Factors Influencing Maternal Decision-Making on Childbirth Methods A Cross-Sectional Study at Meru Level V Hospital, Kenya
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Abstract
Rising global rates of cesarean section (CS), often exceeding the World Health Organization recommended 10–15%, pose a public health concern. In Meru County, Kenya, there is limited evidence on the factors influencing women’s choice of delivery method despite improved access to maternal healthcare. This study examined determinants of childbirth method choice among women attending antenatal care at Meru Level V Hospital. A cross-sectional study of 300 expectant mothers was conducted using structured questionnaires. Data were analysed using the Statistical Package for the Social Sciences, applying descriptive and inferential statistics. The mean age was 28.6 years (range: 19–42). Most participants had a tertiary education (73%), while 2% had a primary education. Vaginal delivery was preferred by 53% of respondents, though CS rates were increasing. Key determinants included social status, fear of labour pain, and education level, which influenced awareness of risks such as infection, maternal complications, healing time, and costs. Social factors relatives’ opinions, family encouragement, prior experiences, and media also shaped decisions. In conclusion, childbirth decisions are influenced by knowledge, perceptions, and social dynamics. Strengthening antenatal education and counselling is essential to support informed choices and optimise delivery outcomes.
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