FACTORS INFLUENCING DELIVERY METHOD SELECTION IN PRIMIPAROUS PREGNANT WOMEN REFERRED TO HEALTH CENTERS IN ARDABIL, IRAN

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SHARGHI AFSHAN; KAMRAN AZIZ; SHARIFIRAD GHOLAMREZA

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Journal: Journal of Health System Research Year:2011 | Volume:7 | Issue:3 Page(s): 364-372

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Title

FACTORS INFLUENCING DELIVERY METHOD SELECTION IN PRIMIPAROUS PREGNANT WOMEN REFERRED TO HEALTH CENTERS IN ARDABIL, IRAN

Author(s)

SHARGHI AFSHAN | KAMRAN AZIZ | SHARIFIRAD GHOLAMREZA | Issue Writer Certificate

Keywords

KNOWLEDGEQ3

ATTITUDESQ4

SUBJECTIVE NORMSQ4

ENABLING FACTORSQ4

CESAREANQ4

Abstract

Background: Delivery is a spontaneous mechanism without the need for intervention to save lives but in cases where the mother or baby is at risk, performing CESAREAN section will help save the mother and/or the baby. Unfortunately, today the prevalence of CESAREAN in most developed countries is over 50 percent, while the World Health Organization has emphasized that CESAREAN section should be performed only based on the indication. In this study we assessed the causes and factors influencing choice of delivery method.Methods: In this cohort study 396 primiparous pregnant women were studied during their last trimester.The subjects were selected from pregnant women referring to health centers in Ardabil, Iran through dual stage sampling. A questionnaire consisted of 54 questions, designed in six parts, was used to collect data.The validity and reliability of the questionnaire was confirmed. In order to analyze the data statistical software SPSS15 was used to perform chi-square and paired t-test.The mean age of mothers was 21.8. 3.2 years and the majority of them (34.6) were high school graduates. They were mostly housewives.Findings: The majority of friends, husbands and mothers of pregnant women had suggested vaginal delivery to terminate pregnancy. Although 70.7% of mothers claimed that they would probably or definitely have normal vaginal delivery with labor, at the end of pregnancy, CESAREAN section was chosen as the most popular method for delivery (58.6%). The most effective factor in decision making was physician's suggestion (36.6%). Women's attitude towards CESAREAN significantly decreased after the surgery (P<0.05).Conclusion: Social factors and motivations, particularly from physicians and health personnel, have a significant impact on health-related behaviors. Therefore, promoting pregnant women's KNOWLEDGE and attitude towards vaginal delivery would motivate them.

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APA: Copy

SHARGHI, AFSHAN, KAMRAN, AZIZ, & SHARIFIRAD, GHOLAMREZA. (2011). FACTORS INFLUENCING DELIVERY METHOD SELECTION IN PRIMIPAROUS PREGNANT WOMEN REFERRED TO HEALTH CENTERS IN ARDABIL, IRAN. HEALTH SYSTEM RESEARCH, 7(3), 364-372. SID. https://sid.ir/paper/192719/en

Vancouver: Copy

SHARGHI AFSHAN, KAMRAN AZIZ, SHARIFIRAD GHOLAMREZA. FACTORS INFLUENCING DELIVERY METHOD SELECTION IN PRIMIPAROUS PREGNANT WOMEN REFERRED TO HEALTH CENTERS IN ARDABIL, IRAN. HEALTH SYSTEM RESEARCH[Internet]. 2011;7(3):364-372. Available from: https://sid.ir/paper/192719/en

IEEE: Copy

AFSHAN SHARGHI, AZIZ KAMRAN, and GHOLAMREZA SHARIFIRAD, “FACTORS INFLUENCING DELIVERY METHOD SELECTION IN PRIMIPAROUS PREGNANT WOMEN REFERRED TO HEALTH CENTERS IN ARDABIL, IRAN,” HEALTH SYSTEM RESEARCH, vol. 7, no. 3, pp. 364–372, 2011, [Online]. Available: https://sid.ir/paper/192719/en

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