بررسي عوامل تعيين كننده در نگرش زنان نسبت به زايمان واژينال و سزارين

A Survey for Determining Factors on Womenʹs Attitudes toward Vaginal and Cesarean Delivery

Background and Objectives: An increasing trend in the rate of cesarean section has been observed during the past years. Due to surgical complications, long time needed for recovery and high costs of surgery, vaginal delivery is preferred as a favorite procedure. However, womenʹs requests and attitudes play an effective role in this regard. The aim of this study was to evaluate the rate and reasons of womenʹs attitude toward delivery procedures. Materials and Methods: This study was a descriptive survey. A total of women hospitalized in the first stage of labor without any complications, were selected. All informations were gathered based on an interview by a questionnaire. Statistical analysis was performed using SPSS software. Results : Results showed that cesarean section was carried out in 26% of patients. Based on women opinion toward the type of delivery procedure, 55% of women had an inclination of more than average for cesarean delivery, while 45% of them had a comparable inclination for vaginal delivery (p< 0.0001). The most important reasons in choosing cesarean section, were as follow: lack of pain during process, lack of injury to infant, lack of multiple examinations, and the inclination of their spouses. The following reasons were the most important criteria for the women selected vaginal delivery: low risk of process, fear of surgery, harmlessness for the newborn, and low cost of vaginal delivery. There was no statistically significant difference between cesarean section and vaginal delivery regarding to rate of satisfaction in women (p>0.05). Conclusion : It is speculated that before delivery, women have high inclination for cesarean section. However, no significant difference was found in womenʹs satisfaction from two types of deliveries. Therefore, in order to encourage women to select vaginal delivery, it is necessary during pregnancy, to educate patients and get them familiar with advantages of vaginal delivery.