Table 3.
Time tradeoff utilities, strength of preference for vaginal delivery, attitudes and social norms by delivery approach. Utilities are presented above the double line; Attitudes and social norms are presented below the double line
| TOLAC (n= 93) |
ERCD (n= 138) |
||
|---|---|---|---|
| Mean(±SD) | Mean(±SD) | p-value | |
| TOLAC, oxytocin augmentation, VBAC | 0.940 (±0.114) | 0.955 (±0.097) | 0.27 |
| TOLAC, chorioamnionitis, VBAC | 0.930 (±0.118) | 0.945 (±0.124) | 0.20 |
| TOLAC, VBAC, 3rd or 4th degree laceration | 0.876 (±0.17) | 0.867(±0.205) | 0.79 |
| TOLAC, CD, no complications | 0.912 (±0.135) | 0.953 (±0.096) | 0.005 |
| TOLAC, rupture, CD with rupture easily repaired | 0.932 (±0.1) | 0.950 (±0.092) | 0.09 |
| TOLAC, rupture, CD, hysterectomy (no infant complications) | 0.860 (±0.188) | 0.897 (±0.164) | 0.09 |
| TOLAC, rupture, CD, severe infant complication (HIE or death) | 0.437 (±0.304) | 0.453 (±0.313) | 0.78 |
| ERCD, minor surgical complications | 0.885 (±0.184) | 0.931 (±0.129) | 0.02 |
| ERCD, transient neonatal complications (Transient tachypnea of the newborn | 0.870 (±0.181) | 0.910 (±0.152) | 0.10 |
| ERCD, CD, future complications (accreta with late preterm birth) | 0.816 (±0.234) | 0.863 (±0.205) | 0.08 |
| Strength of preference for vaginal delivery | 0.719 (±0.364) | 0.349 (±0.376) | <0.001 |
| Value for the experience of labor and vaginal birth 1 | 4.2 (±0.6) | 3.1 (±1.1) | <0.001 |
| Value for less medical intervention 2 | 3.3 (±0.9) | 2.6 (±0.8) | <0.001 |
| Concern regarding urogynecologic and sexual function 3 | 2.7 (±0.8) | 3.0 (±0.7) | 0.004 |
| Perception of control4 | 3.1 (±0.8) | 3.1 (±0.8) | 0.91 |
| Opinion of important other regarding TOLAC 5 | 3.8 (±1.0) | 2.5 (±1.3) | <0.001 |
Value of the experience of vaginal birth (1–5 scale, 5= stronger preference for experience of labor/vaginal birth)
- I would really like to experience labor
- Having a cesarean would be most convenient for my family (reversed)
- I would really like to have a vaginal delivery
Value of less medical intervention (1–5 scale, 5= prefer less medical intervention)
- Labor is a natural process that should not be controlled
- Too many women are having cesareans
- I want to have as little medical intervention as possible at my delivery
- Modern medicine interferes too much in pregnancy
Concern regarding urogynecologic and sexual function (1–5 scale, 5=higher concern regarding these issues)
- Having a cesarean would be less painful than having a vaginal delivery
- Having a cesarean would be better for my future sex life
- Having a vaginal delivery would increase my chances of leaking urine later on in life (reversed)
Control (1–5 scale, 5= higher perception of control)
- There is little I can do to control the course of my labor and delivery (reversed)
- What happens to me during my delivery will be within my control
- I have little control over what happens to me (reversed)
1–5 scale, 5=recommend TOLAC