Assessing the factors influencing delivery method selection in primiparous pregnant women referred to health centers in Ardabil, 2010

AUTHORS

Afshan Sharghi 1 , Aziz Kamran 2 , * , Gholamreza Sharifirad 3

1 Assistant Professor Department of Community Medicine, Ardebil University of Medical Sciences, Ardebil, Iran.

2 PhD Student of Health Education, Isfahan University of Medical Sciences, Isfahan, Iran.

3 Associate Professor Department of Health Education, Isfahan University of Medical Sciences, Isfahan, Iran.

How to Cite: Sharghi A, Kamran A, Sharifirad G. Assessing the factors influencing delivery method selection in primiparous pregnant women referred to health centers in Ardabil, 2010, Hormozgan Med J. 2011 ; 15(3):e88491.

ARTICLE INFORMATION

Hormozgan Medical Journal: 15 (3); e88491
Published Online: May 31, 2011
Article Type: Research Article
Received: August 26, 2010
Accepted: May 31, 2011

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Abstract

Introduction: Delivery mechanism is a spontaneous process without the need for
intervention. But in cases where mother or baby is at risk, performing cesarean section will
help to save the mother or the baby. Unfortunately, in most developed countries cesarean
prevalence is over 50 percent, 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.
Methods: This analytical cross-sectional study was conducted on 396 primiparous pregnant
women referred to Ardabil health center units in the last months of pregnancy in Ardabil
city. Data were collected with questionnaire consisted of 54 questions in six parts. Data were
analyzed by Chi-square, and t-test with using SPSS-15 software.
Results: The mean age of referred mothers was 21.8±3.2 years. Majorities of mothers
were high school graduates, and were housewives. In total, 70.7% of mothers expressed
that they would probably or definitely be normal vaginal delivery with labor, but at the end
of their pregnancy, cesarean section with 58.6% was the dominant method for delivery.
Physician advice with 36.6% was the most influential factor on the delivery method
choosing. Women attitudes towards caesarean section was significantly reduced after
delivery.
Conclusion: Social factors and motivation to comply, particularly from physicians and
health personnel have a significant impact on the health-related behaviors. Regarding these
social factors, upgrading knowledge and attitude of mothers toward vaginal delivery is
effective in selection of delivery method and strengthening of maternal intention and social
supports.

Keywords

Knowledge – Attitudes - Cesarean

© 2011, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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