جستجوی مقالات مرتبط با کلیدواژه « سزارین » در نشریات گروه « علوم اجتماعی »

Over the last few years the attitude towards caesarian has dramatically increased beyond a personal conduct among the Iranian women that has attracted the social researchers’ attention. Some contextual conditions related to women attitudes to voluntarily caesarian and their existential experience has been analyzed in this paper. Therefore, 15 women who passed through caesarian at Laleh Hospital in Tehran at the time of research were interviewed based on interpretational framework and applying qualitative method. According to the results, fear of pain and side effects of vaginal delivery constructed by doctors and relatives were the main reason to choose caesarian over natural delivery by women.The considerable point was that none of the research participants were directed by their doctors to learn about natural delivery preparation either mentally or physically.It seems that women attitudes to caesarian might be moderated by increasing awareness about advantages and disadvantages of two kinds of childbirth, improve quality of vaginal delivery, giving information about new methods of natural delivery like water birth and their coverage by insurance companies, cultural development of traditional or complementary medicine and better surveillance on voluntarily caesarian. Finally, women empowerment in term of cognitive, personal and physical aspects would be a very fruitful factor in this regard.

Based on statistical evidence rate of cesarean is very much in Iran so that Iran is the second country in the world, in terms of the highest cesarean rates, the various parameters affect to decide how to choose the mode of delivery 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 willingness to cesarean section in pregnant women and the correlation between them to achieve the prediction model tends to caesarean section was performed. This study was examined in a cross-sectional way by means of stochastic and available selection procedure, within the second half of 2014, pregnant women who live in Tehran. In the semi-structured survey with the answer package (5 point Likert scale), five effective factors to predict of model willing to cesarean were examined which including psychological, environmental and socio-cultural factors, and conditions and outcomes of childbirth, and structural equation modeling (SEM) method and Amos software were utilized in order to confirm the parameters. The 5 factors affecting willingness to cesarean section in pregnant women, "fear of natural childbirth" is related to psychological factors and the component "Not to put pressure on the baby's head" and "not to strain to shoulder or causing other physical" damage 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.

The rate of cesarean section (CS) in Iran accounts as the 2nd highest rate in the world, and this rate in Isfahan is the highest rate in the country. This paper aims to assess correlates and determinants of intention for cesarean section versus normal vaginal delivery among pregnant women in Isfahan. A survey was conducted among 400 pregnant women aged 15 to 49 years. Pregnant women with gestational age of 24-40 weeks who attended to labor clinics of nine hospitals in Isfahan were recruited using non probability sampling during June and July 2014. Multivariate analysis identified selected factors as determinants of intention for CS. These are “the role of physician”, “subjective norms” and “body Image” upon control of education, income and number of ideal fertility. Moreover, path analysis showed that “attitude towards cesarean section” and “individualism” imparts their influence on CS decision through subjective norm. Accordingly, voluntary cesarean section is a complex decision which is shaped by various factors and comprehensive interventions is suggested to discourage cesarean section. These interventions need to encompass changes in physicians’ role, social norms, body image and correcting misperceptions among women during prenatal educational courses.