Volume 7, Issue 3 (10-2011)
HSR 2011, 7(3): 0-0 |
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Sharghi A, Kamran A, Sharifirad G. Factors Influencing Delivery Method Selection in Primiparous Pregnant Women Referred to Health Centers in Ardabil, Iran. HSR 2011; 7 (3)
URL: http://hsr.mui.ac.ir/article-1-249-en.html
URL: http://hsr.mui.ac.ir/article-1-249-en.html
1- Specialist in Community Medicine, Department of Community Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
2- PhD Candidate, Department of Public Health, School of Health, Lorestan University of Medical Sciences, Khoram Abad, Iran.
3- Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
2- PhD Candidate, Department of Public Health, School of Health, Lorestan University of Medical Sciences, Khoram Abad, Iran.
3- Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract: (852 Views)
Background: Delivery is a spontaneous mechanism without the need for intervention to save lives but in cases where the mother or baby is at risk, performing cesarean section will help save the mother and/or the baby. Unfortunately, today the prevalence of cesarean in most developed countries is over 50 percent, while the World Health Organization has emphasized that cesarean section should be performed only based on the indication. In this study we assessed the causes and factors influencing choice of delivery method. Methods: In this cohort study 396 primiparous pregnant women were studied during their last trimester. The subjects were selected from pregnant women referring to health centers in Ardabil, Iran through dual-stage sampling. A questionnaire consisted of 54 questions, designed in six parts, was used to collect data. The validity and reliability of the questionnaire was confirmed. In order to analyze the data statistical software SPSS15 was used to perform chi-square and paired t-test. The mean age of mothers was 21.8 ± 3.2 years and the majority of them (34.6) were high school graduates. They were mostly housewives. Findings: The majority of friends, husbands and mothers of pregnant women had suggested vaginal delivery to terminate pregnancy. Although 70.7% of mothers claimed that they would probably or definitely have normal vaginal delivery with labor, at the end of pregnancy, cesarean section was chosen as the most popular method for delivery (58.6%). The most effective factor in decision making was physician's suggestion (36.6%). Women's attitude towards cesarean significantly decreased after the surgery (P < 0.05). Conclusion: Social factors and motivations, particularly from physicians and health personnel, have a significant impact on health-related behaviors. Therefore, promoting pregnant women's knowledge and attitude towards vaginal delivery would motivate them.
Type of Study: Research |
Subject:
education health and promotion
Received: 2020/07/16 | Accepted: 2011/10/15 | Published: 2011/10/15
Received: 2020/07/16 | Accepted: 2011/10/15 | Published: 2011/10/15
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