Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Factors involved in selecting the birth type among primiparous women

(2018) Factors involved in selecting the birth type among primiparous women. Journal of education and health promotion.

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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/29693036

Abstract

BACKGROUND Mortality and disability rates were reported to be respectively 2-3 and 5-10 times higher in C-sections compared to Vaginal delivery. OBJECTIVES This study was aimed to explore the factors involved in selecting the birth type among primiparous women. METHODS The present cross-sectional research was conducted on 220 primiparous women, who visited the health-care centers of Bandar Abbas. They were recruited in their first trimester of pregnancy with a simple randomized clustering method. Data were collected in a researcher-designed questionnaire. Its validity was confirmed by a panel of experts and reliability was tested and approved through the test-retest method. Mean, standard deviation, independent sample -test, and Chi-squared tests for data analysis were done by SPSS 16. < 0.05 was considered statistically significant. RESULTS The mean age of the participants was 27.40 ± 6.07 years. The main barriers to the choice of vaginal delivery were the fear of pain and fear of vaginal area tears and ruptures, fear of injury to fetus, and doctor's recommendation. A statistically significant correlation was observed between the age, education, employment, income, awareness, and the reasons for preferring surgical childbirth. CONCLUSIONS To reduce the rate of unnecessary cesarean sections (C-section), the following recommendations are suggested: Reducing fear of pain in expectant mothers, modifying wrong beliefs about the culture of natural childbirth, increasing awareness of fewer adverse effects of vaginal delivery including the vaginal tears if the mother abides by all midwife(s) instructions during the delivery procedure, providing educational courses for the necessary movements during the delivery, decreasing surgeons' payment for C-section, and increasing payment for natural childbirth and implementing barriers for optional delivery to reduce the C-section.

Item Type: Article
Keywords: Birth type,Iran,cesarean section,primiparous women,vaginal delivery
Subjects: WQ Obstetrics > WQ 300-330 Labor
Divisions: Research Vice-Chancellor Department > Molecular Medicine Journal
Research Vice-Chancellor Department > Fertility and Infertility Research Center
Research Vice-Chancellor Department > Mother and Child Welfare Research Center
Research Vice-Chancellor Department > Molecular Medicine Research Center
Depositing User: هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/5734

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