Prevalence of cesarean section and its related factors among multiparous in Tehran province, Iran
IntroductionCaesarean section (CS) rates have risen substantially worldwide over the past decades particularly in Latin America, the Caribbean and Iran. In this way, the aim of the study was to determine the rate of CS among multiparous, and indentifying the related factors.
Materials And MethodsThis cross-sectional study was performed on 2189 multiparous who gave singleton birth in Tehran province, Iran from 6-21 July 2015. Data were collected by a researcher-made questionnaire through interview with mothers and review of their medical records. Logistic regression analysis was used to evaluate factor associated with CS.
ResultsThe CS rate was 71.8% in this study. In univariate analysis, higher maternal age, parents educational level, economic status, body mass index (BMI), parity, infant weight, babys head circumference, history of abortion, and use of assisted reproductive technology were associated with CS. Moreover, multivariate analysis has shown a significant relationship between CS and mothers age, mothers education, economic status, BMI, parity, infant weight and babys head circumference.
ConclusionThe CS rate among multiparous in Tehran is substantially high. Therefore, there are essential requirements for providing immediate strategies (such as education and psychological interventions to increase womens knowledge about the risks of CS as well as to change womens attitude toward CS and improving the quality of natural delivery) to reduce CS rate. Furthermore, factors such as mothers age, economic status, BMI, parity, infant weight and babys head circumference were related to CS.
Koomesh, Volume:19 Issue:4, 2017
742 - 748
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