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Knowledge and Preference Towards Mode of Delivery among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study
Open accessAbstract
Background: The rate of cesarean section (CS) is growing in the United Arab Emirates (UAE). Pregnant women’s knowledge on the mode of delivery, factors associated with lack of adequate knowledge, and preference towards CS delivery were investigated. Methods: Baseline cross-sectional data from 1617 pregnant women who participated in the Mutaba’ah Study between September 2018 and March 2020 were analyzed. A self-administered questionnaire inquiring about demographic and maternal characteristics, ten knowledge-based statements about mode of delivery, and one question about preference towards mode of delivery was used. Knowledge on the mode of delivery was categorized into “adequate (total score 6–10)” or “lack of adequate (total score 0–5)” knowledge. Crude and multivariable models were used to identify factors associated with “lack of adequate” knowledge on the mode of delivery and factors associated with CS preference. Results: A total of 1303 (80.6%) pregnant women (mean age 30.6 ± 5.8 years) completed the questionnaire. The majority (57.1%) were ≥30 years old, in their third trimester (54.5%), and had at least one child (76.6%). In total, 20.8% underwent CS delivery in the previous pregnancy, and 9.4% preferred CS delivery for the current pregnancy. A total of 78.4% of pregnant women lacked adequate knowledge on the mode of delivery. The level of those who lacked adequate knowledge was similar across women in different pregnancy trimesters. Young women (18–24 years) (adjusted odds ratios (aOR), 3.07, 95% confidence interval (CI), 1.07–8.86) and women who had CS delivery in the previous pregnancy (aOR, 1.90, 95% CI, 1.06–3.40) were more likely to be classified with a lack of adequate knowledge. Age (aOR, 1.08, 95% CI, 1.02–1.14), employment (aOR, 1.96, 95% CI, 1.13–3.40), or previous CS delivery (aOR, 31.10, 95% CI, 17.71–55.73) were associated with a preference towards CS delivery. Conclusion: This study showed that pregnant women may not fully appreciate the health risks associated with different modes of delivery. Therefore, antenatal care appointments should include a balanced discussion on the potential benefits and harms associated with different delivery modes.
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Women in the present study displayed moderate knowledge about modes of delivery.
“In line with previous studies [20, 21], women in the present study displayed moderate knowledge about modes of delivery.”
From Determinants of Delivery Mode Preferences and Decision‐Making Among Jordanian Women: A Cross‐Sectional Study (2025) · cites this paper as [20]
The Results (§3.2) describe the mean knowledge score as relatively low (3.7 out of 10) and report that 78.4% of pregnant women lacked adequate knowledge. The Discussion (§4) uses a combined “poor/moderate” category, which does not establish that knowledge was moderate. The paper therefore does not support the cited comparison with moderate knowledge. (LLM, conf=0.85)
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Bawadi, H., Hamdan, Z., Shaqra, N. A., Maaitah, M., Suleimat, A., Basha, A., Saleh, S., El -Zibdah, M., Khater, R., & Abdulla, A. (2025) · Journal of Pregnancy · doi:10.1155/jp/8395387 · Cited by 1
“In line with previous studies [20, 21], women in the present study displayed moderate knowledge about modes of delivery.”
Metadata
- Authors
- Al-Rifai, R. H., Elbarazi, I., Ali, N., Loney, T., Oulhaj, A., & Ahmed, L. A.
- Affiliations
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 17666, UAE
- United Arab Emirates University (AE)
- Mohammed Bin Rashid University of Medicine and Health Sciences (AE)
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-12-23
- Volume
- 18
- Issue
- 1
- Pages
- 36
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7793149
- OpenAlex
- W3114260755
- Cited by
- 19
- References
- 24
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 2
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- United Arab Emirates University (31M364)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Keywords
- mode of delivery, cesarean section, maternal preferences, pregnant women, United Arab Emirates, previous cesarean section, maternal age, employment status, maternal education, parity, maternal and child health services, maternal morbidity
- MeSH terms
- Adolescent, Adult, Cesarean Section, Cross-Sectional Studies, Female, Humans, Health Knowledge, Attitudes, Practice, Pregnancy, United Arab Emirates, Delivery, Obstetric, Pregnant Women, Pregnant People, Young Adult, Patient Preference
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