# The relationship between pregnant women's perception of traumatic birth and their mode of delivery preference

**Authors:** Esra Ünal, Şükrü Can Karaman, Sevim Yildirim, Hatice Aslıhan Hacimuhittinoğullari

PMC · DOI: 10.1590/1806-9282.20241835 · Revista da Associação Médica Brasileira · 2025-07-07

## TL;DR

This study found that pregnant women who perceive childbirth as traumatic are more likely to prefer a cesarean section over vaginal delivery.

## Contribution

The study reveals a significant negative correlation between traumatic birth perception and preference for vaginal delivery.

## Key findings

- 71.8% of participants preferred cesarean section over vaginal delivery.
- A strong negative correlation (r=-0.427) was found between traumatic birth perception and vaginal delivery preference.
- Higher traumatic birth perception increases the likelihood of choosing cesarean delivery.

## Abstract

This study aims to examine the relationship between pregnant women's perception of traumatic birth and their preference for the mode of delivery.

This cross-sectional study was conducted between April 12, 2023, and June 22, 2023, in the obstetrics and gynecology clinic of a state hospital in Turkey. The study population consisted of pregnant women who applied to the clinic during the study period. The inclusion criteria were being 18 years or older, having a singleton pregnancy between the 20th and 40th gestational weeks, and having no high-risk pregnancy conditions. The exclusion criteria included pregnancy through assisted reproductive techniques and the presence of intellectual disabilities. Participants meeting the inclusion criteria were selected through a non-probability random sampling method. Data were collected using a sociodemographic questionnaire, the traumatic childbirth perception scale, and the belief scale for normal delivery.

Among the participants, 71.8% preferred cesarean section over vaginal delivery. A significant negative correlation was found between the perception of traumatic birth and the belief in and preference for vaginal delivery (r=-0.427, p<0.001). Pregnant women with a higher perception of traumatic birth were more likely to choose cesarean delivery.

The findings suggest that a higher perception of traumatic birth is associated with a decreased preference for vaginal delivery. Addressing these concerns may help support informed decision-making regarding childbirth.

## Full-text entities

- **Diseases:** traumatic (MESH:D014947), intellectual disabilities (MESH:D008607)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12245050/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12245050/full.md

## References

24 references — full list in the complete paper: https://tomesphere.com/paper/PMC12245050/full.md

---
Source: https://tomesphere.com/paper/PMC12245050