Investigating the Choice of Delivery Method Type and Its Related Factors in Pregnant Women in Maragheh

Authors

  • Asghar Mohammadpourasl دانشگاه علوم پزشكي تبريز- مربي اپيدميولوژي.
  • Parivash Asgharian دانشگاه علوم پزشكي تبريز- دانشجوي سال آخر كارشناسي پرستاري مراغه
  • Fateme Rostami پرستاري كودكان دانشگاه آزاد واحد بناب- همكار تحقيقاتي مركز كشوري برنامه مديريت سلامت (NPMC).
  • Arezo Azizi دانشگاه علوم پزشكي تبريز- دانشجوي سال آخر كارشناسي پرستاري مراغه
  • Hossein Akbari دانشگاه علوم پزشكي تهران- دانشجوی کارشناسی ارشد اپیدمیولوژی.

DOI:

https://doi.org/10.22100/jkh.v4i1.185

Keywords:

Method of Delivery, Natural Delivery, Cesarean section, Primary health care centre.

Abstract

 

Introduction: In recent years, there has been an increase in the trend for cesarean section. Due to surgical complications, financial costs and mother’s long period of hospitalization, vaginal delivery is preferred as a favorite procedure. However, women’s requests for and tendency toward cesarean is one of the main reasons for this increase. The aim of the present study was to study the choice of the delivery method type and its related factors in pregnant women in Maragheh.

Method: In this descriptive cross- sectional study, 250 pregnant women were interviewed in three primary health care centers in Maragheh in September, 2006. The questionnaire used in the study included items seeking demographic characteristics, fertility history, selection of the labor type and its reasons. Chi square and independent t– test were used to analyze the collected data through SPSS software.

Results: From 250 women who were selected for the study, 179(71.8%) selected the natural delivery and 71(28.4%) preferred cesarean section. Having a history of cesarean section and referral place for control of pregnancy were significantly associated with selection of the labor type (P<0.001). The reasons for selection of cesarean section were fear of labor pain, physician recommendation and experience of recent cesarean.

Conclusion: The rate of selecting cesarean section is high. An intervention program aiming to change women’s attitude toward cesarean section and to enhance their knowledge about painless delivery is required to reduce cesarean section prevalence.

References

Shariat M, Majlesi F, Azari S, Mahmoudi M. Cesarean section in maternity hospitals in Tehran, Iran. Payesh Jouranal of the Iranian Institute for Health Sciences Research 2002;3(1):5-10.[Persian].

Black C, Kaye JA, Jick H. Cesarean delivery in the United Kingdom: Time trends in the general practice research database. Obstet Gynecol 2005;106(1):151-5.

Vaziran A. Cesarean Culture. Dard 2000;2:54-5. [Persian].

Mohammadpourasl A, Rostami F, Torabi S. Prevalence of cesarean section and its demographic correlates in Tabriz. Medical Journal of Tabriz University of Medical Sciences 2006;28(3):101-5. [Persian].

Amu O, Rajendran S, Boloji I. Maternal choice alone should not determine method of delivery. Br Med J 1998;317:466-70.

Alimohamadian M, Shariat M, Mahmoodi M, Ramezanzadeh F. The survey of impact of pregnant women's request in selected cesarean. Journal of the Iranian Institute for Health Sciences Research 2003;2:133-9.[Persian].

Ecker JL. Once a pregnancy, always a cesarean? Rationale and feasibility of a randomized controlled trial. Am J Obstet Gynecol 2004;190(2):314-8.

Hadizadeh F, Bahri N, Tavakkolizadeh J. Postpartum depression after vaginal delivery and emergency cesarean section (CS) in primigravida women. Behbood 2004;4(23):21-30.[Persian].

Esmailpour N, Asgharnia M. Early neonatal injuries in normal vaginal and casarean deliveries. Medical Faculty Journal of Guilan University of Medical sciences 2005;14(54):76-83.[Persian].

Dahifar H. Early weight loss of breast-fed neonates born under C-section in their first 48 hours of life. Paramedical Sciences, Journal of The Faculty of Paramedical Sciences 2004;4(1):203-9.[Persian].

Baigi M, Rahimi EA. The effect of cesarean section on bringing about secondary infertility. Scientific Journal Of Kurdistan University Of Medical Sciences 2005;2(34):40-44. [Persian].

Nieminen K, Stephansson O, Ryding E. Women's fear of childbirth and preference for cesarean section- a cross-sectional study at various stages of pregnancy in Sweden. Acta Obstet Gynecol Scand 2009;88(7):1-7.

Dastjerdi M. A Survey of Indications, Outcome and Complications of Cesarean Section. Tehran University Medical Journal (TUM) 1998;1:42-5. [Persian].

Aram S, Allame Z, Zamani M, Yadegar N. The relative frequency of the delivery method in the pregnant women referring to medical centers of Isfahan in 2002. Iranian Journal of Obstetrics Gynecology and Infertility 2002;7,8(4):74-9.[Persian].

Moradan S. Evaluation of selection of route of delivery and it’s causes in patients referring to medical centers of semnan from april till september 2004. Iranian Journal of Obstetrics Gynecology and Infertility 2004;7(2):44-9.[Persian].

Piri Sh, Kiani A. A survey on the prevalence and reasons of different types of delivery and the effect of demographic factors on it. Daneshvar, Scientific-research Journal of Shahed University 2001;8(35):7-14 [Persian].

Published

2009-07-10

Issue

Section

Original Article(s)

How to Cite

Investigating the Choice of Delivery Method Type and Its Related Factors in Pregnant Women in Maragheh. (2009). Knowledge and Health in Basic Medical Sciences, 4(1), 36-39. https://doi.org/10.22100/jkh.v4i1.185

Most read articles by the same author(s)

<< < 59 60 61 62 63 64 65 > >>