The Choice of Delivery Type and Related Factors in Woman Working at Guilan University of Medical Sciences in 2017-2018

Although vaginal delivery is the safest type of childbirth, cesarean section (CS) without any medical indication is currently increasing in the world, especially in Iran. The purpose of this study was to determine the type of delivery and its related factors in women working in the departments of Guilan University of Medical Sciences. This cross-sectional study recruited 100 women employed in the departments of Guilan University of Medical Sciences in 2017. Data were collected using a questionnaire including demographic and reproductive details of all participants and the reason for choosing CS among women with previous CS. Fisher's exact test and Chi-square test were used to determine the factors related to delivery type. The prevalence of cesarean section in this study was 80%. Older age at pregnancy and higher education of the respondent and her husband was significantly associated with higher rate of CS. Spouse and relative suggestion for normal delivery was associated with lower rate of CS. The main reasons for CS were women’s fear of childbirth, labor pain, and physician’s recommendation. The rate of CS delivery is very high in working women. Since concern about pain and possible damage to the body was the most important reasons of choosing CS, providing training classes, better facilitation for normal delivery and adding a special course for girls in high school education is recommended to develop a positive attitude toward normal delivery in women.