Relation of Knowledge about Cesarean Disadvantages and Delivery Mode Selection in Women with First Pregnancy; South of Iran
9
Citation
23
Reference
20
Related Paper
Citation Trend
Abstract:
The aim of the study was to assess the relation of knowledge score for cesarean disadvantages and selecting the
mode of delivery. In this cross-sectional study, we studied 192 women who referred to obstetrics and gynaecology
clinics in Jahrom, Iran. All women and their fetus were healthy without any problems and were in the third
trimester of first pregnancy. We used a questionnaire including demographic situations and eighteen questions
about disadvantages of cesarean section. The data recorded with using SPSS version 15 and analyzed by chisquare,
independent t-test and one-way ANOVA test. Mean knowledge score was lower among mothers that
intend to do cesarean section than those selected vaginal deliveries (10.82 ± 4.46 vs. 12.50 ± 4.08, respectively)
that there was significantly different (P= 0.025). The most common reason for choosing cesarean section was
fear of vaginal delivery (n= 24, 61.6%). The mean knowledge score was higher women who selected cesarean
section in comparison to ones selecting vaginal delivery. Thus an important step is providing better information
to pregnant women about modes of delivery, their indications, advantages and adverse consequences.Keywords:
Cesarean delivery
Cite
Introduction:Vaginal birth is considered a safe mode of birth for most women who have had a prior caesarean with a transverse incision. However, most women who had a previous caesarean rarely choose vaginal delivery. The present study was performed with aim to explain the beliefs of women with a history of previous section regarding vaginal birth after in order to provide some suggestions for future interventions to increase vaginal delivery. Methods: This qualitative study framed by the Theory of Planned Behavior was conducted in the governmental hospitals of Urmia, Iran in March-February 2017. Data were collected using 24 in-depth semi-structured individual interviews. Participants were selected among pregnant and postpartum women with a history of section through purposeful sampling, until data saturation was reached. Data were analyzed through directed content analysis approach using the MAXqda software (version 10). Results: The findings were grouped into three themes namely: attitude towards vaginal birth after cesarean (Vaginal birth as a fast and cost-effective method of delivery, sense of danger about maternal-fetal harm), normative beliefs towards vaginal birth after cesarean (the emphasize of important people towards vaginal birth after cesarean, women's impression of vaginal birth after in the community) and beliefs towards vaginal birth after cesarean (Individual and social barriers and facilitator). Conclusion: Women's attitudes, subjective norms, and control beliefs influence choosing vaginal childbirth after section. Education based on the theory of planned behavior could be considered with the aim of promoting vaginal delivery after section.
Facilitator
Vaginal Birth
Cite
Citations (0)
To compare the performance of obstetrical interventions and maternal and perinatal outcomes between vaginal and cesarean delivery routes in pregnant women at normal risk. Type of article: Original article. Desing: Cross-sectional study with 421 participants admitted for spontaneous or induced labor with full-term singleton gestations and fetuses weighing between 2,500 and 4,499 g.Maternal Fetal-Medicine Service, Assis Chateaubriand Maternity, Federal University of Ceará (UFC), Fortaleza-CE, Brazil.The instrument of data collection was divided into socio-demographic, clinical, and obstetric characteristics; data of labor and delivery; maternal morbidity; maternal outcome and perinatal outcomes. Pearsons chi-square test and Fishers exact test were used to verify associations between the groups.The mean age was 22.8 ± 6.0 (vaginal) and 22.9 ± 4.9 (cesarean section). Overall, 44.5% of vaginal deliveries and 85.5% of cesarean sections were monitored electronically (p < 0.001). Immediate skin-to-skin contact (84.1%) and first-hour breastfeeding (80.4%) were more frequent in vaginal deliveries compared with cesarean deliveries (27% vs. 61.0%, p < 0.001). The prevalence of puerperal infections was 1.2% (vaginal) and 5.0% (cesarean section) with a p value of 0.02; 40% of cesarean-delivered newborns and 9.7% of vaginally-delivered newborns were referred to the neonatal intensive care unit (p < 0.001).The cesarean section was associated with a lower frequency of useful practices, a higher frequency of harmful practices, worse neonatal outcomes, and a higher rate of postpartum infections.
Cross-sectional study
Elective cesarean section
Cesarean delivery
Cite
Citations (5)
Background: Cesarean section is a surgery to deliver a baby and remove the placenta and membranes through an incision made on the mother's abdomen and uterus. While the rate of cesarean section is 10-30% of all deliveries in the world, it is 50-65% in Iran. The aim of this study was to identify factors leading to cesarean section in Bam, Iran.
Methods: In this cross-sectional study, 200 mothers who visited the Women’s Pregnancy Clinic in Bam were enrolled from October 2010 to October 2011. Data was collected by interviewing the women and reviewing their health records. The collected data was analyzed using t-test, chi-square test and logistic regression analysis in SPSS15.
Results: Overall, 59% of the deliveries were performed through cesarean sections. There were significant relations between cesarean section and a history of cesarean section, mother’s gestational diabetes, parents’ education level, nonreactive nonstress test, cephalopelvic disproportion, high maternal body mass index, and fear of vaginal delivery.
Conclusion: Although cesarean section can save mothers and neonates in emergency situations, non-medical factors such as higher education of parents and mothers' fear of vaginal delivery are also responsible for high rates of this surgery. However, more research in this field is warranted.
Keywords: Influential factors, Cesarean, Iran
Cephalopelvic disproportion
Cesarean delivery
Cite
Citations (1)
Objective To understand the risk factors for non-medical needs of cesarean section,and to provide evidence for controling non-medical needs of cesarean section. Methods 1070 cases expectant mothers who were gestational age ≥ 24 weeks were collected as the study.They were divided into the vaginal delivery group(control group) and non-medical needs of cesarean group(experimental group) according to the final delivery metheod.Then case-control study was done to them. Results The Proportion of residents in the town,mental and high-income families of the experimental group ware higher than the control group. The pregnant women of the experimental group were more concerned about the safety, body, smart kid, et al. and they worried about the pain and sexual life after childbirth. The pregnant women of the control were more concerned about the cost, the natural physiological processes and the post-natal recovery. Multivariate analysis showed that: a more perfect ending cesarean section,vaginal birth would affect the sex life, the doctor recommended mode of delivery, vaginal birth were natural child birth and quick recovery, pregnancy intention of cesarean section had a significant impact for pregnant women to choose caesarean. Conclusion The cognitive behavioral deviations can lead to non-medical needs of prignant women select cesarean section. Therefore, we shoule strengthen the mission mode of delivery to the pregnant women, Cognitiving advantages and disadvantages of cesarean is the key of reducing the rate of cesarean and improving the quality of obstetric.
Natural childbirth
Cesarean delivery
Affect
Cite
Citations (0)
Background: Cesarean section is one of the most commonly performed surgeries in obstetric practice for saving the lives of women and their newborns from pregnancy- and childbirth-related complications. Its prevalence has increased alarmingly in the last few years, which has motivated this research to identify the indications and determinants, influencing cesarean section delivery in the study area and determine the associated correlates for emergency and elective cesarean sections. Materials and Methods: This was a hospital-based cross-sectional study conducted at a tertiary care center from April 2019 to September 2019. A quantitative tool was designed to capture all the relevant information regarding sociodemographic factors, obstetric characteristics, and indications of cesarean section among the pregnant women delivering at the tertiary care center. Results: A total of 150 women with cesarean deliveries were included in this study. The percentage of primigravida women was significantly higher among emergency than elective cesarean section (χ2 = 28.19, P = 0.0001). Majority of the women were illiterate or had primary education in emergency cesarean section than elective (χ2 = 44.9691, P = 0.0001). Majority of the women with no or only one antenatal visit underwent emergency than elective cesarean sections (χ2 = 42.2195, P = 0.0001). Those females who presented with previous Lower Segment Cesarean Section (LSCS) had greater chances of elective cesarean section, and it was statistically significant (P = 0.004). Conclusion: The increase in cesarean section rate causes burden to the general health system and also strain on the family members. Hence, caution should be exercised in decision-making to perform cesarean section, especially for primigravida, and a comprehensive evidence-based approach needs to monitor the indication of cesarean section.
Elective cesarean section
Cross-sectional study
Tertiary care
Cesarean delivery
Cite
Citations (25)
The objective of this study was to determine patient satisfaction with delivery experience in a pregnancy subsequent to primary cesarean and to evaluate knowledge about a trial of labor after cesarean in patients enrolled in a formal vaginal birth after cesarean educational program. During a 12-month period, women with a history of cesarean delivery who were participating in a formal counseling program regarding the risks and benefits of vaginal birth after cesarean were surveyed in the antepartum and postpartum periods. Patient demographics, past birth experience, understanding of the risks and benefits of vaginal birth after cesarean, pregnancy outcomes, and ratings of satisfaction and recovery following the current delivery were collected. Patients were divided into four groups depending on their mode of delivery in the current pregnancy: group 1 succeeded at vaginal birth, group 2 underwent repeat cesarean in labor, group 3 delivered by cesarean before labor, and group 4 chose repeat cesarean. Ninety-five patients enrolled in the study. There were 26 patients in group 1, 18 patients in group 2, 16 patients in group 3, and 35 patients in group 4. The four groups had significant differences in patient satisfaction following the current delivery compared with the previous cesarean delivery (p = 0.001). The patients who had a successful trial of labor exhibited the largest median change in score. The patients who delivered by cesarean during labor had the smallest median change in score. Nonetheless, 92% of these patients were pleased that they had attempted a vaginal birth. When questioned about the risks associated with a trial of labor after cesarean delivery, 92% of postpartum patients answered all questions correctly. Patients participating in a formal counseling program exhibit a high level of understanding about the risks and benefits of a trial of labor. Although the most satisfied patients were those who succeeded at vaginal birth, most women valued the opportunity to attempt a vaginal birth regardless of outcome.
Cesarean delivery
Vaginal Birth
Cite
Citations (16)
[Objectives]To investigate the related factors of choosing cesarean section and analyze the main social factors.[Methods]The questionnaires were performed in 213 pregnant women,the subjective and objective factors influcing the choices of vaginal delivery or cesarean section were analyzed by chi-square test and logistic regression.[Results]The cesarean section ratio was 81.2%,which was much more higher than the country's ratio in 1993.Except for the indications for cesarean section,the social factors were one of the main causes of the increase of the ratio.[Conclusion]The pregnant women's subjective willings influnce their choices of delivery ways.The inappropriately extended indications of cesarean section result in the significant increase ratio of cesarean section.Therefore,the related factors should be decreased firstly,which is also a difficult problem waiting to be solved right now.
Cesarean delivery
Section (typography)
Cite
Citations (0)
Objective: To study the demographic characteristics of pregnant ladies and factors contributing towards rise in cesarean section on maternal request to aid the obstetricians in decision making.
Study Design: Cross sectional analytical survey.
Place and Duration: Gynecology Department of Pak Emirates Military Hospital, Rawalpindi, from Nov 2019 to Mar 2020.
Methodology: One hundred and fifteen women of child bearing age requesting cesarean section were included in the study. Demographic details were noted. A study proforma was filled for determinants of primary and secondary tocophobia and factors that may be improved for vaginal delivery.Results: A total of 115 patients with mean age of 27.99 years were included. Amongst them, 88 (76.5%) were Punjabi with 92 (80%) living in rural area. Primigravida were 11 (9.6%), 83 (72.2%) had previous lower segment cesarean section and 3 (2.6%) had vaginal delivery. For primary tocophobia, 22 ( 24.4%) experienced anxiety. Fear of labor pains was seen in 20 (19.2%) and lack of control in 27 (26%). For secondary tocophobia, 15 (37.5%) were fearful of prolonged labor and 5 (22.5%) of sub optimal birth outcome. In women with previous one cesarean section, 13 (14.8%) correlated negatively with birth experience and 20 (22.7%) found timed cesarean section convenient. For vaginal delivery, pain relief was preferred by 19 (20.2%) and 31 (33%)wanted pain relief and attendant.
Conclusion: Better understanding of fears behind maternal request for cesarean section can lead to improved attitudes towards vaginal delivery. The negative perceptions of pregnant ladies should be addressed in antenatal.........
Vaginal Birth
Advanced maternal age
Ethical dilemma
Cross-sectional study
Child bearing
Cite
Citations (0)
Introduction. Cesarean section plays an important role in decreasing the mortality and complications of childbirth in the mother and fetus. But the worrying issue in modern midwifery is the high rate of cesarean section. The current study was done to evaluate the frequency of normal vaginal delivery and cesarean section and the causes of cesarean section in public-private centers and compare it with educational centers in Zahedan in 2016-2017. Materials and methods. This is a descriptive cross-sectional study and a total of 792 deliveries were studied, 300 cases were from university hospitals and 492 from non-university hospitals in Zahedan. SPSS22 software was used for data analysis. Findings. The results disclosed that in university hospitals, 65.3 of the deliveries were normal vaginal delivery and 34.7 were cesarean, and in the non-university hospitals, 44.5 and 55.5 of the deliveries were normal and cesarean deliveries, respectively. There was a significant relationship between the type of delivery and the hospital where the delivery was done (P < 0.001). The most common causes of cesarean section in this study were: previous cesarean section (33.7), fetal distress (14.9), cesarean delivery on maternal request (CDMR) (11.7), delivery failure (11.4), mother's disease (7.4), abnormal fetal placement (6.6), multiparous pregnancy (4.5), problems with the placenta and umbilical cord (4), cephalopelvic disproportion (3.2) and embryonic diseases (2.7). There was no cesarean delivery on maternal request (CDMR) in university hospitals while in non-university hospitals it was 16.1. Conclusion. Generally, the percentage of normal vaginal delivery was higher than that of the cesarean section, but the number of cesarean sections was higher in non-university hospitals than in university hospitals. Also, ethnicity, number of pregnancy, job, education, history of infertility, and awareness of complications were significantly related to the type of delivery.
Section (typography)
Cesarean delivery
Vaginal Birth
Cite
Citations (0)
Background: Postpartum period is accompanied by significant changes in women’s quality of life. These alterations can affect the health of mothers and children. Considering the importance of postnatal quality of life and its different contributing factors, this study aimed to compare women’s quality of life after vaginal delivery and cesarean section. Methods:This retrospective cohort study included a random sample of 2100 women, referring to Hamadan health care centers for congenital hypothyroidism screening or infant vaccination. The participants’ quality of life was examined, using Short Form-36 (SF-36) questionnaire, evaluating five periods of time including one week, two months, four months, six months, and one year after delivery (either vaginal or cesarean delivery). Data were analyzed using t-test. Results: Quality of life was significantly higher in women with vaginal delivery, compared to women with cesarean section in all periods including one week (68.77 vs. 42.44), two months (69.11 vs. 54.76), four months (78.19 vs. 53.02), six months (75.62 vs. 54.94),and one year(78.43 vs. 53.77) after delivery. Conclusion: Considering women’s higher quality of life after vaginal delivery, compared to cesarean section, it seems that vaginal delivery is a safer and less expensive option, which is recommended for all pregnant women.
Cesarean delivery
Cite
Citations (14)