scholarly journals Attitudes of Primary Pregnant Women Toward Preference of Birth Method in Dezful, Iran: A Cross-Sectional Study

2021 ◽  
Vol 4 (1) ◽  
pp. p1
Author(s):  
Mahnaz Nosratabadi ◽  
Nasrin Sarabi ◽  
Leila Masoudiyekta ◽  
Zahra Abbaspoor ◽  
Aziz Kassani
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Delivery Method ◽  
Cross Sectional

Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.

scholarly journals Perbandingan Nilai Apgar antara Persalinan Normal dengan Seksio Sesarea Elektif

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Neila Azka ◽  
Syahredi Syahredi ◽  
Eva Chundrayetti
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Cross Sectional Study ◽  
Elective Cesarean Section ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elective Cesarean ◽  
Minute Apgar Score

AbstrakPada masa sekarang ini telah terjadi perubahan tren dalam persalinan, yaitu berupa peningkatan angka seksio sesarea. Peningkatan ini dipengaruhi berbagai faktor seperti: adanya kekhawatiran akan terjadinya cedera janin, peningkatan permintaan ibu untuk melakukan persalinan seksio sesarea, serta faktor sosioekonomi. Beberapa penelitian justru menunjukkan seksio sesarea dapat menimbulkan morbiditas pada bayi. Tujuan penelitian ini adalah membandingkan kondisi bayi antara persalinan normal dan seksio sesarea elektif dilihat dari nilai Apgar Penelitian dilaksanakan dari Mei 2014 sampai Januari 2014 di bagian rekam medis RSUP Dr. M. Djamil Padang.. Jenis penelitian yang digunakan adalah analitik dengan desain cross-sectional study. Sampel dalam penelitian ini terdiri dari 179  pasien dengan persalinan normal dan 56 pasien dengan seksio sesarea. Hasil penelitian menunjukkan bahwa pada menit pertama nilai Apgar 4-6 adalah 3,4% pada persalinan normal. Nilai Apgar 7-10 sebanyak 96,6% pada persalinan normal dan 100% pada seksio sesarea pada menit pertama. Pada menit kelima, nilai Apgar 4-6 adalah 1,1% pada persalinan normal, sedangkan nilai Apgar 7-10 sebanyak 98,9% pada persalinan normal dan 100% pada seksio sesarea pada menit kelima. Setelah dilakukan analisis dengan mann-whitney test didapatkan bahwa tidak terdapat perbedaan nilai Apgar pada menit-1 (p=0,777) dan menit-5 (p=0,887) antara persalinan normal dengan seksio sesarea.Kata kunci: persalinan normal, seksio sesarea elektif, nilai Apgar AbstractIn recent years, cesarean section have increased. Several factor are contributing, such as fears of injury to the fetus, increased women's request to do a cesarean section deliveries and socioeconomic factors. Some studies have also shown that cesarean section can lead to morbidity in infants. The objective of this study was to compare between Apgar scores of infant born by elective cesarean section and normal vaginal deliveries. The research was done from May 2013 to January 2014 at the medical records department of general hospital center Dr. M. Djamil Padang. This was an analytic study with cross-sectional study design. This study used 179 samples with normal vaginal delivery and 56 samples with cesarean section. The result showed that 1st minute Apgar score of 4-6 in normal vaginal delivery was 3.4%, and Apgar score 7-10 was 96.6% in normal vaginal delivery while in cesarean section was 100%. The 5th minute Apgar score of  4-6 in normal vaginal delivery was 1.1%, and Apgar score 7-10 was 98.9% in normal vaginal delivery while in cesarean section was 100%. After being analyzed using Mann-Whitney test, the study showed that there was no significant different in Apgar score of neonates born through normal vaginal delivery and neonates born trough cesarean section at first minute (p=0.777) and fifth minute (p=0.887).Keywords: normal vaginal delivery, elective cesarean section, Apgar score

scholarly journals The Commonest Indications of Cesarean Sections at Ghalib Teaching Hospital in Year 2017; Cross-sectional Study

2021 ◽  
Author(s):  
Mohammad Rafi Fazli ◽  
Amena Mansouri ◽  
Hania Wahidi
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
High Rate ◽  
Cesarean Sections ◽  
Sectional Study ◽  
Cross Sectional ◽  
Previous Cesarean

Abstract Background: In the past few decades, the rate of cesarean section (CS) has increased worldwide which is common in high income countries. Although cesarean section has lots of socioeconomic impacts in the career of mothers and babies especially in LMICs like Afghanistan, it is also increasing in such countries. In compare to vaginal delivery the cesarean section has higher risks for maternal health. The most important aim of this study is to search the commonest indications of cesarean section at the only teaching hospital in west region of Afghanistan, Ghalib Teaching Hospital in 2017.Material and Method: This was a cross-sectional study. Among 456 pregnant women who came to Ghalib Teaching Hospital, 287(63%) had vaginal delivery and 169 (37%) had cesarean section delivery in 2017. Data was collected reviewing medical records; patients discharge certificate and a questionnaire which consisted of the data like; history of previous cesarean sections, age, and so on. Data was analyzed by epi info 7.Results: the prevalence of cesarean section in Ghalib Teaching Hospital was 37%, the median age was 28 years old, the mean age was 23.83 and the most ages were between 21-25 (42.5%). The commonest indications were severe oligohydramnios (29.5%) followed by previous cesarean section (12.4%) and elective cesarean section 10.9% (on maternal request). The least indication was cephalopelvic disproportion (3.09%). In our research we had more than one indication about 10.3%.Conclusion: according to the research the commonest indication of cesarean section was severe oligohydromnios which shows emergency indication among pregnant women. As the women in Afghanistan want many children so they usually do not consider having cesarean section deliveries. Cesarean section on maternal request also has high rate which needs appropriate guidelines and also policies to decrease this high rate of selective cesarean section. In our research 52.1% of indications of CS was fetal factors. This shows in LMICs many fathers have valued to the health of babies instead of mothers. It is highly needed to inform fathers to know about health of both babies and mothers.

scholarly journals Prevalence and risk factors of postpartum dyspareunia at three months post- delivery in Sudanese women

2017 ◽  
Vol 6 (7) ◽  
pp. 2724
Author(s):  
Inas Mohamed Elhassan Abd. Alkareem ◽  
Mohamed Ahmed A/Gadir Ounsa ◽  
Elsadig Yousif Mohamed ◽  
Elsadig Mohamed ◽  
Sawsan Abdalla
Keyword(s):  
Risk Factors ◽  
Vaginal Delivery ◽  
Scar Tissue ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Normal Vaginal Delivery ◽  
Obstetrics And Gynecology ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ethical Approval

Background: Postpartum dyspareunia affects many women following childbirth: however, the extent of the problem is difficult to estimate. The objectives of the current study were to determine the prevalence of postpartum dyspareunia and to estimate its risk factors.Methods: This is a cross-sectional study conducted at the National Ribat University Hospital, Sudan. The study was carried out on women attended the refer clinics of obstetrics and gynecology and pediatrics departments in the hospital. The sample size was calculated as 380. The data were collected by a pre-tested questionnaire along with a clinical examination of the vulva and vagina after obtaining the ethical approval. The SPSS was used to analyze the data.Results: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.Conclusions: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.

scholarly journals Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (241) ◽  
pp. 839-843
Author(s):  
Renuka Tamrakar ◽  
Sachin Sapkota ◽  
Deekshanta Sitaula ◽  
Rohit Thapa ◽  
Bandana Pokharel ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Cesarean Deliveries

Introduction: Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. Methods: A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. Conclusions: The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.

scholarly journals Perinatal determinants of D-dimer levels in a cross-sectional study of low risk pregnant women

2016 ◽  
Vol 9 (2) ◽  
pp. 78-82
Author(s):  
NM Murphy ◽  
AS Khashan ◽  
DI Broadhurst ◽  
O Gilligan ◽  
K O’Donoghue ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Elective Caesarean Section ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
D Dimer ◽  
In Pregnancy

Background To examine perinatal determinants of the antenatal levels of D-dimers. Methods Cross-sectional study of 760 low risk pregnant women recruited into five gestational groups. Variables examined in antenatal groups included maternal age, body mass index, parity, smoking, family history venous thromboembolism (VTE) and previous use of the oral contraceptive pill (OCP). Onset of labour and mode of delivery were also examined in the post-natal group. Results D-dimer levels in group 4 (38–40 + 6) were significantly lower in the women with a history of taking the OCP when compared to those that had not taken it in the past ( P = 0.027). In the day 2 post-natal group, the median level of D-dimer was significantly higher in primparous when compared to multiparous women ( P = 0.015). The median D-dimer levels were significantly lower in the elective Caesarean section group in comparison to spontaneous onset ( P = 0.003) and induction of labour ( P = 0.016). When the mode of delivery was examined, the median D-dimer levels were significantly lower in those that had an elective Caesarean section when compared to normal vaginal delivery ( P = 0.008) and instrumental vaginal delivery ( P = 0.007). Women post elective Caesarean section had a significantly lower D-dimer than those after emergency Caesarean section ( P = 0.008). Discussion There are some significant differences in D-dimer levels when certain perinatal determinants are examined. This work is potentially beneficial to the future diagnosis of VTE in pregnancy as it supports previously published recommended D-dimer levels for the diagnosis of VTE in pregnancy.

scholarly journals Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study

2017 ◽  
Vol 40 (01) ◽  
pp. 011-019 ◽  
Author(s):  
Sirlei Morais ◽  
Simony Nascimento ◽  
Ana Godoy-Miranda ◽  
Karina Kasawara ◽  
Fernanda Surita
Keyword(s):  
Body Mass Index ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Gestational Age ◽  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Large For Gestational Age ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prenatal Visit

Objective To evaluate the relation between changes the body mass index (BMI) percentile, reflected in the Atalah curve, and perinatal outcomes. Methods A cross-sectional study with 1,279 women was performed. Data regarding gestational weight, sociodemographic characteristics and perinatal outcomes were collected through medical charts, prenatal card and interviews in the postpartum period. Women could be classified according to the Atalah curve in the following categories: low weight, adequate weight, overweight, and obese. The BMI was calculated at the first and at the last prenatal care visits, and these values were compared. Results An increase in the BMI category according to the Atalah classification occurred in 19.9% of pregnant women, and an increase of 3.4, 5.8 and 6.4 points of BMI were found for women respectively classified in the adequate weight, overweight and obese categories at the first prenatal visit. Women with high school education presented a lower chance of increasing their BMI (odds ratio [OR] 0:47 [0.24- 0.95]). Women who evolved with an increase in the the Atalah classification were associated with cesarean section (OR 1.97–2.28), fetal macrosomia (OR 4.13–12.54) and large for gestational age newborn (OR 2.88–9.83). Conclusion Pregnant women who gained enough weight to move up in their BMI classification according to the Atalah curve had a higher chance of cesarean section and macrosomia. Women classified as obese, according to the Atalah curve, at the first prenatal visit had a high chance of cesarean section and delivering a large for gestational age newborn.

scholarly journals Cesarean Delivery on Maternal Request among Patients Undergoing Cesarean Section in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Dipty Shrestha ◽  
Rachana Saha ◽  
Shilpi Mahato
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Labor Pain ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Request

Introduction: Caesarean delivery on maternal request in absence of any maternal and fetal indications and has become a concerning issue among obstetricians. It seems to be one of the contributory factors of increased cesarean rate all over the world. This study aims to find out the prevalence of cesarean delivery on maternal request among cesarean deliveries in a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted from November 1st 2019 to February 1st 2020 among women undergoing cesarean section in a tertiary care hospital. The ethical clearance was taken from the Institutional Review Committee of Kathmandu Medical College (reference number: 201120192). Convenient sampling was used. Statistical Package for Social Sciences version 20.0 was used for analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 386 cesarean sections, maternal request was the indication in 72 (18.65%) (95% Confidence Interval = 14.76–22.54) mothers. Among the 72, 38 (52.7%) chose cesarean section for fear of labor pain, 14 (19.4%) for date-of-birth selection, 10 (13.8%) for anxiety of labor pain, because of cord around the neck in four (5.5%), male baby in three (4.1%), to avoid pelvic trauma in two (2.7%), and to go abroad in one (1.3%). Conclusions: Our study showed a prevalence of cesarean delivery on maternal request higher than other national studies but was similar to the global prevalence. The commonest reasons were fear of labor followed by date-of-birth selection.

scholarly journals What are Polish women afraid of in vaginal birth? – A Cross-Sectional Study

2020 ◽  
Vol 89 (4) ◽  
pp. e489
Author(s):  
Izabela Walasik ◽  
Katarzyna Kosińska-Kaczyńska ◽  
Katarzyna Kwiatkowska ◽  
Natalia Roman ◽  
Julia Wysińska ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Sexual Life ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cesarean Birth

Introduction. Fear of childbirth is a specific feeling related to approaching birth that ranges from negligible to very intense. Women’s choices and doubts regarding the way of birth may be related to a lack of knowledge about the benefits and advantages of VB or a fear of this method of childbearing. Aim. The aim of the study was to assess knowledge regarding labour, its possible complications and ways to prepare for vaginal delivery among Polish women Material and Methods. A cross-sectional study was performed among 4721 women who were pregnant or who had had at least one delivery. A self-composed questionnaire was distributed via the internet in 2018. Results. It seems that 13.9% of the respondents were pregnant, 49.2% women gave birth vaginally and 30.8% had a caesarean delivery. Most of the respondents were afraid of the pain associated with the labour (75% pregnant women, 63.4% women after vaginal birth, 59.1% women after caesarean section), and 57.8% of respondents would like to avoid episiotomy, but only 27,5% of them used any methods of perineal protection for vaginal delivery. Also, 43.4 % of respondents believe that vaginal delivery may have a negative impact on satisfaction in their sexual life, 26% of respondents think that a caesarean section scar has no impact on subsequent pregnancies, and 41% claim that women who had a caesarean delivery feel discriminated against as a cesarean section is considered to be a labour failure in society. Conclusions. Women’s knowledge on the advantages and risks related to the methods of labour is insufficient, which may affect their preferences regarding vaginal or cesarean birth.

scholarly journals Symptoms of Discomfort and Problems Associated with Mode of Delivery During the Puerperium: An Observational Study

2019 ◽  
Vol 16 (22) ◽  
pp. 4564 ◽  
Author(s):  
Martínez-Galiano ◽  
Delgado-Rodríguez ◽  
Rodríguez-Almagro ◽  
Hernández-Martínez
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Ad Hoc ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Instrumental Delivery ◽  
Normal Vaginal Delivery ◽  
Post Traumatic Stress ◽  
Online Questionnaire ◽  
Cross Sectional

Despite abundant literature on antenatal and delivery care received by pregnant women, there is a wide knowledge gap on the prevalence of symptoms of discomfort or problems during the postpartum period and their relationship with the mode of delivery. This cross-sectional study, carried out with 3324 participants in Spain in 2017, aimed to investigate the association between the mode of delivery and self-reported postpartum symptoms of discomfort and maternal problems during the puerperium. An ad hoc online questionnaire was used to collect data on socio-demographic and obstetric variables, symptoms of discomfort, and maternal problems during the puerperium. The crude odds ratios (OR) and adjusted OR (aOR) and their 95% confidence intervals (95%CI) were calculated using binary logistic regression. In total, 3324 women participated. Compared to a normal vaginal delivery, having a cesarean section was associated with increased odds of an infected surgical wound (aOR: 11.62, 95%CI: 6.77–19.95), feeling sad (aOR: 1.31, 23 95%CI: 1.03–1.68), and symptoms of post-traumatic stress (aOR: 4.64, 95%CI: 2.94–7.32). Instrumental delivery vs. normal vaginal delivery was a risk factor for constipation (aOR: 1.35 95%CI: 25 1.10–1.66), hemorrhoids (aOR: 1.28, 95%CI: 1.04–1.57), urinary incontinence (aOR: 1.30, 95%CI: 26 1.05–1.61), and fecal incontinence (aOR: 1.94, 95%CI: 1.29–2.92) during the puerperium. Women who gave delivery via cesarean section or instrumental delivery had higher incidences of infection and psychological alterations than those who had a normal vaginal delivery. Identifying women at risk of giving birth by cesarean section and informing them about subsequent symptoms of discomfort and maternal problems during the puerperium must be included in pregnancy health program policies and protocols to allow women to make informed decisions regarding their birthing plan.

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