Knowledge of Pregnant Women Regarding the Mode of Delivery among the Primary Gravida

Mode of Delivery among the Primary Gravida


  • Imamah Zainab Department of Nursing, The Superior University, Lahore, Pakistan
  • Humaira Saddique Department of Nursing, The Superior University, Lahore, Pakistan
  • Rubina Jabeen Department of Nursing, The Superior University, Lahore, Pakistan



Knowledge, Pregnant Women, Primary Gravida


Caesarean sections (CS) are becoming more commonplace. Pregnant women's awareness of childbirth options, the causes contributing to their lack of information, and their desire for CS delivery were little understood. Objective: To assess the knowledge of pregnant women regarding the mode of delivery among the primary gravida. Methods: A descriptive cross-sectional research study design was conducted at Jinnah Hospital Lahore during January to June 2023. About 171 pregnant patients were enrolled to assess the knowledge of pregnant women of the first gravida. Data analysis was done through (SPSS) version 21.0. The Bartlett and KMO values have been checked to ensure validity and reliability in our context. Results: Out of 171 pregnant females, 90.6% were aged 21-30 years. Approximately 67.3% believed that vaginal birth is a natural and appropriate way of delivery, and 87.7% believed that the infant might be obtained early within minutes by vaginal delivery. About 88.3% females thought that vaginal delivery is better than cesarean section, however 85.5% also thought that it is also risky for baby. Conclusions: Generally, the knowledge of pregnant women about the mode of delivery and benefits of vaginal delivery is good in this study. But due to their thought about risk to the fetus, mostly select cesarean section over vaginal delivery. Therefore, the patient should be educated about the knowledge of pregnant women’s mode of delivery to control the (CS) rate.


ACOG. ACOG practice bulletin no. 205: vaginal birth after cesarean delivery. Obstetrics and Gynecology. 2019 Feb; 133(2): 110-27. doi: 10.1097/AOG.0000000000003078. DOI:

Clapp MA and Barth WH. The future of cesarean delivery rates in the United States. Clinical Obstetrics and Gynecology. 2017 Dec; 60(4): 829-39. doi: 10.1097/GRF.0000000000000325. DOI:

Betran AP, Torloni MR, Zhang J, Ye J, Mikolajczyk R, Deneux-Tharaux C, et al. What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies. Reproductive Health. 2015 Dec; 12(1): 1-10. doi: 10.1186/s12978-015-0043-6. DOI:

Dominiek C, Amanda H, Georgina C, Repon P, Angela M, Teena C, et al. Exploring variation in the performance of planned birth: A mixed method study. Midwifery. 2021 Jul; 98: 102988. doi: 10.1016/j.midw.2021.102988. DOI:

Stiggelbout AM, Pieterse AH, De Haes JC. Shared decision making: concepts, evidence, and practice. Patient Education and Counseling. 2015 Oct; 98(10): 1172-9. doi: 10.1016/j.pec.2015.06.022. DOI:

Tita AT, Szychowski JM, Boggess K, Saade G, Longo S, Clark E, et al. Adjunctive azithromycin prophylaxis for cesarean delivery. New England Journal of Medicine. 2016 Sep; 375(13): 1231-41. doi: 10.1056/NEJMoa1602044. DOI:

Mahmud G, Zaman F, Jafarey S, Khan RL, Sohail R, Fatima S. Achieving millennium development goals 4 and 5 in Pakistan. BJOG: An International Journal of Obstetrics & Gynaecology. 2011 Sep; 118: 69-77. doi: 10.1111/j.1471-0528.2011.03114.x. DOI:

Maguire R. " Trying for a VBAC": An Ethnography of Cultural Change Within a Radomised Trial Aimed at Increasing Vaginal Birth After Caesarean Section: The OptiBIRTH Study (Doctoral dissertation, Trinity College Dublin). 2016. Available at:,%20Rebekah_THESIS%20COMPLETE%20RM.pdf?sequence=1.

Betrán AP, Torloni MR, Zhang JJ, Gülmezoglu AM, Aleem HA, Althabe F, et al. WHO statement on caesarean section rates. BJOG. 2016 Apr; 123(5): 667. doi: 10.1111/1471-0528.13526. DOI:

Sharma S and Dhakal I. Cesarean vs vaginal delivery: An institutional experience. JNMA: Journal of the Nepal Medical Association. 2018 Jan; 56(209): 535. doi: 10.31729/jnma.3467. DOI:

Mascarello KC, Matijasevich A, Santos ID, Silveira MF. Early and late puerperal complications associated with the mode of delivery in a cohort in Brazil. Revista Brasileira de Epidemiologia. 2018 Aug; 21: e180010. doi: 10.1590/1980-549720180010. DOI:

Smid MC, Dotters-Katz SK, Silver RM, Kuller JA. Body mass index 50 kg/m2 and beyond: perioperative care of pregnant women with superobesity undergoing cesarean delivery. Obstetrical & Gynecological Survey. 2017 Aug; 72(8): 500-10. doi: 10.1097/OGX.0000000000000469. DOI:

Jamil K, Baqir SR, Aslam S, Iqbal R, Fahim MF. Knowledge, Attitude, and Perception of Women Regarding C-Sections during their Antenatal Period. Pakistan Journal of Health Sciences. 2022 Nov; 3(6): 160-4. doi: 10.54393/pjhs.v3i06.320. DOI:

Yaqoub RM, Khouj MA, Alsaif AA, Eissa GA, Alhemdi JA, Albasri S, et al. Awareness and Knowledge of Caesarean Section Complications Among Women in Jeddah, Saudi Arabia. Cureus. 2022 Dec; 14(12); e32152. doi: 10.7759/cureus.32152. DOI:

Varghese S, Singh S, Kour G, Dhar T. Knowledge, attitude and preferences of pregnant women towards mode of delivery in a tertiary care center. International Journal of Research in Medical Sciences. 2016 Oct; 4(10): 4394-8. doi: 10.18203/2320-6012.ijrms20163299. DOI:

Agnes A, Euphemia A, Eunice N, Anthonia C, Yolanda O. Knowledge and willingness of prenatal women in Enugu Southeastern Nigeria to use in labour non-pharmacological pain reliefs. African Health Sciences. 2015 Jun; 15(2): 568-75. doi: 10.4314/ahs.v15i2.32. DOI:

Joshi A, Thapa M, Panta OB. Maternal attitude and knowledge towards modes of delivery. Journal of Nepal Health Research Council. 2018 Apr; 16(2): 209-14. doi: 10.33314/jnhrc.v16i2.1225. DOI:

Committee on Practice Bulletins-Obstetrics. ACOG practice Bulletin No. 199: use of prophylactic antibiotics in labor and delivery. Obstetrics and Gynecology. 2018 Sep;1 32(3): e103-e19. doi: 10.1097/AOG.0000000000002833. DOI:

Alonso BD, Silva FM, Latorre MD, Diniz CS, Bick D. Caesarean birth rates in public and privately funded hospitals: a cross-sectional study. Revista de Saúde Pública. 2017 Nov; 51: 101. doi: 10.11606/S1518-8787.2017051007054. DOI:

Jadoon B, Mahaini R, Gholbzouri K. Determinants of over and underuse of caesarean births in the Eastern Mediterranean Region: an updated review. Eastern Mediterranean Health Journal. 2019 Nov; 25(11): 837-46. doi: 10.26719/emhj.19.033. DOI:

Minkoff H. The ethics of cesarean section by choice. Seminars in Perinatology. 2006 Oct; 30(5): 309-12. doi: 10.1053/j.semperi.2006.07.013. DOI:

Eide KT and Bærøe K. How to reach trustworthy decisions for caesarean sections on maternal request: a call for beneficial power. Journal of Medical Ethics. 2021 Dec; 47(12): e45. doi: 10.1136/medethics-2020-106071. DOI:

Walton RB, Shnaekel KL, Ounpraseuth ST, Napolitano PG, Magann EF. High transverse skin incisions may reduce wound complications in obese women having cesarean sections: a pilot study. The Journal of Maternal-Fetal & Neonatal Medicine. 2019 Mar; 32(5): 781-5. doi: 10.1080/14767058.2017.1391780. DOI:

Taha Z, Ali Hassan A, Wikkeling-Scott L, Papandreou D. Prevalence and associated factors of caesarean section and its impact on early initiation of breastfeeding in Abu Dhabi, United Arab Emirates. Nutrients. 2019 Nov; 11(11): 2723. doi: 10.3390/nu11112723. DOI:

Al-Rifai RH, Elbarazi I, Ali N, Loney T, Oulhaj A, Ahmed LA. Knowledge and preference towards mode of delivery among pregnant women in the United Arab Emirates: The Mutaba’ah study. International Journal of Environmental Research and Public Health. 2021 Jan; 18(1): 36. doi: 10.3390/ijerph18010036. DOI:



DOI: 10.54393/pjhs.v4i08.727
Published: 2023-08-31

How to Cite

Zainab, I. ., Saddique, H. ., & Jabeen, R. (2023). Knowledge of Pregnant Women Regarding the Mode of Delivery among the Primary Gravida: Mode of Delivery among the Primary Gravida. Pakistan Journal of Health Sciences, 4(08), 33–37.



Original Article