Abstract

WOMEN ATTITUDE TOWARD THE MODE OF DELIVERY AND AFFECT OF SOME SOCIAL PARAMETERS

Dr. Rana Naeem Irook*, Dr. Seenaa Mohammed Ali, Dr. Rasha Abdul Adheem Abbas Nassar

ABSTRACT

Background: Normal vaginal delivery is natural& physiological process, has benefits and advantages for the mother and fetus need no interference, but when the conditions put the mother and her fetus life's in danger, need for intervention by Cesarean section which is ither elective or emergency is exist. the acceptable rate of Cesarean Section which is about 10-15% recommended by the World Health Organization (WHO) in many part of the world. recently seen there's increasing world wide in the rate of Caesarean Section above this level. Objective: to assess the awareness of women about the mode of delivery &the effect of some social parameters on their choice. Subjects & methods: The cross –sectional study involve 400 women attending teaching Hospitals from first (1st) march 2015 to first(1st) august 2015, the data was collected by using questionnaire form included 2 part first the demographic criteria like age, parity, residence, occupation of the women, educational level of women, Ante-natal care attendance &the second part ask about preference of mother about the mode of delivery and the causes of her preference, with exclusion of women with either clear indications for Cesarean Section and complicated pregnancy that lead to difficult labor. Results: The majority of women in this study about 297(74.25%) were prefer Normal vaginal delivery as the best mode of delivery and the 103(25.75%) were prefer Cesarean Section, this affected by social factor like maternal age, parity, residence, occupational categories, educational level of women ,women attending Ante-natal care. the main causes for women preference for Normal vaginal delivery were rapid recovery 96(24%),76(19%) were fear from post-operative pain, 63(15.8%) were considered Normal vaginal delivery as natural &for healthy fetus and mother 62(15.5%) were fear from complication of Cesarean Section, while the main causes for preference of Cesarean Section were 71(17.8%) were fear from labor pain, 23(5.8%) were for tubal ligation and 9(2.3%) were for fetus health. Conclusions: The majority of women has positive attitude towered Normal vaginal delivery, the most common cause for preference Normal vaginal delivery were rapid recovery post delivery, while most common cause for preference Cesarean Section were fear of labor pain, the most significant factors that affect mother choice are maternal age, parity and attending Ante-natal care, all of them had positive attitude toward Normal vaginal delivery.

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