Gholami Ali, Faraji Zahra, Lotfabadi Pegah, Foroozanfar Zohre, Rezaof Mitra, Rajabi Abdolhalim
Department of Public Health, Neyshabur University of Medical Sciences, Neyshabur, Iran ; Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran.
Department of Library and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2014 Sep;5(9):1192-8.
Cesarean delivery is a surgery for deliver a baby. Women with previous cesarean delivery (CD) must often choose between a vaginal delivery (VD) and repeat CD. Our aim of this study was to investigate factors associated with preference for CD in Neyshabur pregnant women with previous CD.
A cross-sectional study was conducted on all pregnant women (who had previous caesarean delivery) from February 20, 2011 to March 20, 2011 in Northeast of Iran (Neyshabur). Logistic regression model was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs).
The mean age of pregnant women was 29.95 ± 4.94 years. In this study of the 292 pregnant women, 235 (80.5%) said they prefer CD. There was a statistically significant relation between preference for CD and the following variables: pregnant women's educational level (P < 0.001; OR = 3.86; 95% CI = 1.85-8.05) and doctor's advice (P = 0.021; OR = 3.55; 95% CI = 1.21-10.43). The pregnant women with a previous CD presented four-fold upper chance of choosing CD.
As observed in this study, most pregnant women with previous caesarean delivery prefer repeated caesarean delivery rather than VD in their subsequent pregnancy and educational level of pregnant women and doctor's advice were important factors that influenced this preference. This subject suggests the need to counsel pregnant women with an obstetrician before select delivery type.
剖宫产是一种分娩手术。有过剖宫产史的女性在经阴道分娩（VD）和再次剖宫产之间常常需要做出选择。本研究的目的是调查伊朗东北部内沙布尔有过剖宫产史的孕妇中与剖宫产偏好相关的因素。
2011年2月20日至2011年3月20日，对伊朗东北部（内沙布尔）所有有过剖宫产史的孕妇进行了一项横断面研究。采用逻辑回归模型估计比值比（OR）和95%置信区间（CI）。
孕妇的平均年龄为29.95±4.94岁。在这项对292名孕妇的研究中，235名（80.5%）表示她们更倾向于剖宫产。剖宫产偏好与以下变量之间存在统计学显著关系：孕妇的教育水平（P<0.001；OR = 3.86；95%CI = 1.85 - 8.05）和医生的建议（P = 0.021；OR = 3.55；95%CI = 1.21 - 10.43）。有过剖宫产史的孕妇选择剖宫产的可能性高出四倍。
如本研究中所观察到的，大多数有过剖宫产史的孕妇在随后的妊娠中更倾向于再次剖宫产而非经阴道分娩，孕妇的教育水平和医生的建议是影响这种偏好的重要因素。这一情况表明在选择分娩方式之前需要产科医生为孕妇提供咨询。
