Darsareh Fatemeh, Aghamolaei Teamur, Rajaei Minoo, Madani Abdoulhossain
Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Iran J Nurs Midwifery Res. 2018 Nov-Dec;23(6):465-470. doi: 10.4103/ijnmr.IJNMR_175_17.
In spite of medical indications, preferences for the mode of delivery are influenced by several factors. However, as the literature suggests, the underlying motivation of women choosing vaginal delivery is rarely attended to. The current study aimed to explore first-time pregnant women's motivation for planning vaginal delivery.
An exploratory design with in-depth interviews was employed from September 2015 to March 2016. Participants were asked key questions about their beliefs about vaginal delivery, perceived outcomes of vaginal delivery, the impact of others perspectives on their decision, and factors that might inhibit or facilitate vaginal delivery. A community advertisement was placed in obstetricians' offices, public health departments, as well as beauty salons throughout the city of Bandar Abbas, Iran, to enroll target participants. All interviews were tape-recorded, transcribed, and subsequently analyzed.
Twelve pregnant women within the age range of 19-33 years volunteered to participate. Ninety four initial codes were obtained. These codes were then summed up into three themes as well as six subthemes. The three themes specified were personal beliefs, deliberation and risk assessment, and personal autonomy.
A number of key motivating factors such as fast recovery after vaginal delivery, immediate breastfeeding, and powerful bonding were identified, which were influential in choosing vaginal delivery. Awareness of the fact that the provided information shapes women's beliefs and can lead to attitude changes, midwives played a key role in shaping positive and healthy attitudes toward natural birth giving as well as empower them to make autonomous decision.
尽管有医学指征，但分娩方式的选择仍受多种因素影响。然而，正如文献所示，选择阴道分娩的女性的潜在动机很少受到关注。本研究旨在探讨初产妇计划阴道分娩的动机。
采用探索性设计并进行深入访谈，时间为2015年9月至2016年3月。研究人员向参与者询问了一些关键问题，包括她们对阴道分娩的看法、阴道分娩的预期结果、他人观点对其决定的影响，以及可能阻碍或促进阴道分娩的因素。在伊朗阿巴斯港全市的产科办公室、公共卫生部门以及美容院张贴了社区广告，以招募目标参与者。所有访谈均进行录音、转录并随后进行分析。
12名年龄在19至33岁之间的孕妇自愿参与。共获得94个初始编码。这些编码随后被归纳为三个主题以及六个子主题。确定的三个主题分别为个人信念、深思熟虑与风险评估以及个人自主权。
确定了一些关键的激励因素，如阴道分娩后恢复快、可立即进行母乳喂养以及建立紧密的情感联系，这些因素对选择阴道分娩具有影响力。助产士意识到所提供的信息会塑造女性的信念并可能导致态度改变，因此在塑造对自然分娩的积极健康态度以及使她们能够做出自主决定方面发挥了关键作用。
