Attitude of pregnant women towards Normal delivery and factors driving use of caesarian section in Iran (2016)

Abstract

BackgroundNormal delivery is a natural and physiological process with numerous benefits for mother and baby. Giving birth by Caesarean Section (CS) should be limited to the cases in which normal delivery is not possible. The purpose of the study was to determine the attitudes of pregnant women towards Normal Delivery and factors driving the use of Caesarian Section in Kermanshah, Iran.MethodsThis analytical-descriptive study was conducted on 410 pregnant women referred to the PHC centers in Kermanshah in western Iran. They had been selected through a multi-stage sampling method, including clustering, randomized, and proportional sampling, from among all eligible women. Data was collected using a questionnaire standardized by previous studies. The level of 0.05 was considered significance association, whenever applied.ResultsThe mean and standard deviation for participant age was 27.65 ± 5.37 years. The median score for participant attitude was 60.7 ± 9.5 (range from 22 to 85). Generally, 21.5% had a negative attitude toward normal delivery and preferred CS. Participant attitude was negatively correlated with a pregnant woman’s age, lower age, and a more positive attitude towards vaginal childbirth. The attitude of women with a history of normal delivery was 63 ± 9 and for those with a history of CS was 56.7 ± 9.3, significantly different.ConclusionMost women had a positive attitude towards normal delivery, particularly those who had experienced normal delivery in their previous childbirth. Although only a quarter of the participants had a negative attitude toward normal delivery, this figure still was of utmost significance, therefore educational interventions, specifically encouraging women with history of normal delivery to consult their peers, are recommended.

Why do pregnant women prefer cesarean delivery?: a qualitative study in a tertiary care center in Southern Thailand

“…Thus, there is a need to educate pregnant women and their spouses, partners, caregivers, and family members or influential relatives about the advantages and disadvantages of different modes of delivery. To the contrary, a previous study found that most women who had a positive attitude toward normal delivery would prefer normal delivery in their present pregnancies [21]. To reduce the incidence of cesarean sections, health care providers should promote positive childbirth experiences for first time women in labor, by giving physical and emotional support during the intrapartum period.…”

Prevalence of and reasons for women’s, family members’, and health professionals’ preferences for cesarean section in Iran: a mixed-methods systematic review

“…While 5.46% of nulliparous women preferred a CS (95% CI 5.38%–5.50%; χ 2 = 1117.39; df = 28 [p < 0.00001]; I 2 = 97%) [ 43 , 48 – 51 , 53 , 54 , 57 , 61 , 63 , 67 – 70 , 74 , 76 , 83 , 86 , 89 – 96 , 103 , 105 , 106 , 108 ], this proportion was 53.05% for multiparous women (95% CI 51.66%–51.44%; χ 2 = 144.70; df = 2 [p < 0.00001]; I 2 = 99%) [ 48 , 88 , 92 ]. However, 35 studies did not specify whether the participants were nullipara or multipara, and the proportion of preference for CS in this group of women was 2.06% (95% CI; 2.05–2.08%; χ2 = 2133.04; df = 34 [p < 0.00001]; I 2 = 98%) [ 44 – 48 , 52 , 55 , 56 , 58 – 60 , 62 , 64 , 65 , 71 – 75 , 77 – 79 , 82 , 84 , 85 , 87 , 93 , 97 – 102 , 107 ].…”

“…Among women who were in the third trimester (late pregnancy), this proportion was 3.81% (95% CI 3.74%–3.83%; χ 2 = 549.67; df = 23[p < 0.00001]; I 2 = 96%) [ 43 , 44 , 46 , 48 , 49 , 51 , 53 – 57 , 62 , 64 , 72 , 76 , 77 , 83 , 90 , 92 , 93 , 95 , 96 , 105 ]. Preference for CS in studies that did not specify gestational age of women was 3.7% (95% CI 3.76–3.81%; χ 2 = 2865.90; df = 31 [p < 0.00001]; I 2 = 99%) [ 45 , 47 , 52 , 58 – 60 , 63 , 65 , 67 , 71 , 73 – 75 , 78 , 79 , 82 , 84 , 86 – 89 , 94 , 97 – 101 , 106 – 108 ].…”

Why do pregnant women prefer cesarean birth? A qualitative study in a tertiary care center in Southern Thailand

“…Knowledge has an in uence on attitudes and with correct knowledge attitudes might change [20]. Most women who had positive attitudes toward uncomplicated vaginal birth would prefer that in their present pregnancies [21].…”