The Preference of Iranian Women to Have Normal Vaginal or Cesarean Deliveries

Overview

Journal J Res Med Sci

Specialty General Medicine

Date 2014 Feb 14

PMID 24523780

Citations 10

Authors

Najmeh Maharlouei

Abbas Rezaianzadeh

Elham Hesami

Fariba Moradi

Ezat Mazloomi

Hassan Joulaei

Mohammad Khodayari

Kamran B Lankarani

Affiliations

Soon will be listed here.

Abstract

Background: The cesarean section (C-section) has higher risk compared to normal vaginal delivery (NVD). The aim of this population-based study was to evaluate the frequency of mothers' tendency toward the mode of delivery and the factors that can affect this inclination.

Materials And Methods: This cross-sectional study was conducted from August 2011 to June 2012 in Fars Province, Iran, and comprised mothers in their 20(th) to 30(th) weeks of pregnancy. A questionnaire was designed to include, sociodemographic information, maternal knowledge, main sources of knowledge, attitude of the mother, husband, parents, close friends, and gynecologist, regarding the route of delivery, convenience factors, and barriers to choosing NVD, and mother's preference for the route of delivery.

Results: Of 6921 participants, 2197 (31.7%) preferred C-section and 4308 (62.2%) favored NVD while 416 (6%) had no idea regarding the preferred route of delivery. Score of knowledge in 904 (13.1%) participants was zero, and 1261 women (18.2%) achieved an acceptable level of knowledge. Using binary logistic regression, positive history of previous abortion and/or infertility, higher education level of mother and husband, mother's unacceptable level of knowledge regarding complications of C-section, and mother's and husband's positive attitude toward C-section were determinant factors in choosing C-section as a preferred route of delivery.

Conclusion: Appropriate measures should be taken to raise awareness and knowledge of mothers and all families about complications of the C-section. Establishment of clinics for painless NVD and assuring mothers of benefits and lower complications of NVD can reduce the tendency for C-sections.

Citing Articles

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Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017-18.

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Karim F, Ali N, Khan A, Hassan A, Hasan M, Hoque D PLoS One. 2020; 15(6):e0234249.

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