Shahoei Roonak, Rezaei Masomeh, Ranaei Fariba, Khosravy Farangis, Zaheri Farzaneh
Department of Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Kurdistan, Iran.
Int J Nurs Pract. 2014 Jun;20(3):302-9. doi: 10.1111/ijn.12150. Epub 2013 Aug 15.
Choosing between a normal delivery and Caesarean section is a matter of critical importance for a pregnant woman. The third trimester is the time for her to think about methods of delivery. The study aims to gain insight into Kurdish pregnant women's birth preference and their perception of factors influencing this choice. In this qualitative study, 22 pregnant Kurdish women were interviewed during the third trimester of their pregnancies. The setting for the study included three public health-care centres of Kurdistan University of Medical Sciences in Sanandaj, a centre of the Kurdistan province at the western part of Iran. Study participants were recruited from maternity units of health-care centres. A purposive sample was used initially and then theoretical sampling was used towards the end of the data analysis. Sample size was not predetermined but was determined when interviewing reached saturation, that is, when no new data emerged about categories. The sample size was restricted to 22, as no new data were generated after the 20th interview. The criteria required for inclusion in the study were being Kurdish women, being in the third trimester of pregnancy, no physical disability, no history of Caesarean section and interest in the study. A qualitative design was chosen, as it is particularly suited to studying complex phenomena or processes that are less understood. This study revealed that of the 22 participants, 18 preferred vaginal delivery and only four preferred Caesarean section. The reasons for choosing the vaginal delivery method were grouped into four categories: safety of baby, fear, previous experience and social support. This finding does not support the rate of Caesarean section among Kurdish women in Sanandaj. It might reflect the effect of other factors such as social, institutional, professional and quality of care on women's choice for delivery method.
对于孕妇来说，选择顺产还是剖腹产是至关重要的事情。孕晚期是她思考分娩方式的时候。这项研究旨在深入了解库尔德族孕妇的分娩偏好以及她们对影响这一选择的因素的看法。在这项定性研究中，22名库尔德族孕妇在孕期的第三个月接受了访谈。研究地点包括位于伊朗西部库尔德斯坦省省会萨南达杰的库尔德斯坦医科大学的三个公共卫生保健中心。研究参与者是从卫生保健中心的产科病房招募的。最初采用了立意抽样，然后在数据分析接近尾声时采用了理论抽样。样本量没有预先确定，而是在访谈达到饱和时确定的，也就是说，当没有出现关于类别方面的新数据时。样本量限制为22，因为在第20次访谈后没有产生新的数据。纳入该研究所需的标准是为库尔德族女性、处于孕期第三个月、无身体残疾、无剖腹产史且对该研究感兴趣。之所以选择定性设计，是因为它特别适合研究那些不太为人所理解的复杂现象或过程。这项研究表明，在22名参与者中，18人更喜欢顺产，只有4人更喜欢剖腹产。选择顺产方式的原因分为四类：婴儿安全、恐惧、既往经历和社会支持。这一发现并不支持萨南达杰库尔德族女性的剖腹产率。它可能反映了社会、机构、专业和护理质量等其他因素对女性分娩方式选择的影响。
