A STUDY OF RELATED FACTORS ON THE MODE OF DELIVERY

The recent rate of cesarean section rate is greater than universal standard and is on increase. It is therefore of interest to find out the influencing factors on choices of the methods of surgical termination of pregnancy in our province In this cross-sectional study which was carried out simultaneously in nine hospitals (educational, governmental and private) in Golestan province. The method of sampling was by simple randomization and a questionnaire was completed for 1128 women. The data were analyzed with EPI-info 6 software package using students’T-test and chi-square, confidence level of 95% was considered significant. The results showed that the percentage of pregnancies terminated by cesarean section in private, educational and governmental hospitals were 62.3, 47.1 and 49.75% respectively. Fetal distress, elective, sterilization, CPD and repeated cesarean section were the most common indications. Vaginal delivery was more common among rural women and Cistany race. Elective cesarean was low in this groups (P <0.05), as well as in women under 18 years with low literacy and during night shifts (P<0.05). The majority of women who had labor pain or premature rupture of the amniotic membrane and who had interventions such as amniotomy or induction and long hospitalization, ultimately deliveryed vaginally (P<0.05). These findings suggest that many factors influenced the mode of delivery and the most suitable way for decreasing of surgical termination of pregnancy by cesarean section is recognition of these influencing factors, then we can hope that the trend of elective cesarean section rate be decreased.