Sharifi Farangis, Nouraei Soheila, Sharifi Nader
Department of Midwifery, Kazerun Branch, Islamic Azad University, Kazerun, Iran.
Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Electron Physician. 2017 Sep 25;9(9):5265-5269. doi: 10.19082/5265. eCollection 2017 Sep.
This study assessed the factors affecting the choice of type of delivery with breast feeding in Iranian mothers.
This Cross section descriptive analytic study was performed using a random sampling technique, using data from 400 pregnant women who attended the maternity centers in Borazjan and Kazerun in Iran in 2014. A questionnaire covering demographic characteristics, mode of delivery and postpartum conditions was completed for each mother. Descriptive analysis and Chi square test were used along with SPSS 23 software to statistically analyze the data and p-value less than 0.05 was considered for statistical significance.
In this study, the rate of normal delivery and cesarean operation are considered equal. In the main factors influencing the choice of delivery, mothers' education level (p=0.028) and pregnancy status (p=0.041) showed a significant relationship. Although no significant association between child nutrition with the type of delivery was found, duration of breastfeeding with the type of delivery showed significant association (p=0.046).
Although cesarean delivery in many cases is life-saving for mother and fetus; in addition to medical indications, parents with higher education and pregnancy status are also important factors in increasing the rate of cesarean section compared to vaginal delivery. Babies of mothers with normal delivery had a longer time of breastfeeding. Further studies in Iran are necessary, regarding the reasons for high cesarean section and their outcomes.
本研究评估了影响伊朗母亲分娩方式选择及母乳喂养的因素。
本横断面描述性分析研究采用随机抽样技术，使用了2014年在伊朗博拉兹詹和卡泽伦的妇产中心就诊的400名孕妇的数据。为每位母亲填写了一份涵盖人口统计学特征、分娩方式和产后状况的问卷。使用SPSS 23软件进行描述性分析和卡方检验，以对数据进行统计分析，p值小于0.05被视为具有统计学意义。
在本研究中，顺产率和剖宫产率被认为相等。在影响分娩方式选择的主要因素中，母亲的教育水平（p = 0.028）和妊娠状况（p = 0.041）显示出显著关系。虽然未发现儿童营养与分娩方式之间存在显著关联，但母乳喂养时长与分娩方式显示出显著关联（p = 0.046）。
虽然剖宫产在许多情况下对母亲和胎儿具有挽救生命的作用；但除了医学指征外，与阴道分娩相比，母亲受教育程度较高和妊娠状况也是导致剖宫产率增加的重要因素。顺产母亲的婴儿母乳喂养时间更长。有必要在伊朗就剖宫产率高的原因及其后果开展进一步研究。
