Objective: This study aimed to assess knowledge, attitudes, and factors influencing preference for cesarean section (CS) on request among women of reproductive age in Makkah Province, Saudi Arabia.
Methods: This cross-sectional study administered an online survey among 254 women aged ≥18 years using a structured, validated questionnaire.
Results: Most participants preferred vaginal delivery (81.1%). Fear of labor pain was the most common reason for preferring CS. Knowledge gaps regarding CS complications were identified.
Conclusion: Despite a preference for vaginal delivery, misconceptions and limited awareness regarding CS risks persisted. Therefore, targeted education is required.
Key words: cesarean delivery on request, vaginal delivery, knowledge, attitudes, maternal preference, Makkah Province, Saudi Arabia
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