Skip to main content
Top
Published in: BioPsychoSocial Medicine 1/2019

Open Access 01-12-2019 | Sectio Ceasarea | Research

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

Authors: Soraya Siabani, Khadijeh Jamshidi, Mohammad Mehdi Mohammadi

Published in: BioPsychoSocial Medicine | Issue 1/2019

Login to get access

Abstract

Background

Normal 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.

Methods

This 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.

Results

The 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.

Conclusion

Most 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.
Literature
1.
go back to reference Borghei NS, Borghei A, Jafar GP, Kashani E. The factors related of indication and delivery method. Bimonthly Med Res J. 2005;4(1):51–60. Borghei NS, Borghei A, Jafar GP, Kashani E. The factors related of indication and delivery method. Bimonthly Med Res J. 2005;4(1):51–60.
2.
go back to reference Saisto T, Halmesmäki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand. 2003;82(3):201–8.CrossRefPubMed Saisto T, Halmesmäki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand. 2003;82(3):201–8.CrossRefPubMed
3.
go back to reference Shrifirad GH, Fathi Z, Tirani M, Mehaki B. Assessing of pregnant women toward vaginal delivery and cesarean section based on behavioral intention model. Ilam University Med Sci J. 2007;15(1):19–23. Shrifirad GH, Fathi Z, Tirani M, Mehaki B. Assessing of pregnant women toward vaginal delivery and cesarean section based on behavioral intention model. Ilam University Med Sci J. 2007;15(1):19–23.
4.
go back to reference Mohamadbeigi A, Tabatabai H, Mohammadsalehi N, Yazdani M. Factors affected on cesarean delivery in shiraz hospitals. Iran J Nurs. 2008;21(56):37–45. Mohamadbeigi A, Tabatabai H, Mohammadsalehi N, Yazdani M. Factors affected on cesarean delivery in shiraz hospitals. Iran J Nurs. 2008;21(56):37–45.
5.
go back to reference Azizi F. Cesarean delivery with increases in shocking. J Res Med Sci. 2007;31(3):191–4. Azizi F. Cesarean delivery with increases in shocking. J Res Med Sci. 2007;31(3):191–4.
6.
go back to reference Tang S, Li X, Wu Z. Rising cesarean delivery rate in primiparous women in urban China: evidence from three nationwide household health surveys. Am J Obstet Gynecol. 2006;195(6):1527–32.CrossRefPubMed Tang S, Li X, Wu Z. Rising cesarean delivery rate in primiparous women in urban China: evidence from three nationwide household health surveys. Am J Obstet Gynecol. 2006;195(6):1527–32.CrossRefPubMed
7.
go back to reference Moreno JM, Bartual E, Carmona M, Araico F, MirandaYA HAJ. Changes in the rate of tubal ligation done after cesarean section. Eur J Obstet Gynecol Reprod Biol. 2001;97(2):147–51.CrossRefPubMed Moreno JM, Bartual E, Carmona M, Araico F, MirandaYA HAJ. Changes in the rate of tubal ligation done after cesarean section. Eur J Obstet Gynecol Reprod Biol. 2001;97(2):147–51.CrossRefPubMed
8.
go back to reference Sharyat M, Majlessi F, AS MM. The prevalence of cesarean delivery and related factors. Payesh. 2002;1(3):5–10. Sharyat M, Majlessi F, AS MM. The prevalence of cesarean delivery and related factors. Payesh. 2002;1(3):5–10.
9.
go back to reference Negahban T. Preference delivery method and effective factors on that from viewpoint of referrer women to therapy centers and clinices in Rafsanjan. Rafsanjan University Med Sci J. 2006;5(3):2. Negahban T. Preference delivery method and effective factors on that from viewpoint of referrer women to therapy centers and clinices in Rafsanjan. Rafsanjan University Med Sci J. 2006;5(3):2.
10.
go back to reference Tavassoli A, Kalari F, Zafari Dizji A. Social factors affecting cesarean trend in pregnant women. J Med Ethics. 2014;8(29):145–70. Tavassoli A, Kalari F, Zafari Dizji A. Social factors affecting cesarean trend in pregnant women. J Med Ethics. 2014;8(29):145–70.
11.
12.
go back to reference Kasai KE, Nomura RMY, Benute GRG, Lucia MCS, Zugaib M. Women’s opinions about mode of birth in Brazil: a qualitative study in a public teaching hospital. Midwifery. 2010;26(3):319–26.CrossRefPubMed Kasai KE, Nomura RMY, Benute GRG, Lucia MCS, Zugaib M. Women’s opinions about mode of birth in Brazil: a qualitative study in a public teaching hospital. Midwifery. 2010;26(3):319–26.CrossRefPubMed
13.
go back to reference Ghotbi F, Akbari Sene A, Azargashb E, Shiva F, Mohtadi M, Zadehmodares S, et al. Women’s knowledge and attitude towards mode of delivery and frequency of cesarean section on mother’s request in six public and private hospitals in Tehran, Iran, 2012. J Obstet Gynaecol Res. 2014;40(5):1257–66.CrossRefPubMed Ghotbi F, Akbari Sene A, Azargashb E, Shiva F, Mohtadi M, Zadehmodares S, et al. Women’s knowledge and attitude towards mode of delivery and frequency of cesarean section on mother’s request in six public and private hospitals in Tehran, Iran, 2012. J Obstet Gynaecol Res. 2014;40(5):1257–66.CrossRefPubMed
14.
go back to reference Pour Heydari M, Sozany A, Kasaeian A. Study of knowledge and attitudes of pregnant women referred to health centers in Qom to the method of termination of pregnancy. J Knowledge Health. 2007;2(2):28–34. Pour Heydari M, Sozany A, Kasaeian A. Study of knowledge and attitudes of pregnant women referred to health centers in Qom to the method of termination of pregnancy. J Knowledge Health. 2007;2(2):28–34.
15.
go back to reference Salehian T, Delaram M, Safdari F, Jazayeri F. Knowledge and attitudes of pregnant women about mode of delivery in health centers of Shahrekord. Tolooe Behdasht. 2007;6(2):1–10. Salehian T, Delaram M, Safdari F, Jazayeri F. Knowledge and attitudes of pregnant women about mode of delivery in health centers of Shahrekord. Tolooe Behdasht. 2007;6(2):1–10.
16.
go back to reference Sharghi A, Kamran A, Gh S. Factors influencing delivery method selection in Primiparous pregnant women referred to health centers in Ardabil, Iran. J Res Health Syst. 2013;7(3):364–72. Sharghi A, Kamran A, Gh S. Factors influencing delivery method selection in Primiparous pregnant women referred to health centers in Ardabil, Iran. J Res Health Syst. 2013;7(3):364–72.
17.
go back to reference Najafi- Sharjabad F, Keshavarz P, Moradian Z. Survey on the prevalence and influencing factors for choosing Normal vaginal delivery among pregnant women in Bushehr City, 2015. Community Health J. 2017;11(1):20–9. Najafi- Sharjabad F, Keshavarz P, Moradian Z. Survey on the prevalence and influencing factors for choosing Normal vaginal delivery among pregnant women in Bushehr City, 2015. Community Health J. 2017;11(1):20–9.
18.
go back to reference Buyukbayrak EE, Kaymaz O, Kars B, Karsidag AYK, Bektas E, Unal O, Turan C. Caesarean delivery or vaginal birth: preference of Turkish pregnant women and influencing factors. J Obstet Gynaecol. 2010;30(2):155–8.CrossRefPubMed Buyukbayrak EE, Kaymaz O, Kars B, Karsidag AYK, Bektas E, Unal O, Turan C. Caesarean delivery or vaginal birth: preference of Turkish pregnant women and influencing factors. J Obstet Gynaecol. 2010;30(2):155–8.CrossRefPubMed
19.
go back to reference Kasai Keila E, Nomura Roseli MY, Benute GR, de Lucia Mara CS, Zugaib M. Women’s opinions about mode of birth in Brazil: a qualitative study in a public teaching hospital. Midwifery. 2010;26:319–26.CrossRefPubMed Kasai Keila E, Nomura Roseli MY, Benute GR, de Lucia Mara CS, Zugaib M. Women’s opinions about mode of birth in Brazil: a qualitative study in a public teaching hospital. Midwifery. 2010;26:319–26.CrossRefPubMed
20.
go back to reference Lee SI, Khang YH, Lee MS. Women’s attitudes toward mode of delivery in South Korea-a society with high cesarean section rates. Birth J. 2004;31(2):108–16.CrossRef Lee SI, Khang YH, Lee MS. Women’s attitudes toward mode of delivery in South Korea-a society with high cesarean section rates. Birth J. 2004;31(2):108–16.CrossRef
21.
go back to reference Chong ES, Mongelli M. Attitudes of Singapore women toward cesarean and vaginal deliveries. Int J Gynaecol Obstet. 2003;80(2):189–94.CrossRefPubMed Chong ES, Mongelli M. Attitudes of Singapore women toward cesarean and vaginal deliveries. Int J Gynaecol Obstet. 2003;80(2):189–94.CrossRefPubMed
22.
go back to reference Fisher J, Smith A, Astbary J. Private health insurance and a healthy personality: new risk factor for obstetric intervention. J Psychosom Obstet Gynaecol. 1995;16:10–3.CrossRef Fisher J, Smith A, Astbary J. Private health insurance and a healthy personality: new risk factor for obstetric intervention. J Psychosom Obstet Gynaecol. 1995;16:10–3.CrossRef
23.
go back to reference Mohammadbeigi A, Tabatabayi H, Mohammadsalehi N. Determination of effective factors on cesarean in shiraz. J Faculty Nurs Midwifery Iran University Med Sci. 2008;21(56):37–45. Mohammadbeigi A, Tabatabayi H, Mohammadsalehi N. Determination of effective factors on cesarean in shiraz. J Faculty Nurs Midwifery Iran University Med Sci. 2008;21(56):37–45.
24.
go back to reference Moeini B, Besharati F, Hazavehei M, Moghimbeigi A. Women’s attitudes toward elective delivery mode based on the theory of planned behavior. J Guilan University Med Sci. 2011;20(79):68–76. Moeini B, Besharati F, Hazavehei M, Moghimbeigi A. Women’s attitudes toward elective delivery mode based on the theory of planned behavior. J Guilan University Med Sci. 2011;20(79):68–76.
25.
go back to reference Chong ES, Mongelli M. Attitudes of Singapore women towardscesarean and vaginal deliveries. Int J Gynecol Obstet. 2003;80:189–94.CrossRef Chong ES, Mongelli M. Attitudes of Singapore women towardscesarean and vaginal deliveries. Int J Gynecol Obstet. 2003;80:189–94.CrossRef
26.
go back to reference Ghadimi MR, Rasouli M, Motahar S, Lajevardi Z, Imani A, Chobsaz A, Razeghian S. Affecting factors the choice of delivery and attitude of pregnant women admitted to the civil hospitals, the social security organization in 2013. Quarterly J Sabzevar University Med Sci. 2014;21(2):310–9. Ghadimi MR, Rasouli M, Motahar S, Lajevardi Z, Imani A, Chobsaz A, Razeghian S. Affecting factors the choice of delivery and attitude of pregnant women admitted to the civil hospitals, the social security organization in 2013. Quarterly J Sabzevar University Med Sci. 2014;21(2):310–9.
27.
go back to reference Atghaee M, Nouhi E. The effect of imagination of the pain of vaginal delivery and cesarean section on the selection of Normal vaginal delivery in pregnant women attending clinics in Kerman University of Medical Sciences. Iranian J Obstetr Gynecol Infertility. 2013;14(7):44–50. Atghaee M, Nouhi E. The effect of imagination of the pain of vaginal delivery and cesarean section on the selection of Normal vaginal delivery in pregnant women attending clinics in Kerman University of Medical Sciences. Iranian J Obstetr Gynecol Infertility. 2013;14(7):44–50.
28.
go back to reference Biglarifar F, Vysany Y, Delpisheh A. Women’s knowledge and attitude towards choosing mode of delivery in the first pregnancy. IJOGI. 2015;17(136):19–24. Biglarifar F, Vysany Y, Delpisheh A. Women’s knowledge and attitude towards choosing mode of delivery in the first pregnancy. IJOGI. 2015;17(136):19–24.
29.
go back to reference Gh S, Fathiyan Z, Tirani M, Mahaky B. Perspective of pregnant woman than veginal delivery and cesarean section based on behavioral intention model. J Ilam University Med Sci. 2007;15(1):19–23. Gh S, Fathiyan Z, Tirani M, Mahaky B. Perspective of pregnant woman than veginal delivery and cesarean section based on behavioral intention model. J Ilam University Med Sci. 2007;15(1):19–23.
30.
go back to reference Mohammadi Tabar SH, Rahnama P, Heidari M, Kiani A, Mohammadi KH. Factors affecting on selection method of delivery in pregnant women referred to Tehran hospitals. J Med Ethics. 2012;6(21):131–44. Mohammadi Tabar SH, Rahnama P, Heidari M, Kiani A, Mohammadi KH. Factors affecting on selection method of delivery in pregnant women referred to Tehran hospitals. J Med Ethics. 2012;6(21):131–44.
31.
go back to reference Karami Matin B, Jalilian F, Mirzaei Alavijeh M, Mahboubi M, Abangah R, Zinat Motlagh F, et al. Factors influencing delivery method choice in Kermanshah pregnant women. J Clin Care. 2014;2(3):53–60. Karami Matin B, Jalilian F, Mirzaei Alavijeh M, Mahboubi M, Abangah R, Zinat Motlagh F, et al. Factors influencing delivery method choice in Kermanshah pregnant women. J Clin Care. 2014;2(3):53–60.
Metadata
Title
Attitude of pregnant women towards Normal delivery and factors driving use of caesarian section in Iran (2016)
Authors
Soraya Siabani
Khadijeh Jamshidi
Mohammad Mehdi Mohammadi
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BioPsychoSocial Medicine / Issue 1/2019
Electronic ISSN: 1751-0759
DOI
https://doi.org/10.1186/s13030-019-0149-0

Other articles of this Issue 1/2019

BioPsychoSocial Medicine 1/2019 Go to the issue