孕妇选择剖宫产的原因；一项定性研究。
Reasons for Elective Cesarean Section amongst Pregnant Women; A Qualitative Study.
作者信息
Sanavi Fariba Shahraki, Rakhshani Fatemeh, Ansari-Moghaddam Alireza, Edalatian Mahin
机构信息
Student Scientific Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
出版信息
J Reprod Infertil. 2012 Oct;13(4):237-40.
BACKGROUND
A qualitative study was carried out on 200 pregnant women attending obstetric offices and Imam Ali Women's Clinic in Zahedan, Iran during January 2010 to August 2011. Twenty-nine focus group discussions (FGDs) with 5-8 participants in each group were formed. The study included women in the third trimester of pregnancy with the intention or decision to undergo elective cesarean section. The women's views were explored and analyzed in group sessions. Subsequently, the responses were divided into four major categories. The majority (50%) of the opinions expressed were psychological in origin, or stemmed from low perceived behavioral control, improper subjective norms, or wrong attitudes about vaginal delivery.
METHODS
Twenty-nine focus group discussions (FGDs) with 5-8 participants in each group were formed. The study included women in the third trimester of pregnancy with the intention or decision to undergo elective cesarean section. The women's views were explored and analyzed in group sessions.
RESULTS
The responses were divided into four major categories. The majority (50%) of the opinions expressed were psychological in origin, or stemmed from low perceived behavioral control, improper subjective norms, or wrong attitudes about vaginal delivery.
CONCLUSION
It is necessary to hold psychological skills training classes for pregnant women and their husbands to persuade them attend group discussion sessions to increase their control on perceived behavior, highlight their positive attitudes and direct them toward natural vaginal delivery.
背景
2010年1月至2011年8月期间，对伊朗扎黑丹的200名前往产科诊所和伊玛目阿里妇女诊所的孕妇进行了一项定性研究。形成了29个焦点小组讨论（FGD），每组有5 - 8名参与者。该研究纳入了妊娠晚期有选择性剖宫产意愿或决定的妇女。在小组会议中探讨和分析了这些妇女的观点。随后，将回答分为四大类。所表达的意见中，大多数（50%）源于心理因素，或源于行为控制感低、主观规范不当或对阴道分娩的错误态度。
方法
形成了29个焦点小组讨论（FGD），每组有5 - 8名参与者。该研究纳入了妊娠晚期有选择性剖宫产意愿或决定的妇女。在小组会议中探讨和分析了这些妇女的观点。
结果
回答分为四大类。所表达的意见中，大多数（50%）源于心理因素，或源于行为控制感低、主观规范不当或对阴道分娩的错误态度。
结论
有必要为孕妇及其丈夫举办心理技能培训课程，说服他们参加小组讨论会议，以增强他们对行为的控制感，突出他们的积极态度，并引导他们选择自然阴道分娩。
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