Table 3.
Online survey answers according to levels of agreement (n=655)
| Disagree or strongly disagree N (%) |
Agree or strongly agree* N (%) |
Neutral N (%) |
||
| In my institution, the use of CS is associated with… | ||||
| Statements with higher % of high and moderate agreement | The complexity of our case load | 138 (20.4) | 411 (60.8) | 112 (16.5) |
| Financial incentives | 621 (91.8) | 142 | 24 (3.5) | |
| CS being safer than a VB | 549 (81.2) | 40 (5.9) | 71 (10.5) | |
| Shortage of human resources | 522 (77.2) | 86 (12.7) | 54 (7.9) | |
| Deficits in infrastructure | 419 (73.8) | 89 (13.1) | 71 (10.5) | |
| Inadequate number of trained healthcare professionals with the skills to perform complex deliveries | 464 (68.6) | 87 (12.8) | 98 (14.5) | |
| Deficit in training to conduct VB after a CS | 467 (69) | 84 (12.4) | 106 (15.6) | |
| Lack of access to pain management strategies during VB† | 163 (44) | 116 (31) | 85 (12.7) | |
| Statements with higher % of neutral answers or low level of agreement | Deficits in the training of residents to monitor and perform complex deliveries | 418 (61.8) | 104 (15.3) | 138 (20) |
| Fear of litigation | 239 (39.1) | 225 (36.8) | 147 (24) | |
| First time mothers and their anxiety and poor preparation for VB | 246 (37.4) | 221 (33.7) | 188 (28) | |
| Women’s preferences | 290 (44.2) | 172 (26.4) | 193 (29.3) |
*High and moderate agreement: more than 60% agree or disagree.
†This statement was incorporated in the second round of surveys.
CS, caesarean section; VB, vaginal birth.