SURVEY THE RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE OF PREGNANT WOMEN REQUESTING CESAREAN SECTION REFERRED TO RASHT HEALTH CENTERS AND THEIR CHOICE REASONS

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SEYED NOURI T.; JAMSHIDI AVANAKI F.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES Year:2006 | Volume:15 | Issue:59 Page(s): 75-84

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Information Journal Paper

Title

SURVEY THE RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE OF PREGNANT WOMEN REQUESTING CESAREAN SECTION REFERRED TO RASHT HEALTH CENTERS AND THEIR CHOICE REASONS

Author(s)

SEYED NOURI T. | JAMSHIDI AVANAKI F. | Issue Writer Certificate

Keywords

ATTITUDEQ3

CESAREAN SECTIONQ3

KNOWLEDGEQ2

PREGNANCYQ3

WOMENQ3

Abstract

Introduction: CESAREAN SECTION (CS) is more dangerous than normal delivery for mothers and neonates. Rate of Cesarean in our country (total 35%) especially in Guilan province (57.6%in urban areas) is very high. A major reason for this high rate is maternal request.Objective: This survey is done to detect the relationship between KNOWLEDGE and ATTITUDE has pregnant WOMEN requesting CESAREAN SECTION and their choice reasons.Materials and Methods: This is a descriptive- analytic study. A total of 210 pregnant WOMEN in Rasht who were at 36-40 weeks of PREGNANCY and had chosen CS as their delivery method without previous history of CS or any medical indications. Cluster sampling was performed at health- treatment centers of Rasht. Data were collected by interview and a questionnaire that was completed by investigators in 2003-2004. Statistical analyze was performed by descriptive and analytic methods (Chi-square and Fisher exact test.Results: The majority of participants (68.6%) had moderate KNOWLEDGE about benefits and harms of CS and most received their information from their relatives and friends. The majority of WOMEN (71.4%) had abstained ATTITUDE to CS. More than (50%)of the mothers had chosen CS for following reasons in decreasing order of frequency: child's health, fear of pain, stress and anxiety, prevention of genital tears, fear of vaginal exams, prevention of deformity and relaxation of genital system and shortening of labor duration. There was a significant relation between KNOWLEDGE level and following reasons: fear of pain, psychotic stress and anxiety, shortening of labor duration.Conclusion: Findings of this study gives attention to the need for instruction deployment by midwives and other health staff. High rates of negative and abstain ATTITUDE (84.2%) in spite of choosing it shows that pregnant mothers demand cesarean subsequent to flighting of classic painful vaginal delivery. Thus we can utilize new obstetric and complementary methods, counsel with target mothers and support them by giving information, emotionally and socially in order to decrease CESAREAN SECTION.

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