The preference of Iranian women to have normal vaginal or cesarean deliveries

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...

Full description

Bibliographic Details
Main Authors: Najmeh Maharlouei, Abbas Rezaianzadeh, Elham Hesami, Fariba Moradi, Ezat Mazloomi, Hassan Joulaei, Mohammad Khodayari, Kamran B Lankarani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2013;volume=18;issue=11;spage=943;epage=950;aulast=Maharlouei
_version_ 1819073322595385344
author Najmeh Maharlouei
Abbas Rezaianzadeh
Elham Hesami
Fariba Moradi
Ezat Mazloomi
Hassan Joulaei
Mohammad Khodayari
Kamran B Lankarani
author_facet Najmeh Maharlouei
Abbas Rezaianzadeh
Elham Hesami
Fariba Moradi
Ezat Mazloomi
Hassan Joulaei
Mohammad Khodayari
Kamran B Lankarani
author_sort Najmeh Maharlouei
collection DOAJ
description 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.
first_indexed 2024-12-21T17:51:47Z
format Article
id doaj.art-5be0f1be206c455799802e93b750d54b
institution Directory Open Access Journal
issn 1735-1995
1735-7136
language English
last_indexed 2024-12-21T17:51:47Z
publishDate 2013-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Research in Medical Sciences
spelling doaj.art-5be0f1be206c455799802e93b750d54b2022-12-21T18:55:19ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362013-01-011811943950The preference of Iranian women to have normal vaginal or cesarean deliveriesNajmeh MaharloueiAbbas RezaianzadehElham HesamiFariba MoradiEzat MazloomiHassan JoulaeiMohammad KhodayariKamran B LankaraniBackground: 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.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2013;volume=18;issue=11;spage=943;epage=950;aulast=MaharloueiAttitudebarriercesarean sectionknowledgenormal vaginal delivery
spellingShingle Najmeh Maharlouei
Abbas Rezaianzadeh
Elham Hesami
Fariba Moradi
Ezat Mazloomi
Hassan Joulaei
Mohammad Khodayari
Kamran B Lankarani
The preference of Iranian women to have normal vaginal or cesarean deliveries
Journal of Research in Medical Sciences
Attitude
barrier
cesarean section
knowledge
normal vaginal delivery
title The preference of Iranian women to have normal vaginal or cesarean deliveries
title_full The preference of Iranian women to have normal vaginal or cesarean deliveries
title_fullStr The preference of Iranian women to have normal vaginal or cesarean deliveries
title_full_unstemmed The preference of Iranian women to have normal vaginal or cesarean deliveries
title_short The preference of Iranian women to have normal vaginal or cesarean deliveries
title_sort preference of iranian women to have normal vaginal or cesarean deliveries
topic Attitude
barrier
cesarean section
knowledge
normal vaginal delivery
url http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2013;volume=18;issue=11;spage=943;epage=950;aulast=Maharlouei
work_keys_str_mv AT najmehmaharlouei thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT abbasrezaianzadeh thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT elhamhesami thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT faribamoradi thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT ezatmazloomi thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT hassanjoulaei thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT mohammadkhodayari thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT kamranblankarani thepreferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT najmehmaharlouei preferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT abbasrezaianzadeh preferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT elhamhesami preferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT faribamoradi preferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT ezatmazloomi preferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT hassanjoulaei preferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT mohammadkhodayari preferenceofiranianwomentohavenormalvaginalorcesareandeliveries
AT kamranblankarani preferenceofiranianwomentohavenormalvaginalorcesareandeliveries