SPSS data.

Background
A Caesarean section is a surgical procedure used to prevent or treat life-threatening maternal or fetal complications. Women’s delivery preferences have become a global issue of interest to many researchers and clinicians, especially given the ever-increasing rate of cesarean sections. There is limited data on the preference for cesarean delivery and its associated factors for Ethiopian women, particularly in the study area. The aim of the study is to assess the preference for cesarean delivery and its associated factors among pregnant women attending antenatal care at public health facilities in Debre Berhan, Ethiopia, in 2023.
Methods
An institution-based cross-sectional study design was done from May 5–20, 2023, among 512 participants, and a multi-stage sampling technique was used. The data were collected by using interviewer-administered semi-structured questionnaires. The data were entered by Epi Data version 4.6 and then transferred to SPSS version 25 for analysis. With logistic regression, those variables with a p-value <0.25 in the bivariate analysis were candidates for multivariate logistic regression, and variables with a p-value <0.05 were considered statistically significant.
Result
The preference for a cesarean section was 26%, with a CI of 22.3% to 29.9%. Pregnant mothers who were not satisfied with their previous intrapartum care (AOR; 6.3 CI = (3.5–11), P = 0.01), had no knowledge about cesarean delivery (AOR; 2.9; 95% CI = 1.6–5.3), P = 0.01), had a previous history of spontaneous abortion (AOR; 3.1; 95% CI = (1.5–6.3), P = 0.001), lived in an urban area (AOR; 1.9; 95% CI = (1.0–3.5), P = 0.038), and had a current pregnancy-related problem (AOR; 4.8; 95% CI = 1.9–10), P = 0.001) were significantly associated with the preference for cesarean delivery.
Conclusion
In this study, the preference for cesarean delivery was high as compared to the World Health Organization recommendation. Pregnant mothers who were not satisfied with their previous intrapartum care, had no knowledge about cesarean delivery, had a previous history of spontaneous abortion, had an urban residence, and had a current pregnancy-related problem were significantly associated with a preference for caesarean delivery. Clinicians who are working in the delivery room should improve their service provision by using patient-centered care to increase patient satisfaction.

研究背景
剖宫产（Caesarean section）是用于预防或治疗危及孕产妇或胎儿生命并发症的外科手术方式。女性分娩偏好已成为全球众多研究者与临床医师关注的热点议题，尤其在剖宫产率持续攀升的当下。目前针对埃塞俄比亚女性，尤其是本研究区域内女性的剖宫产分娩偏好及其相关影响因素的研究数据仍较为匮乏。本研究旨在评估2023年埃塞俄比亚德布雷贝尔汉公共卫生机构产前检查孕妇的剖宫产分娩偏好及其相关影响因素。

研究方法
本研究于2023年5月5日至20日采用基于机构的横断面研究设计，共纳入512名研究对象，使用多阶段抽样方法开展抽样工作。数据通过访谈式半结构化问卷收集，采用Epi Data 4.6版进行数据录入，随后导入SPSS 25版进行统计分析。经Logistic回归分析，将双变量分析中P值<0.25的变量纳入多因素Logistic回归分析，以P值<0.05作为结果具有统计学显著性的判定标准。

研究结果
本研究中孕妇的剖宫产分娩偏好率为26%，置信区间（Confidence Interval, CI）为22.3%~29.9%。多因素Logistic回归分析显示，对既往产时护理不满意（校正优势比（Adjusted Odds Ratio, AOR）=6.3，95%CI=3.5~11，P=0.01）、不了解剖宫产分娩知识（AOR=2.9，95%CI=1.6~5.3，P=0.01）、有自然流产史（AOR=3.1，95%CI=1.5~6.3，P=0.001）、居住于城市地区（AOR=1.9，95%CI=1.0~3.5，P=0.038）以及当前存在妊娠相关并发症（AOR=4.8，95%CI=1.9~10，P=0.001）的孕妇，其剖宫产分娩偏好显著升高。

研究结论
本研究中，剖宫产分娩偏好率高于世界卫生组织（World Health Organization, WHO）的推荐标准。对既往产时护理不满意、不了解剖宫产分娩知识、有自然流产史、居住于城市地区以及当前存在妊娠相关并发症的孕妇，其剖宫产分娩偏好显著升高。产房临床医护人员应采用以患者为中心的护理模式优化服务供给，以提升患者满意度。