Gholami Ali, Salarilak Shaker
School of Nursing, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Department of Public Health, Faculty of Medicine, Islamic Azad University, Tabriz Branch, Tabriz, Iran.
Iran J Reprod Med. 2013 Apr;11(4):301-8.
The increasing number of cesarean section is a great concern in many countries. In Iran cesarean section rate has been steadily rising from 35% in 2000 to 40% in 2005. Preferences for cesarean are often associated with some factors.
To investigate factors associated with preference for cesarean delivery, with special emphasis on pregnant women's preferences in first pregnancy in Neyshabur (Northeast of Iran).
In this cross-sectional study, written questionnaires were completed via face to face interview with 797 pregnant women in first pregnancy. Socio-demographic data, preference toward mode of delivery and factors associated with it were assessed by applying questionnaire. Univariate and multivariate analysis were performed to identify the independent variables associated with preference for cesarean delivery.
In this study observed that 18.6% of pregnant women preferred caesarean delivery in first pregnancy. The mean age of pregnant women that they preferred cesarean delivery was upper than pregnant women that they preferred vaginal delivery and this difference was statistically significant (p=0.006). There was a statistically significant relation between preference for cesarean delivery and the following variables: educational level (p<0.001), gestational age (p=0.003) spouse's age of pregnant women (p=0.001), physician's advice (p<0.001), and fear of delivery (p<0.001).
The results of this study show that the majority of pregnant women do not prefer caesarean delivery to vaginal delivery. Nevertheless the preference rate for cesarean delivery exceeded 15% that suggested by WHO and most important factors in pregnant women prefer cesarean deliveries are fear of delivery and physician's advice.
剖宫产数量的不断增加在许多国家引发了极大关注。在伊朗，剖宫产率已从2000年的35%稳步升至2005年的40%。对剖宫产的偏好通常与一些因素相关。
调查与剖宫产分娩偏好相关的因素，特别关注伊朗东北部内沙布尔初产妇的偏好。
在这项横断面研究中，通过面对面访谈对797名初产妇进行书面问卷调查。通过问卷评估社会人口统计学数据、对分娩方式的偏好及其相关因素。进行单因素和多因素分析以确定与剖宫产分娩偏好相关的独立变量。
本研究发现，18.6%的初产妇更倾向于剖宫产。偏好剖宫产的孕妇平均年龄高于偏好阴道分娩的孕妇，且差异具有统计学意义（p = 0.006）。剖宫产分娩偏好与以下变量之间存在统计学显著关系：教育程度（p < 0.001）、孕周（p = 0.003）、孕妇配偶年龄（p = 0.001）、医生建议（p < 0.001）以及对分娩的恐惧（p < 0.001）。
本研究结果表明，大多数孕妇并不倾向于剖宫产而非阴道分娩。然而，剖宫产分娩的偏好率超过了世界卫生组织建议的15%，孕妇偏好剖宫产的最重要因素是对分娩的恐惧和医生的建议。
