Women's Studies
Khalil Ali Mohammadzadeh; Parivash Afradi Asbaghrani
Abstract
Based on statistical evidence, rate of cesarean in Iran is quite high ranking Iran the second country in the world; in terms of the highest cesarean rates, various parameters affect decision of delivery mode in pregnant women. One way to reduce caesarean sections ...
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Based on statistical evidence, rate of cesarean in Iran is quite high ranking Iran the second country in the world; in terms of the highest cesarean rates, various parameters affect decision of delivery mode in pregnant women. One way to reduce caesarean sections is to identify these factors and their impacts. The aim of this study is to identify factors affecting willingness to cesarean section in pregnant women and the correlation between them to reduce the willingness to C-section. This study was examined in a cross-sectional way by means of stochastic and available selection procedure, within the second half of 2014, on pregnant women who live in Tehran. In the semi-structured survey with the answer package (5 point Likert scale), five effective factors to predict willingness to cesarean were examined including psychological, environmental and socio-cultural factors, as well as conditions and outcomes of childbirth; structural equation modeling (SEM) method and Amossoftware were utilized in order to confirm the parameters. Among the 5 factors affecting willingness to cesarean section in pregnant women, "fear of natural childbirth" related to psychological factors and the component "Not to put pressure on the baby's head" and "no shoulder dislocation other physical damages” caused by Caesarean section related to the consequences of childbirth, have the greatest impact. Also the results of this study demonstrated that the highest and lowest correlations are related to conditions and consequences and socio-cultural and psychological factors respectively. Therefore, we can help pregnant women to recognize their capabilities and overcome their fear of pain by improving the level of pregnant women’s awareness and using natural vaginal delivery techniques with lower pain.