People's knowledge and attitudes are essential for changing their decision-making; therefore, before any decision-making regarding normal vaginal delivery or cesarean section in consideration of health authority intervention, they should have adequate knowledge concerning delivery modes. Therefore, there is a pressing need for such research. This study aims to assess the attitude and knowledge level toward normal vaginal delivery and cesarean section among pregnant women in the Kingdom of Saudi Arabia. This cross-sectional study was conducted in Saudi Arabia from August 2022 to April 2023 using an online questionnaire. The IBM SPSS program version 27 is being used for data entry and analysis. The study included 461 participants, 41.6% of them aged between 21- 30 years old and 30.2% were between 31- 40 years old. 76.1% of participants were university-educated. 81.3% of participants had natural childbirth and 18.7% had a cesarean delivery. Reasons to refuse cesarean section, 29.7% of them refuse it for fear of surgery or surgery, 26.9% for delayed recovery after the operation, 2.8% for operation costs, and 4.1% because of the length of the clinical rest period. 4.6% of participants had good knowledge scores, 27.1% had moderate knowledge scores and 68.3% had poor knowledge scores. Attitude towards the mode of delivery was significantly linked to several previous pregnancies (P< 0.05). Women in Saudi Arabia had poor knowledge with good attitudes towards modes of delivery. For women to make wise decisions about their reproductive health, there should be an increase in health literacy about decision-making with regard to modalities of delivery.
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