فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: Childbirth is regarded as an important life event for women, and growing numbersof them are making the choice to give birth by cesarean delivery. Increasing rate of births by cesareansection is an issue of concern in many countries. In order to reduce the rates of unnecessary cesareansections, it is essential to acquire information of the reasons that motivate physicians to carry outcesarean sections rather than vaginal deliveries. The objective of present study is to evaluate whetherthe education process for undergraduate medical students affects their decision‑making.MATERIALS AND METHODS: The present study was cross‑sectional and questionnaire based.A total of 292 students participated in the study. Out of which, 150 were first‑year students and142 were doing internship in Maharashtra Institute of Medical Education and Research (MIMER),Talegaon Dabhade, Maharashtra, India. The study was conducted in the months of June and July2019. Data was collected with the help of person to person interview of all the participants whosatisfied the inclusion criteria after obtaining their informed consent. The data was entered by usingMicrosoft Excel 2007 and was analyzed using Epi Info version 3.3.2. The data was tabulated andanalyzed according to responses which were given by the respondents.RESULTS: A total of 292 students answered the questionnaire. Age of participants varied between19 and 23 years. 130 males and 162 females were the subjects, out of which 40 students declaredfear of labor. Most of the students preferred vaginal delivery over cesarean sections in all the fourscenarios. The difference of opinion was significant in case of an uneventful pregnancy and normalpregnancy under their care. For general population as healthcare manager this difference of opinionwas not significant. In case of one’s own or partner’s delivery, internship students preferred cesareansection but this difference was statistically non‑significant.CONCLUSION: Most of the students would recommend vaginal delivery because this form of deliveryhas fewer risks as compared to cesarean section. Majority of students chose vaginal delivery forthe birth of their own child; however, a higher number of interns as compared to first year studentspreferred cesarean section. Pain associated with vaginal delivery was the most common reasongiven for choosing cesarean section. The student’s preference for childbirth changed in due courseof graduation toward cesarean section. This indicates a probable effect of medical education onpermissive culture of cesarean section as a mode of delivery.