Confidence in knowledge, childbirth fear, and preference for cesarean birth among Polish women: a cross-sectional study.

In Poland, 48 in 100 babies are born by cesarean section, which is among the highest rate of cesarean birth (CB) in the Organization for Economic Cooperation and Development (OECD) countries. Several factors are linked to higher CB rates, including childbirth fear prior to pregnancy (CFPP), and phys...

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Publicado en:European Journal of Public Health Vol. 36; no. 1; pp. 107 - 112
Autores principales: Surma, Patrycja, Micek, Agnieszka, Bednarek-Chałuda, Monika, Stoll, Kathrin, Nenko, Ilona
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
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      pub: Oxford University Press / USA
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        atl: Confidence in knowledge, childbirth fear, and preference for cesarean birth among Polish women: a cross-sectional study.
      aug:
        au:
          Surma, Patrycja
          Micek, Agnieszka
          Bednarek-Chałuda, Monika
          Stoll, Kathrin
          Nenko, Ilona
        affil: Department of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, PolandDoctoral School of Medical and Health Sciences, Jagiellonian University Medical College, Krakow, Poland
      sug:
        subj:
          Women Poland
          Cesarean Section Poland
          Confidence
          Health Knowledge
          Pregnancy
          Childbirth
          Fear
          Prenatal Care
          Funding Source
          Human
          Poland
          Female
          Adolescence
          Adult
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Odds Ratio
          Multiple Logistic Regression
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
      ab: In Poland, 48 in 100 babies are born by cesarean section, which is among the highest rate of cesarean birth (CB) in the Organization for Economic Cooperation and Development (OECD) countries. Several factors are linked to higher CB rates, including childbirth fear prior to pregnancy (CFPP), and physician versus midwifery led models of care. In order to decrease CB rates, it is crucial to understand modifiable factors that are associated with childbirth preferences. In this study, we tested how confidence in knowledge of pregnancy and birth was related to: (i) fear of childbirth, preference for: (ii) mode of birth and (iii) prenatal care provider type. We recruited 782 women aged 18–35 (mean 24.7, SD 3.19) who had never been pregnant but desired to have at least one child in the future. Women with moderate and high levels of confidence in knowledge had lower odds of high fear of childbirth compared to women with low levels of confidence (aOR = 0.57, 95% CI: 0.39–0.83 and aOR = 0.54, 95% CI: 0.33–0.88, respectively). Neither moderate nor high levels of confidence in knowledge were associated with a preference for CB (aOR = 1.10, 95% CI: 0.73–1.67 and aOR = 0.92, 95% CI: 0.55–1.55, respectively) compared to low levels. In addition, women with high levels of confidence in knowledge had significantly lower odds of preferring obstetricians (aOR = 0.49, 95% CI: 0.26–0.89), compared to midwives. Our study provides evidence that confidence in knowledge is related to fear of childbirth and prenatal care provider preferences.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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