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Identifying factors associated with adolescents’ Intention for childbirth Cover

Identifying factors associated with adolescents’ Intention for childbirth

Open Access
|Feb 2023

Figures & Tables

Participants’ intention towards vaginal birth and the sources of information

N (%)
Can you imagine yourself having children sometime in the future?427 (89.0)
Your attitude towards pregnancy and vaginal birth was shaped mainly from:
Visual means57 (11.9)
Written means8 (1.7)
Friends’ experiences/stories62 (12.9)
Experiences/stories of family members181 (37.7)
School23 (4.8)
Other8 (1.7)
All the above141 (29.4)
From the medium from which you were informed about vaginal birth, your impressions were, on average:
Positive182 (37.9)
Negative24 (5.0)
Both235 (49.0)
Neither positive nor negative39 (8.1)
Subjects you wish to be more informed about:
The procedure of pregnancy49 (10.2)
Promotion of a healthy pregnancy (diet, way of living)38 (7.9)
The procedure of labor41 (8.5)
Available services of healthy reproduction13 (2.7)
What could go wrong during pregnancy and labor57 (11.9)
How both partners could be included in the experi- ence of birth23 (4.8)
All the above259 (54.1)
Assuming you could choose the type of birth for your baby, would you prefer it to be a:
Vaginal birth377 (78.5)
Caesarean section delivery103 (21.5)

Participants’ intention for vaginal birth or caesarean section associated with their characteristics, sources of information and the theory of planned behavior (TPB) constructs

Assuming you could choose the type of birth for your baby, would you prefer it to be a:
Vaginal birthCaesarean section delivery
N (%)N (%)P
GenderBoys168 (80.4)41 (19.6)0.419+
Girls201 (77.3)59 (22.7)
Age, mean (SD) 15.5 (0.6)15.5 (0.6)0.592‡
Father’s highest level of educationPrimary school completed53 (76.8)16 (23.2)0.549+
High school completed215 (80.2)53 (19.8)
Technical School-Vocational Training Institute (VTI)62 (79.5)16 (20.5)
University degree/postgraduate degree/doctoral47 (72.3)18 (27.7)
diploma (PhD)
Mother’s highest level of educationPrimary school completed33 (75.0)11 (25.0)0.898+
High school completed200 (79.7)51 (20.3)
Technical School-Vocational Training Institute (VTI)72 (78.3)20 (21.7)
University degree/postgraduate degree/doctoral diploma (PhD)72 (77.4)21 (22.6)
Born in GreeceYes367 (78.3)102 (21.7)0.470++
No10 (90.9)1 (9.1)
Field of studyOther159 (75.7)51 (24.3)0.184+
Health Sciences214 (80.8)51 (19.2)
Can you imagine yourself havingNo34 (64.2)19 (35.8)0.007+
children sometime in the future?Yes343 (80.3)84 (19.7)
Your attitude towards pregnancy and vaginal birth was shaped mainlyVisual means42 (73.7)15 (26.3)0.886++
from:Written means6 (75.0)2 (25.0)
Friends’ experiences/stories48 (77.4)14 (22.6)
Experiences/stories of family members142 (78.5)39 (21.5)
School20 (87.0)3 (13.0)
Other6 (75.0)2 (25.0)
All the above113 (80.1)28 (19.9)
From the medium from which youPositive163 (89.6)19 (10.4)<0.001+
were informed about the vaginal birth, your impressions were, onNegative9 (37.5)15 (62.5)
average:Both172 (73.2)63 (26.8)
Neither positive nor negative33 (84.6)6 (15.4)
Subjects you wish to be more informed about:The procedure of pregnancy41 (83.7)8 (16.3)0.482+
Promotion of a healthy pregnancy (diet, way of living)34 (89.5)4 (10.5)
The procedure of labor32 (78.0)9 (22.0)
Available services of healthy reproduction11 (84.6)2 (15.4)
What could go wrong during pregnancy and labor41 (71.9)16 (28.1)
How both partners could be included in the experi- ence of birth18 (78.3)5 (21.7)
All the above200 (77.2)59 (22.8)
“Cognitive component of vaginal birth” subscale, mean (SD)3.62 (0.59)3.22 (0.57)<0.001‡
“Cognitive component of caesarean section” subscale, mean (SD)2.91 (0.63)3.36 (0.54)<0.001‡
“Affective component of vaginal birth” subscale, mean (SD)3.82 (0.63)3.61 (0.64)0.002‡
“Subjective norms” subscale, mean (SD)4.29 (0.88)3.00 (1.36)<0.001‡
“Perceived behavior control” subscale, mean (SD)3.2 (0.86)2,68 (1.02)<0.001‡

Multivariate logistic regression analysis results, with the intention for caesarean section as dependent variable

OR (95% CI) +P
GenderBoys (reference)
Girls3.97 (0.82─19.22)0.087
Age 1.10 (0.66─1.82)0.720
Father’s highest level of educationPrimary school completed (reference)
High school completed0.90 (0.32─2.47)0.830
Technical School-Vocational Training Institute (VTI)0.75 (0.23─2.49)0.642
University degree/postgraduate degree/doctoral diploma (PhD)1.10 (0.33─3.74)0.875
Mother’s highest level of educationPrimary school completed (reference)
High school completed1.42 (0.45─4.49)0.555
Technical School-Vocational Training Institute (VTI)1.14 (0.33─4.02)0.834
University degree/postgraduate degree/doctoral diploma (PhD)1.04 (0.29─3.73)0.957
Born in GreeceYes (reference)
No0.25 (0.02─2.81)0.263
Field of studyOther (reference)
Health Sciences0.68 (0.35─1.33)0.257
Can you imagine yourself having children some- time in the future?No (reference) Yes0.90 (0.37─2.21)0.816
From the medium from which you were informed about on average: the vaginal birth, your impressions were,Neither positive nor negative (reference) Positive Negative1.26 (0.35─4.49) 2.20 (1.06─4.54)0.725 0.034
Both2.58 (0.79─8.42)0.116
“Cognitive component of vaginal birth” subscale 0.36 (0.20─0.64)<0.001
“Cognitive component of caesarean section” subscale2.80 (1.59─4.91)<0.001
“Affective component of vaginal birth” subscale 0.55 (0.33─0.92)0.022
“Subjective norms” subscale 0.45 (0.35─0.59)<0.001
“Perceived behavior control” subscale 0.49 (0.35─0.69)<0.001

Sample characteristics

N (%)
Age, mean (SD)15.5 (0.6)
Gender
Boys209 (43.5)
Girls260 (54.2)
Prefer not to say11 (2.3)
Born in Greece469 (97.7)
Father’s highest level of education
Primary school completed69 (14.4)
High school completed268 (55.8)
Technical Institute (VTI) School-Vocational Training78 (16.3)
University degree53 (11)
Postgraduate degree8 (1.7)
Doctoral diploma (PhD)4 (0.8)
Mother’s highest level of education
Primary school completed44 (9.2)
High school completed251 (52.3)
Technical Institute (VTI) School-Vocational Training92 (19.2)
University degree74 (15.4)
Postgraduate degree14 (2.9)
Doctoral diploma (PhD)5 (1.0)
Field of study
Agriculture and Environment8 (1.7)
Administration and Economics42 (8.8)
Structured Design Environment and Architectural9 (1.9)
Applied Arts15 (3.2)
Electronics and Automation19 (4.0)
Engineering55 (11.6)
Shipping and Maritime Studies16 (3.4)
Computing Studies46 (9.7)
Health Sciences265 (55.8)

Participants’ preference of birth, associated with their gender and the theory of planned behavior (TPB) constructs

BoysGirls
Assuming you could choose the type of birth for your baby, would you prefer it to be a:Assuming you could choose the type of birth for your baby, would you prefer it to be a:
Total sampleVaginal birthCaesarean section Vaginal birthCaesarean section
MeanSDMeanSDMeanSDP*MeanSDMeanSDP
“Cognitive component of vaginal birth” subscale3.53.613.53.553.17.56<0.0013.71.613.24.58<0.001
“Cognitive component of caesarean section” subscale3.00.642.98.553.38.600.0012.84.703.33.51<0.001
“Affective component of vaginal birth” subscale3.78.633.61.643.35.680.0254.00.553.78.570.007
“Subjective norms” subscale4.011.134.25.882.371.08<0.0014.30.883.451.36<0.001
“Perceived behavior control” subscale2.91.922.67.732.84.900.2022.89.943.611.00<0.001
DOI: https://doi.org/10.34763/jmotherandchild.20222601.d-22-00022 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 93 - 103
Submitted on: May 19, 2022
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Accepted on: Dec 2, 2022
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Published on: Feb 22, 2023
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Dimitra Varnakioti, Antigoni Sarantaki, Kleanthi Gourounti, Aikaterini Lykeridou, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.