period. Maternal age ranged between 12-41 years with an average age of 28 ± 6.27 years. Vaginal delivery (VD) was the predominant mode of delivery, accounting for 52.9% (n = 127) of deliveries. The following parameters were identified as predictors of Caesarean Section (CS) in P-PROM: vaginal infection (p = 0.04), previous CS (p < 0.0001), primiparity (p = 0.004), gravidity > 5 (p = 0.009), university education (p = 0.0006) and prenatal care (p < 0.0001). CONCLUSION: The advantage of CS over vaginal delivery is expedited delivery of the distressed fetus, while that of vaginal delivery entails avoiding postoperative morbidity. However, large multicentric randomised-controlled studies are needed to elucidate this dilemma definitively.

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Twin pregnancy-maternal and fetal complications its association with mode of delivery: a study in a tertiary center

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175030 ◽

2017 ◽

Vol 6 (11) ◽

pp. 5089

Author(s):

Jupirika E. Pyrbot ◽

Manika Agarwal

Keyword(s):

Vaginal Delivery ◽

Statistical Significance ◽

Mode Of Delivery ◽

Tertiary Hospital ◽

North East India ◽

North East ◽

Tertiary Center ◽

Foetal Outcome ◽

Nicu Admission ◽

Twin Pregnancies

Background: Twin pregnancies are associated with many complications. Hence the mode of delivery and its effect on the maternal and foetal outcome is important.Methods: A retrospective study of twin pregnancies carried out from April 2015 to March 2017 in a tertiary hospital in north east, India. The maternal, foetal outcome and the mode of delivery data collected and analysed.Results: A total of 50 twin pregnancies studied. The prevalence of twin was 20/1000 deliveries. Most common age group was 20-29 years with a mean age of 28±5.7 years. A total of 24 (48%) had vaginal delivery and 26 (52%) had LSCS, 2 (4%) had the first twin as vaginal delivery and second twin LSCS. A statistical significance was seen in the mode of delivery of twin pregnancies conceived after ovulation induction, (p<0.05). The most common indication for LSCS was foetal malpresentation (14.58%) followed by foetal distress (12.5%) and elective LSCS (10.42%) on patient’s request. The most common complication was anaemia (28.08%) and PIH (27.08%). In the neonate prematurity was the most common morbidity. There was no association between the mode of delivery and the foetal outcome in the form of Apgar at 5 minutes, NICU admission and perinatal mortality.Conclusions: There is a rise of caesarean delivery in twin pregnancies, maternal request becoming one of the causes. Regular antenatal check-ups of pregnant women with counselling regarding the mode of delivery should be carried out.

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The Safety of Low-Dose Aspirin on the Mode of Delivery: Secondary Analysis of the Effect of Aspirin in Gestation and Reproduction Randomized Controlled Trial

American Journal of Perinatology ◽

10.1055/s-0040-1718581 ◽

2020 ◽

Author(s):

Allison A. Eubanks ◽

Carrie J. Nobles ◽

Sunni L. Mumford ◽

Keewan Kim ◽

Micah J. Hill ◽

...

Keyword(s):

Vaginal Delivery ◽

Live Birth ◽

Low Dose ◽

Controlled Trial ◽

Mode Of Delivery ◽

Secondary Analysis ◽

Clinical Effects ◽

Dose Aspirin ◽

Low Dose Aspirin ◽

Intent To Treat

Objective This study aimed to examine whether prenatal low-dose aspirin (LDA) therapy affects risk of cesarean versus vaginal delivery. Study Design This study is a secondary analysis of the randomized clinical effects of aspirin in gestation and reproduction (EAGeR) trial. Women received 81-mg daily aspirin or placebo from preconception to 36 weeks of gestation. Mode of delivery and obstetric complications were abstracted from records. Log-binomial regression models estimated relative risk (RR) of cesarean versus vaginal delivery. Data were analyzed among the total preconception cohort, as well as restricted to women who had a live birth. Results Among 1,228 women, 597 had a live birth. In the intent-to-treat analysis, preconception-initiated LDA was not associated with risk of cesarean (RR = 1.02; 95% confidence interval [CI]: 0.98–1.07) compared with placebo. Findings were similar in just women with a live birth and when accounting prior cesarean delivery and parity. Conclusion Preconception-initiated daily LDA was not associated with mode of delivery among women with one to two prior losses. Key Points

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Perineal Injury and Its Association with Postpartum Sexual Dysfunction among First Delivery Women

European Journal of Clinical Medicine ◽

10.24018/clinicmed.2021.2.3.74 ◽

2021 ◽

Vol 2 (3) ◽

pp. 34-39

Author(s):

Z. Nusee ◽

M. N. Ainy ◽

P. Hafizah

Keyword(s):

Sexual Dysfunction ◽

Vaginal Delivery ◽

Female Sexual Dysfunction ◽

Family Income ◽

Mode Of Delivery ◽

Sexually Active ◽

Perineal Tear ◽

Health Clinics ◽

Perineal Injury ◽

Significant Difference

Background: Female sexual dysfunction (FSD) following childbirth imposes significant burden to the marital institution around the world. The perineal injury may potentially be one of the main risk factors contributing to postpartum female sexual dysfunction (PPFSD). The study aimed to determine the effect of perineal injury and patients’ characteristics on PPFSD. Methodology: This cross-sectional questionnaire study was conducted in six different health clinics in the district of Kuantan from April 2019 to October 2019. Eligible women who came to the family health clinics at 6 months postpartum were recruited as study population. The participants completed their biodata and socio-demographic form and the Malay-validated Female Sexual Function Index (MVFSFI) questionnaire given. A cut-off point of 26.55 and below on MVFSFI scoring system was used as a measure of the primary outcome of sexual dysfunction. Results: Out of 240 women who delivered vaginally, 34 (14%) had intact perineum, 107 (44.6%) sustained 1st degree perineal tear, 96 (40%) 2nd degree tear and three (1.25%) 3rd degree tear. Among the respondents, 60.9% of the sexually active respondents who had vaginal delivery, reported to have PPFSD. The timing of sexual resumption does not correlate with the severity of perineal tear. The severity of perineal tear is significantly associated with age (p=0.018), duration of marriage (p=0.008), body mass index (BMI) (p=0.019) and instrumental delivery (p=0.025). The level of personnel skill whom performed the repair were also found to have a significant relationship to PPFSD (p= 0.001). The relationship of participants’ mean age (p=0.271), marriage duration (p=0.903), race (p=0.928), religion (p=0.852), education level (p=0.549), employment status (p=0.102), family income (p=0.460) and BMI(p=0.159) with presence of PPFSD were all found to be statistically not significant. Conclusion: Occurrence of PPFSD is high among sexually active women who had vaginal delivery complicated by perineal tear, especially among those requiring instrumentation. The severity of perineal tear is associated with age, duration of marriage, BMI and mode of delivery. However, PPFSD does not significantly relate to the severity of perineal tear. None of the socio-demographic factors show a significant difference to sexual dysfunction.

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On demand caesarean section: What’s women’s attitude?

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v2i2.1448 ◽

1970 ◽

Vol 2 (2) ◽

pp. 12-15

Author(s):

Nira S Shrestha ◽

Sumita Pradhan

Keyword(s):

Caesarean Section ◽

Pregnant Women ◽

Vaginal Delivery ◽

Caesarean Delivery ◽

Mode Of Delivery ◽

University Teaching ◽

Normal Vaginal Delivery ◽

On Demand ◽

Assisted Delivery ◽

The Right

Objectives: To evaluate the knowledge and attitude of Nepalese women towards mode of delivery and caesarean on demand. Study design: Hospital based cross sectional descriptive study where 200 pregnant women after 37 completed weeks of gestation were recruited randomly and interviewed, and their answers were analyzed. Results: Of the 200 interviewed pregnant women, all of them knew about normal vaginal delivery and caesarean delivery, but only 30% knew about instrumentally assisted delivery and 9% had heard about painless labour. Vaginal delivery was the preferred mode in 93% and 7% preferred caesarean delivery. Only 35% of the interviewed women believed that women should have the right to demand a caesarean section Conclusion: Knowledge assessment of two hundred women regarding the mode of delivery clearly indicates the need for strengthening counseling aspect of antenatal care and awareness program regarding mode of delivery. In Nepal on demand caesarean section is not provided in the University Teaching Hospital. However one third of women still felt that women should have the right to choose caesarean section on demand. Key words: Attitude, mode of delivery, Caesarean on demand. doi:10.3126/njog.v2i2.1448 N. J. Obstet. Gynaecol 2007 Nov-Dec; 2 (2): 12 - 15

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Obstetrical mode of delivery and behavioural outcomes in childhood and adolescence: findings from the Millennium Cohort Study

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-022-02233-x ◽

2022 ◽

Author(s):

Gillian M. Maher ◽

Ali S. Khashan ◽

Fergus P. McCarthy

Keyword(s):

Logistic Regression ◽

Cohort Study ◽

Caesarean Section ◽

Vaginal Delivery ◽

Repeated Measures ◽

Multiple Testing ◽

Mode Of Delivery ◽

Childhood And Adolescence ◽

Millennium Cohort Study ◽

Adjusted Logistic Regression

Abstract Purpose To examine the association between mode of delivery (in particular caesarean section) and behavioural outcomes in offspring at six time-points between age 3 and 17 years. Methods Similar to previous work examining the association between mode of delivery and behavioural outcomes in offspring at age 7, we used maternal-reported data from the Millennium Cohort Study. Data on mode of delivery were collected when children were 9 months and categorised as spontaneous vaginal delivery, assisted vaginal delivery, induced vaginal delivery, emergency caesarean section, planned caesarean section and caesarean section after induction of labor. Data on behavioural outcomes were collected at ages 3, 5, 7, 11, 14 and 17 years using the Strengths and Difficulties Questionnaire (SDQ). Crude and adjusted logistic regression examined mode of delivery–behavioural difficulties relationship, using validated SDQ cut-off points (total SDQ ≥ 17, emotional ≥ 5, conduct ≥ 4, hyperactivity ≥ 7, peer problems ≥ 4 and prosocial behaviour ≤ 4). Multilevel models with linear splines examined the association between mode of delivery and repeated measures of SDQ. Results There were 18,213 singleton mother–child pairs included at baseline, 13,600 at age 3; 13,831 at age 5; 12,687 at age 7; 11,055 at age 11; 10,745 at age 14 and 8839 at age 17. Adjusted logistic regression suggested few associations between mode of delivery and behavioural outcomes at ages 3, 5, 11, 14 and 17 years using validated SDQ cut-off points. After correction for multiple testing, only the protective association between planned caesarean section-Conduct difficulties at age 5 years (OR 0.63, 95% CI 0.46, 0.85) and positive association between caesarean section after induction-Emotional difficulties at age 11 years (OR 1.57, 95% CI 1.19, 2.07) remained statistically significant. Multilevel modelling suggested mean SDQ scores were similar in each mode of delivery group at each time point. Conclusions Results of this study indicate that mode of delivery is unlikely to have a major impact on behavioural outcomes.

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The Assessment of Intrapartum Transperineal Ultrasonographic Parameters for their Effectiveness in Evaluation of Progress of Labor and Prediction of Mode of Delivery in Egyptian Women

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.7049 ◽

2021 ◽

Vol 9 (B) ◽

pp. 1037-1043

Author(s):

Gamal Abdelsameea Ibrahim ◽

Ahmed Soliman Nasr ◽

Fatma Atta ◽

Mohamed Reda ◽

Hend Abdelghany ◽

...

Keyword(s):

Vaginal Delivery ◽

Ultrasound Examination ◽

Mode Of Delivery ◽

Transperineal Ultrasound ◽

Ultrasound Measurement ◽

Vaginal Examination ◽

Fetal Head ◽

Prolonged Labor ◽

Digital Vaginal Examination ◽

Angle Of Progression

Introduction: High fetal head station has been associated with prolonged labor and delivery outcomes. Although clinical assessment of fetal head station is both subjective and unreliable, women with prolonged labor are subjected to multiple digital vaginal examinations. The use of ultrasound has been proposed to aid in the management of labor since 1990s. Ultrasound examination is more accurate and reproducible than clinical examination in the diagnosis of fetal head station and in the prediction of arrest of labor. Ultrasound examination can, to some extent, distinguish those women destined for spontaneous vaginal delivery and those destined for operative delivery and may predict the outcome of instrumental vaginal delivery. Such a technique has the potential to reduce the frequency of intrusive internal examinations and associated infection and could be useful in allowing the assessment of women in whom digital VE is traumatic or contra-indicated. Intrapartum ultrasound not only provides objective and quantitative data in labor, but also helps to make more reliable clinical decisions aiming to improve obstetric outcomes of both the mother and fetus as a supplementary tool for active management. Aim of the work: This study aims at assessing the value of intrapartum transperineal ultrasonography as a quantitative and objective tool in the evaluation of progress of labor and prediction of mode of delivery. Subjects: This study was a prospective observational study conducted on 600 primiparous women in active first stage of labor admitted to Kasr Al Ainy maternity hospital from January 2017 to June 2018. The studied population was divided into two groups. Group A of 300 women with normal progress of labor and group B of 300 women with prolonged 1st stage of labor. Methods: Fetal head station(FHS) was assessed clinically by digital vaginal examination (dVE) and sonographically by transperineal ultrasound measurement of head perineal distance (HPD) and angle of progression (AOP). Intrapartum care of the patient continued as normal based only on digital vaginal examinations using the modified WHO partogram. (1). Statistical analysis was targeted towards assessing the potential of the intrapartum ultrasonography in the evaluation of progress of labor and prediction of mode of delivery. Results: All studied parameters for assessment of FHS (dVE, HPD, and AOP) significantly corelated with each other and with both progress of labor and mode of delivery with P value (<0.001). The highest sensitivity for prediction of progress of labor is observed using dVE (83%), the highest specificity is observed using AOP (78.3%). The highest sensitivity for prediction mode of delivery is for combined HPD & AOP (97.7%) while the highest specificity is for AOP (81%). When combining both HPD and AOP for prediction of mode of delivery, the assessment of both parameters was found to have a high sensitivity of 97.7% and a high positive predictive value of 86.63%. Conclusion: Intrapartum ultrasound examination is a valuable tool in the prediction of progress of labor and mode of delivery. The assessment of fetal head station by transperineal ultrasound measurement of HPD and AOP is much more informative of the progress of labor and the mode of delivery than digital assessment of fetal head station. Keywords: Labor, intrapartum ultrasound, Angle of progression, Head perineal distance, fetal head station, digital vaginal examination.

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Neonatal and Maternal Outcomes in Spontaneously-Conceived Twin Pregnancies According to Mode of Delivery

Folia Medica ◽

10.3897/folmed.62.e49276 ◽

2020 ◽

Vol 62 (3) ◽

pp. 468-476

Author(s):

Samantha Mc Kenzie Stancu ◽

Manuela Cristina Russu

Keyword(s):

Neonatal Intensive Care ◽

Statistical Significance ◽

Mode Of Delivery ◽

Statistical Correlation ◽

P Value ◽

Maternal Outcomes ◽

Chi Square ◽

Chi Square Test ◽

Nicu Admission ◽

Twin Pregnancies

Introduction: Appropriate intrapartum conduct in a twin delivery remains a challenging aspect of obstetric practice. The objective of this study was to compare neonatal and maternal outcomes in twin pregnancies according to mode of delivery.  Materials and methods: This is a single centre retrospective cohort study of all consecutive spontaneously-conceived twin deliver-ies (≥ 24 weeks, estimated fetal weight ≥ 500 grams) over a nine-year period between 01/01/2007 - 31/12/2016 at a tertiary-level centre. Neonatal outcomes included survival, APGAR score, prematurity-associated pathology (PAP), admission to the neonatal intensive care unit (NICU) and length of stay (LOS). Maternal outcomes included postpartum complications and LOS. Statistical analysis comprised Chi-square test with subsequent p-value and odds-ratio with 95% confidence interval. Statistical significance was set at p<0.05. Results: A total of 173 consecutive women with spontaneously-conceived twin deliveries were enrolled in this study, 129 (74.6%) women delivered by caesarean section (CS). The success rate of vaginal delivery (VD) was 93.6% (44/47). A strong statistical correlation was identified between CS and NICU admission; 53.2% vs. 1.5% (p=0.0001). Neonatal LOS in the NICU was significantly longer in the CS group. Prematurity-associated pathology (PAP) was noted in 75 pairs of twins (75/173); 61 pairs were delivered by CS, bearing strong statistical significance (p<0.0001). Postpartum complications occurred in 14.7% of CS compared to 13.6% of VDs.  Conclusion: Neonates delivered by CS had a higher rate of PAP, NICU admission, lower birth weight and longer LOS. This study showed that VD is safe, especially when the first twin is in cephalic presentation

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Maternal Attitude and Knowledge towards Modes of Delivery

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v16i2.1225 ◽

2018 ◽

Vol 16 (2) ◽

pp. 209-214

Author(s):

Anshumala Joshi ◽

Meeta Thapa ◽

Om Biju Panta

Keyword(s):

Pregnant Women ◽

Vaginal Delivery ◽

Caesarean Delivery ◽

Care Center ◽

Tertiary Care ◽

Mode Of Delivery ◽

College Teaching ◽

Cross Sectional ◽

Medical College ◽

Acceptable Method

Background: Whether a mother should be allowed to choose between the modes of delivery is a matter of concern among practicing obstetricians. This study aims to explore the knowledge of the Nepalese women attending a tertiary care center about the benefits and complications of vaginal and caesarean delivery and their attitude and preference for the method of delivery.Methods: The study was a hospital based cross sectional questionnaire survey conducted in Nepal Medical College teaching Hospital, Jorpati from 1stShrawan 2074 to 31st Ashoj 2074. All pregnant women who were 36 weeks or more in gestation attending the clinic during the study period were included in the study. A questionnaire was made of 10 questions for knowledge assessment regarding mode of delivery consisting of the indications, the possible complications and advantages of vaginal and caesarean delivery. Results: A total of 256 pregnant women participated in the study. The knowledge of the mode of delivery, their benefit and complications was medium to good in approximately 90% of the mothers attending the antenatal OPD. Overall attitude for vaginal delivery was positive in 93% of women and negative or neutral in 6.6%.Overall attitude for caesarean delivery was positive in 24% and negative or neutral in 75.8%.Conclusions: Women in our setup agree that vaginal delivery is a natural and acceptable method of delivery and would prefer to have a vaginal delivery. Keywords: Attitude; knowledge; modes of delivery; women.

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