Assessing the factors influencing delivery method selection in pregnant women referred to Public hospitals in Shirazr

Abstract

AbstractBackground and aim: Although cesarean section is the preferred mode of delivery for some mothers ,the rate of cesarean section deliveries has increased to more than 50 percent in some countries. While the World Health Organization has emphasized, cesarean section be performed only based on the indication. This study will assesses the causes and factors influenced on choosing the delivery method in pregnant women referred to Public Hospitals in Shiraz.Material & Methods: A descriptive design was used to assess factors related to mothers’ decisions about mode of delivery. Using a cluster random sampling method, a total number of 417 Pregnant women admitted to hospitals in Shiraz were included in the study. Data were collected by a questionnaire and interview. Data were analyzed by Chi-square, and fisher exact test with using SPSS software.Findings: The results showed significant relation among factors Urbanity, Infant health status, Concern about genital injuries , Spouse views and Willingness to cesarean with choice of cesarean (p <0/05).Conclusion: Due to significant positive attitude of women’s towards the cesarean, rather than normal delivery, it is necessary to inform them about the advantages of normal delivery and health hazard which might cause by Cesarean to the mother and child. The change of women’s Knowledge and attitude about cesarean is needed to avoid further complication.Key Word: delivery, Cesarean, Public hospitals, Shiraz REFERENCES Alimohamaian M, S. M., Mahmoodi M, Ramezanzadeh F( 2003)[ The influence of maternal request on the elective cesarean section rate in maternity hospitals in Tehran, Iran]. Payesh Journal 2(2) 133-139(Persian). Cnattingius R , C. S., Notzon C (1998). 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