Siabani Soraya, Jamshidi Khadijeh, Mohammadi Mohammad Mehdi
1School of Public Health, Kermanshah University of Medical Sciences and Registered External Supervisor at the University of Technology Sydney (UTS), Kermanshah, Iran.
2School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Biopsychosoc Med. 2019 Apr 1;13:8. doi: 10.1186/s13030-019-0149-0. eCollection 2019.
Normal delivery is a natural and physiological process with numerous benefits for mother and baby. Giving birth by Caesarean Section (CS) should be limited to the cases in which normal delivery is not possible. The purpose of the study was to determine the attitudes of pregnant women towards Normal Delivery and factors driving the use of Caesarian Section in Kermanshah, Iran.
This analytical-descriptive study was conducted on 410 pregnant women referred to the PHC centers in Kermanshah in western Iran. They had been selected through a multi-stage sampling method, including clustering, randomized, and proportional sampling, from among all eligible women. Data was collected using a questionnaire standardized by previous studies. The level of 0.05 was considered significance association, whenever applied.
The mean and standard deviation for participant age was 27.65 ± 5.37 years. The median score for participant attitude was 60.7 ± 9.5 (range from 22 to 85). Generally, 21.5% had a negative attitude toward normal delivery and preferred CS. Participant attitude was negatively correlated with a pregnant woman's age, lower age, and a more positive attitude towards vaginal childbirth. The attitude of women with a history of normal delivery was 63 ± 9 and for those with a history of CS was 56.7 ± 9.3, significantly different.
Most women had a positive attitude towards normal delivery, particularly those who had experienced normal delivery in their previous childbirth. Although only a quarter of the participants had a negative attitude toward normal delivery, this figure still was of utmost significance, therefore educational interventions, specifically encouraging women with history of normal delivery to consult their peers, are recommended.
顺产是一个对母婴都有诸多益处的自然生理过程。剖宫产应仅限于无法顺产的情况。本研究的目的是确定伊朗克尔曼沙赫孕妇对顺产的态度以及促使她们选择剖宫产的因素。
本分析描述性研究对转诊至伊朗西部克尔曼沙赫初级卫生保健中心的410名孕妇进行。她们是通过多阶段抽样方法从所有符合条件的女性中选取的，包括整群抽样、随机抽样和按比例抽样。数据收集采用先前研究标准化的问卷。适用时，0.05的水平被视为显著关联。
参与者的平均年龄和标准差为27.65±5.37岁。参与者态度的中位数得分是60.7±9.5（范围从22到85）。总体而言，21.5%的人对顺产持消极态度并倾向于剖宫产。参与者的态度与孕妇年龄呈负相关，年龄越小，对阴道分娩的态度越积极。有顺产史的女性态度评分为63±9，有剖宫产史的女性态度评分为56.7±9.3，差异显著。
大多数女性对顺产持积极态度，尤其是那些之前经历过顺产的女性。尽管只有四分之一的参与者对顺产持消极态度，但这一数字仍然至关重要，因此建议进行教育干预，特别是鼓励有顺产史的女性咨询她们的同龄人。
