Khatony Alireza, Soroush Ali, Andayeshgar Bahare, Saedpanah Neda, Abdi Alireza
1Health Institute, Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2Clinical Research Development Center of Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Arch Public Health. 2019 Aug 20;77:38. doi: 10.1186/s13690-019-0364-y. eCollection 2019.
The delivery method is one of the primary concerns of primiparous women. Today, due to the fear of delivery, the number of cesarean sections has increased significantly. Considering the importance of choosing the type of delivery and the lack of study in this regard, the present study was conducted to explain the attitude of primiparous women towards their preference for delivery method.
In this qualitative study, in-depth interview was conducted with 12 primiparous women. The transcripts of the interviews were read carefully by the researcher for several times. Finally, using the analytical method, the codes were extracted and subsequent subcategories and main categories were determined. To assess the credibility of the data, the Denzin & Lincoln's criteria were used, which include Credibility, Transferability, Dependability, and Confirmability.
Because of inexperience in delivery and ambiguity in process, most of the woman had a specific fear and they commonly affected by other advices and experiences. The majority of the participants had desire to vaginal delivery with announcing its advantages such as shortage of pain process, easy breast feeding, and mother ability to better carryout the newborn works. Other participants believed on adverse effects of normal vaginal delivery including bladder prolapse, uterus rupture, and probability of experience of both happenings (CS and NVD), frequent examination, pain and urine incontinence. Some stated cesarean section have benefits of less injury to neonate and preserving her/his beauty.
Results showed that, choosing a delivery method is difficult for primiparous women, and their attitude toward the type of delivery is influenced by subjective and internal factors. Giving awareness to primiparous women greatly enhances their tendency towards vaginal delivery.
分娩方式是初产妇主要关心的问题之一。如今，由于对分娩的恐惧，剖宫产数量显著增加。考虑到选择分娩方式的重要性以及这方面研究的缺乏，本研究旨在阐明初产妇对其偏好的分娩方式的态度。
在这项定性研究中，对12名初产妇进行了深入访谈。研究人员多次仔细阅读访谈记录。最后，采用分析方法提取代码，并确定随后的子类别和主要类别。为评估数据的可信度，使用了丹曾和林肯的标准，包括可信度、可转移性、可靠性和可证实性。
由于分娩经验不足和过程不明确，大多数女性有特定的恐惧，并且她们通常会受到其他建议和经验的影响。大多数参与者希望顺产，并列举了顺产的优点，如疼痛过程短、母乳喂养容易以及母亲能更好地照顾新生儿。其他参与者认为正常阴道分娩有不良影响，包括膀胱脱垂、子宫破裂以及同时发生剖宫产和自然阴道分娩的可能性、频繁检查、疼痛和尿失禁。一些人表示剖宫产对新生儿的伤害较小，能保持其美观。
结果表明，初产妇难以选择分娩方式，她们对分娩方式的态度受主观和内在因素影响。让初产妇了解相关知识可大大增强她们顺产的倾向。
