This study was conducted to investigate the preferring factors about selection of delivery facilities by pregnant women.
A total 666 parturient women who delivered a baby at 15 delivery facilities; 2 university hospitals, 3 general hospitals, 4 hospitals, 3 clinics, and 3 midwifery clinics in Pusan, between April 1 and April 30, 1994 were selected for a questionnaire survey.
The survey results were as follows
1. The average age of the women included in the study was 28.4 year of age, and the distribution was not significantly different by the delivery facilities.
3. Many of the parturient women at midwifery facilities were second delivered, but majority of them at another facilities were primiparous.
4. All of parturient women at midwifery facilities were vaginally delivered, but deliveries by cesarean section were 40.4% at clinics, 29.8% at university hospitals. The 17.5% of parturient women at university hospitals were having pregnancy-complications and its rate was higher than that at another facilities.
Statistically significant differences were absent in pregnancy duration, frequency of prenatal cares, abortion experiences according to medical services.
5. The information sources about delivery facilities were most from family and relatives in all facilities, and determination on facility selection was most from parturient themselves.
6. The concordance rate of delivery facilities versus prenatal-care facilities was all high in each facility, and disconcordance rate was highest in university hospitals(38.6%), and lowest in hospitals(29.3%).
7. The most common reason for which pregnant women had changed medical services for delivery was safe delivery in university and general hospitals, and medical service level in hospital and clinics, and use-convenience in midwifery facilities.
8. Factors for selecting delivery-factor was primarily medical technique trust except midwifery facility, and there it was use-convenience, and secondarily in hospital-above level, it was doctor-kindness, in clinics it was tradition, professionalism, in midwifery facility it was nurse, other employee-kindness.
Spearman correlation of selection factors for each medical services was higher than 0.8, and so remarkable differences was not able to be detected.
After all, concordance rate of prenatal care versus delivery facility was about 60-70%, and differences were absent in parturient characteristics to selection factors according to medical services, and so forwards for more concordance of prenatal care and delivery facility, it was be thought that innovative plan of medical system related to delivery be prepared.
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