Choice of Delivery in Tehran and Some Related Factors

Objective: This study assessed the influence of maternal request on elective cesarean rate and related factors in maternity hospitals in Tehran. Materials and Method: This cross sectional descriptive analytic study was performed via a two-step random sampling technique, using data from 824 pregnant...

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Main Authors: Masoomeh Alimohammadian, Mamak Shariat, Mahmood Mahmoodi, Fatemeh Ramezanzadeh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2007-06-01
Series:Journal of Family and Reproductive Health
Subjects:
Online Access:https://jfrh.tums.ac.ir/index.php/jfrh/article/view/16
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author Masoomeh Alimohammadian
Mamak Shariat
Mahmood Mahmoodi
Fatemeh Ramezanzadeh
author_facet Masoomeh Alimohammadian
Mamak Shariat
Mahmood Mahmoodi
Fatemeh Ramezanzadeh
author_sort Masoomeh Alimohammadian
collection DOAJ
description Objective: This study assessed the influence of maternal request on elective cesarean rate and related factors in maternity hospitals in Tehran. Materials and Method: This cross sectional descriptive analytic study was performed via a two-step random sampling technique, using data from 824 pregnant women who attended the maternity hospitals in Tehran in 2001. A questionnaire covering past and present obstetrical history and demographic characteristics was completed for each mother. SPSS software was used for data analysis. Descriptive analysis and inference tests, including chi-square and t-tests were used. Logistic regression test was also used to find the correlation between variables. P value less than 0.05 was considered for statistical significance. Results: Totally 66.5% of mothers underwent cesarean and 33.5% had normal vaginal delivery. From cesarean cases 72% were elective and of these 22% were done upon maternal request. It was shown that 71% of mothers who selected cesarean had no scientific reason. Also, 65% of doctors suggested cesarean for their patients without any true medical indication. The majority of elective cesareans performed on  maternal request were done in private hospitals (86% in private vs. 14% in public hospitals) (P<0.0001). High  educational , employment status and first pregnancy significantly increase the demand for cesarean section. Conclusion: Increasing the level of awareness and attitude of mothers and providing painless normal vaginal delivery as well as vaginal delivery after previous cesarean, the frequency of unnecessary cesareans and related complications can be decreased.
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spelling doaj.art-afc354af3837475c8baa9b2ad299cf112022-12-21T17:43:19ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922007-06-011216Choice of Delivery in Tehran and Some Related FactorsMasoomeh Alimohammadian0Mamak Shariat1Mahmood Mahmoodi2Fatemeh Ramezanzadeh3Human ecology group, Medical Sciences /University of Tehran, IranNICU ward, Vali-e-Asr Hospital, Medical Sciences /University of Tehran, IranNICU ward, Vali-e-Asr Hospital, Medical Sciences /University of Tehran, IranNICU ward, Vali-e-Asr Hospital, Medical Sciences /University of Tehran, IranObjective: This study assessed the influence of maternal request on elective cesarean rate and related factors in maternity hospitals in Tehran. Materials and Method: This cross sectional descriptive analytic study was performed via a two-step random sampling technique, using data from 824 pregnant women who attended the maternity hospitals in Tehran in 2001. A questionnaire covering past and present obstetrical history and demographic characteristics was completed for each mother. SPSS software was used for data analysis. Descriptive analysis and inference tests, including chi-square and t-tests were used. Logistic regression test was also used to find the correlation between variables. P value less than 0.05 was considered for statistical significance. Results: Totally 66.5% of mothers underwent cesarean and 33.5% had normal vaginal delivery. From cesarean cases 72% were elective and of these 22% were done upon maternal request. It was shown that 71% of mothers who selected cesarean had no scientific reason. Also, 65% of doctors suggested cesarean for their patients without any true medical indication. The majority of elective cesareans performed on  maternal request were done in private hospitals (86% in private vs. 14% in public hospitals) (P<0.0001). High  educational , employment status and first pregnancy significantly increase the demand for cesarean section. Conclusion: Increasing the level of awareness and attitude of mothers and providing painless normal vaginal delivery as well as vaginal delivery after previous cesarean, the frequency of unnecessary cesareans and related complications can be decreased.https://jfrh.tums.ac.ir/index.php/jfrh/article/view/16CesareanElective cesareanMaternal request
spellingShingle Masoomeh Alimohammadian
Mamak Shariat
Mahmood Mahmoodi
Fatemeh Ramezanzadeh
Choice of Delivery in Tehran and Some Related Factors
Journal of Family and Reproductive Health
Cesarean
Elective cesarean
Maternal request
title Choice of Delivery in Tehran and Some Related Factors
title_full Choice of Delivery in Tehran and Some Related Factors
title_fullStr Choice of Delivery in Tehran and Some Related Factors
title_full_unstemmed Choice of Delivery in Tehran and Some Related Factors
title_short Choice of Delivery in Tehran and Some Related Factors
title_sort choice of delivery in tehran and some related factors
topic Cesarean
Elective cesarean
Maternal request
url https://jfrh.tums.ac.ir/index.php/jfrh/article/view/16
work_keys_str_mv AT masoomehalimohammadian choiceofdeliveryintehranandsomerelatedfactors
AT mamakshariat choiceofdeliveryintehranandsomerelatedfactors
AT mahmoodmahmoodi choiceofdeliveryintehranandsomerelatedfactors
AT fatemehramezanzadeh choiceofdeliveryintehranandsomerelatedfactors