A PLURALITY OF FACTORS AND PREFERRED DELIVERY MODES AMONG PREGNANT WOMEN IN DUHOK CITY
Abstract
Background: In many regions of the world, the rate of cesarean sections is increasing. In the absence of clear medical indications, an increase in women's requests for cesarean sections is cited as a potential reason. The study aimed to find out the factors that contribute to choosing the mode of delivery.
Methods: A cross‑sectional descriptive study design was applied to 600 pregnant women who visited the Duhok Obstetrics and Gynecological Hospital in the Kurdistan region of Iraq from 1st October 2021 to 30th March 2022. A consecutive sampling method was used to select them. For data collection, a questionnaire was used that consisted of the women's socio-demographic information, obstetric data, and the factors influencing the choice of delivery mode. Descriptive data analysis was used to determine the sociodemographic and obstetrical characteristics, and the baby's, maternal, and social factors by frequency and percentage.
Results: The favorite mode of delivery was vaginal delivery (94.2%), and the common factors affecting the choice of vaginal delivery were "health of the newborn" (99.6%) as a baby factor, followed by "fewer complications" (98.7%) as a maternal factor. The common factors that affected their choosing Cesarean section were "fetal distress" (57.1%) as a baby factor, maternal factors "worry about tearing of the perineum" (97.1%), and "fear of labor pain" (94.2%). Family members and friends were the main sources of information about vaginal delivery (97.5%) and cesarean section (82.8%)
Conclusion: The prevalence of unnecessary cesarean sections can be decreased by increasing women's participation in childbirth education programs, and promoting and using new low-pain vaginal delivery techniques
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References
Azami-Aghdash, S., Ghojazadeh, M., Dehdilani, N., Mohammadi, M., & Asl Amin Abad, R. (2014). Prevalence and Causes of Cesarean Section in Iran: Systematic Review and Meta-Analysis. Iranian journal of public health, 43(5), 545–555.
Belizán, J. M., Althabe, F., & Cafferata, M. L. (2007). Health consequences of the increasing caesarean section rates. Epidemiology (Cambridge, Mass.), 18(4), 485–486. https://doi.org/10.1097/EDE.0b013e318068646a
Fenwick, J., Gamble, J., & Hauck, Y. (2006). Reframing birth: a consequence of cesarean section. Journal of advanced nursing, 56(2), 121–132. https://doi.org/10.1111/j.1365-2648.2006.03991_1.x.
Habib HA, Abdulla MM, Yacoub SE. (2011). “Knowledge and preference of mothers delivering at Alkadhumyia teaching hospital regarding cesarean section and normal vaginal delivery”. The Iraqi Postgraduate Medical Journal; 10 (4): 512-518
https://doi.org/10.1186/1471-2393-13-78
Ibtisam Abdul Kareem Idan. 2018. Preferences of Iraqi Women Regarding Mode of Delivery. Int.J.Curr.Res.Aca.Rev. 6(4): 65-74. https://doi.org/10.20546/ijcrar.2018.604.010
Johanson, R. B., El-Timini, S., Rigby, C., Young, P., & Jones, P. (2001). Cesarean section by choice could fulfill the inverse care law. European journal of obstetrics, gynecology, and reproductive biology, 97(1), 20–22. https://doi.org/10.1016/s0301-2115(01)00424-9
Kurdistan Region Statistics Office (KRSO). Kurdistan map. 2015. http://www.krso.net/files/articles/080920110332.
Lumbiganon, P., Laopaiboon, M., Gülmezoglu, A.M., Souza, J.P., Taneepanichskul, S., Ruyan, P., et al. (2010). Method of delivery and pregnancy outcomes in Asia: The WHO global survey on maternal and perinatal health 2007-08. Lancet, 375, 490-499. http://dx.doi.org/10.1111/j.1537-2995.2008.01697.x
Mazzoni, A., Althabe, F., Gutierrez, L. Gibbons L, Liu N., Bonotti A., Izbizky G., et al. (2016).Women’s preferences and mode of delivery in public and private hospitals: a prospective cohort study. BMC Pregnancy Childbirth 16, 34. https://doi.org/10.1186/s12884-016-0824-0
McCourt C., Weaver J., Statham H., Beake S., Gamble J., Creedy D. K. (2007). Elective cesarean section and decision-making: A critical review of the literature. Birth, 34(1), 65–79. https://doi.org/10.1111/j.1523-536X.2006.00147.x
Mone, F., Harrity, C., Toner, B., Mcnally, A., Adams, B., & Currie, A. (2014). Predicting why women have elective repeat cesarean deliveries and predictors of successful vaginal birth after cesarean. International journal of gynecology and obstetrics the official organ of the International Federation of Gynaecology and Obstetrics, 126(1), 67–69. https://doi.org/10.1016/j.ijgo.2013.12.013
Moni A., Riazi K., Ebrahimi A.,Ostovan N. (2007). Caesarean Section Rates in Teaching Hospital of Tehran :1999-2003. Easern Mediterranean Health Journal; 13:457-60.
Omer, W., & Al Hadithi, T. (2017). Developing a socioeconomic index for health research in Iraq. Eastern Mediterranean Health Journal, 23(10), 670–677. https://doi.org/10.26719/2017.23.10.670.
Regan, M., McElroy, K. G., & Moore, K. (2013). Choice? Factors That Influence Women's Decision Making for Childbirth. The Journal of perinatal education, 22(3), 171–180. https://doi.org/10.1891/1058-1243.22.3.171
Riberio U.S. (2005). Rise in Primary Caesarean in U. State 1999-2001: Cross Sectional Medical Journal.;330:71-72.
Shabila N. P. (2021). Trends and changes in cesarean delivery rates in Iraq: findings from the multiple indicator cluster surveys, 2011-2018. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 1–6. Advance online pAdvancedion. https://doi.org/10.1080/14767058.2021.1910664
Torloni, M.R., Betrán, A.P., Montilla, P. , Scolaro E., Seuc A., Mazzoni A., et al. (2013). “Do Italian women prefer cesarean section? Results from a survey on mode of delivery the preferences”. BMC Pregnancy Childbirth 13, 78.
Wesver, J. (2004). CAESAREAN SECTION AND MATERNAL CHOICES. Fetal and Maternal Medicine Review, 15(1), 1-25. https://doi:10.1017/S0965539503001165
WHO (2013) Trends in cesarean section by country and wealth quintile: cross-sectional surveys in South Asia and sub-Saharan Africa. World Health Organization. Available in: http://www.who.int
Yilmaz, S. D., Bal, M. D., Beji, N. K., & Uludag, S. (2013). Women's Preferences of Method of Delivery and Influencing Factors. Iranian Red Crescent medical journal, 15(8), 683–689. https://doi.org/10.5812/ircmj.11532
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