Abstract
One of the most severe pain that a woman experiences in her lifetime is labor pain which leads to increase their desire to perform caesarean section. In the present study we assessed the attitudes and awareness of obstetricians and midwives by raising their knowledge and skills, to increase the rate of vaginal delivery and reduce the cesarean. Methods: Study Design: Qualitative study. Setting: Obstetricians and Midwives from throughout the Shiraz City, South of Iran, were participated by completing the questionnaire. Period: 6 months in 2015. Statistical analysis was performed using the SPSS software, version 20.0. The results were presented as frequency (percentage). Results: 118 individuals including 25 (21%) Obstetricians and 93 (79%) Midwives were participated in the current study. Both obstetricians and midwives preferred normal vaginal delivery (NVD) (83.9%). 91% of subjects believed that the reason of preference of NVD is the safety of mother and child. 34.7% of individuals was fully aware of painless labor. 21.2% had average information. Most of the subjects was agreed with the painless labor method (92.4%) and 4.2% was disagreed. Lack of pain and calmness during labor (62.2%) and reduction of fear of natural childbirth (50.5%) were the main reasons of agreements. 85.2% of obstetrics and midwives believed that the number of painless labor in Iran in comparison to international standards is less than desired. Conclusions: Although the majority of obstetricians and midwives were agreed with the painless labor in hospitals, almost half of them were aware of the painless delivery. Raising the knowledge of health care providers about painless delivery can influence on awareness and attitude of them and parturient toward normal vaginal delivery.
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