Darsareh Fatemeh, Aghamolaei Teamur, Rajaei Minoo, Madani Abdoulhossain
Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Islamic Republic of Iran.
Hormozgan Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Islamic Republic of Iran.
East Mediterr Health J. 2017 Aug 20;23(6):441-448. doi: 10.26719/2017.23.6.441.
The phenomenon of caesarean birth on demand has gained attention, particularly as a first caesarean birth appears to be strongly predictive of subsequent caesareans. Identification of reasons behind caesarean birth on demand is important for planning effective interventions. Therefore, this review reports the factors involved in the tendency of women to undergo caesarean birth, based on studies in the Islamic Republic of Iran. Several keywords including caesarean delivery, childbirth, causes, maternal request/demand, and patient choice were used to search Medline, PubMed, Ovid, Scientific Information Database, Magiran, Google and Google Scholar. The search was conducted on Persian and English language articles, with no time limitation. Using content analysis, the factors influencing caesarean section were divided into 3 categories: maternal, social and healthcare giver. According to the high prevalence of caesarean section, it is important to design and implement effective programmes and interventions with consideration of the key reasons that lead women to opt for unnecessary caesarean section.
选择性剖宫产现象已受到关注，尤其是初产妇剖宫产似乎对后续剖宫产有很强的预测性。确定选择性剖宫产背后的原因对于规划有效的干预措施很重要。因此，本综述基于伊朗伊斯兰共和国的研究报告了女性倾向于剖宫产的相关因素。使用包括剖宫产、分娩、原因、产妇要求/需求和患者选择等几个关键词在医学在线数据库（Medline）、医学期刊数据库（PubMed）、Ovid、科学信息数据库、伊朗医学数据库（Magiran）、谷歌和谷歌学术搜索。搜索范围涵盖波斯语和英语文章，无时间限制。采用内容分析法，将影响剖宫产的因素分为三类：产妇因素、社会因素和医护人员因素。鉴于剖宫产的高发生率，考虑导致女性选择不必要剖宫产的关键原因来设计和实施有效的方案及干预措施很重要。
