فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: Mortality and disability rates were reported to be respectively 2‑3 and 5‑10 timeshigher in C‑sections compared to Vaginal delivery.OBJECTIVES: This study was aimed to explore the factors involved in selecting the birth type amongprimiparous women.METHODS: The present cross‑sectional research was conducted on 220 primiparous women,who visited the health‑care centers of Bandar Abbas. They were recruited in their first trimester ofpregnancy with a simple randomized clustering method. Data were collected in a researcher‑designedquestionnaire. Its validity was confirmed by a panel of experts and reliability was tested and approvedthrough the test–retest method. Mean, standard deviation, independent sample t‑test, and Chi‑squaredtests for data analysis were done by SPSS 16. P < 0.05 was considered statistically significant.RESULTS: The mean age of the participants was 27.40 ± 6.07 years. The main barriers to the choiceof vaginal delivery were the fear of pain and fear of vaginal area tears and ruptures, fear of injury tofetus, and doctor’s recommendation. A statistically significant correlation was observed between theage, education, employment, income, awareness, and the reasons for preferring surgical childbirth.CONCLUSIONS: To reduce the rate of unnecessary cesarean sections (C‑section), the followingrecommendations are suggested: Reducing fear of pain in expectant mothers, modifying wrongbeliefs about the culture of natural childbirth, increasing awareness of fewer adverse effects ofvaginal delivery including the vaginal tears if the mother abides by all midwife(s) instructions duringthe delivery procedure, providing educational courses for the necessary movements during thedelivery, decreasing surgeons’ payment for C‑section, and increasing payment for natural childbirthand implementing barriers for optional delivery to reduce the C‑section.