Factors Influencing Delivery Method Selection in Primiparous Pregnant Women Referred to Health Centers in Ardabil in 2010
Message:
Abstract:
Background
Delivery is a spontaneous mechanism without the need for intervention to save lives but in cases where the mother or baby is at risk, performing cesarean section will help save the mother and/or the baby. Unfortunately, today the prevalence of cesarean in most developed countries is over 50 percent, while the World Health Organization has emphasized that cesarean section should be performed only based on the indication. In this study we assessed the causes and factors influencing choice of delivery method.
Methods
In this cohort study 396 primiparous pregnant women were studied during their last trimester. The subjects were selected from pregnant women referring to health centers in Ardabil through dual-stage sampling. A questionnaire consisted of 54 questions, designed in six parts, was used to collect data. The validity and reliability of the questionnaire was confirmed. In order to analyze the data statistical software SPSS-15 was used to perform chi-square test, t-paired test and t-test.The mean age of mothers was 21.8 ± 3.2 years and the majority of them (34.6) were high school graduates. They were mostly housewives.
Findings
The majority of friends, husbands and mothers of pregnant women had suggested vaginal delivery to terminate pregnancy. Although 70.7% of mothers claimed that they would probably or definitely have normal vaginal delivery with labor, at the end of pregnancy, cesarean section was chosen as the most popular method for delivery (58.6%). The most effective factor in decision making was physician's suggestion (36.6%). Women's attitude towards cesarean significantly decreased after the surgery (P < 0.05).
Conclusion
Social factors and motivations, particularly from physicians and health personnel, have a significant impact on health-related behaviors. Therefore, promoting pregnant women's knowledge and attitude towards vaginal delivery would motivate them.
Language:
Persian
Published:
Journal of Health System Research, Volume:7 Issue: 3, 2011
Page:
364
magiran.com/p958193  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 990,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
دسترسی سراسری کاربران دانشگاه پیام نور!
اعضای هیئت علمی و دانشجویان دانشگاه پیام نور در سراسر کشور، در صورت ثبت نام با ایمیل دانشگاهی، تا پایان فروردین ماه 1403 به مقالات سایت دسترسی خواهند داشت!
In order to view content subscription is required

Personal subscription
Subscribe magiran.com for 50 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!