ATTITUDE OF PREGNANT WOMEN IN CHOOSING THE TYPE OF DELIVERY: A QUALITATIVE STUDY

Main Article Content

Samereh Ghelichkhani
Seyedeh Zahra Masoumi
Khodayar Oshvandi
Farideh Kazemi
Mohammad Reza Ebadian

Abstract

Objective: To find out the attitude of women to the choice of type of delivery


Methodology: This qualitative study was conducted from June 2018 to July 2019 in Hamedan university of Med­ical Sciences. 12 pregnant women participated in this study. Data were analyzed with qualitative content analysis


Results: We extracted two themes including “tendency toward vaginal delivery” with six categories: Lower rate of maternal and neonatal complications, Fear of cesarean section, Positive experiences of relatives, Maternal and neonatal benefits, improved techniques for enhancing the quality, Social and emotional support for mothers and “tendency toward cesarean section delivery” with five categories: Materna/l complications of vaginal delivery, Con­cerns about inappropriate behavior of treatment team, Physical environment and equipment, Negative experiences of relatives, Concerns about different aspects of infant health.


Conclusion: Based on the results obtained from the findings of the study, the correct implementation of empower­ment programs for maternity wards to reduce maternal and infant complications, improve the quality of maternity preparation classes, implement standard and appropriate pain relief techniques, improve social and psychological support for mothers And promoting respectful behaviors during the treatment of pregnant women with standard physical spaces and sufficient equipment can help pregnant women in choosing the type of delivery.

Article Details

How to Cite
1.
Ghelichkhani S, Masoumi SZ, Oshvandi K, Kazemi F, Ebadian MR. ATTITUDE OF PREGNANT WOMEN IN CHOOSING THE TYPE OF DELIVERY: A QUALITATIVE STUDY. J Postgrad Med Inst [Internet]. 2021 Dec. 31 [cited 2024 Mar. 29];35(4):202-9. Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2878
Section
Original Article

References

Humenick SS. The life-changing significance of normal birth. J Peri¬nat Educ. 2006; 15(4):1–3. doi. org/10.1624/105812406x151330

Yilmaz SD, Bal MD, Beji NK, Uludag S. Women’s preferences of method of de¬livery and influencing factors. Iran Red Cres Med J. 2013; 15(8):683-9.

Latifnejad RR, Zakerihamidi M, Mergha¬ti Khoei E, Kazemnejad A. Comparing the cultural beliefs related to mode of delivery among pregnant women and women with childbirth experiences as vaginal delivery or cesarean section (Tonekabon, 2014). J Mazandaran Uni Med Sci. 2015; 24(120):54-68.

Besharati F, Hazavehei SMM, Moeini B, Moghimbeigi A. Effect of educational in¬terventions based on theory of planned behavior (TPB) in selecting delivery mode among pregnant women referred to Rasht health centers. J Zanjan Uni Med Sci Health Serv. 2011; 19(77):94- 106.

Khatony A, Soroush A, Andayeshgar B, Saedpanah N, Abdi A. Attitude of primiparous women towards their pref¬erence for delivery method: a qualita¬tive content analysis. Arch Pub Health. 2019; 77(1):38.

Huang K, Yan S, Wu X, Zhu P, Tao F. Elective caesarean section on maternal request prior to 39 gestational weeks and childhood psychopathology: a birth cohort study in China. BMC psychiatry. 2019; 19(1):22.

Cunningham F, Leveno K, Bloom S, Spong C, Dashe J, Hoffman B, et al. Williams Obstetrics. 25th ed. New York: McGraw Hill. 2018.

Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. Lippincott Williams & Wilkins; 2011.

Dadipoor S, Madani A, Alavi A, Roozbeh N, Safari Moradabadi A. A survey of the growing trend of caesarian section in Iran and the world: a review article. Iran J Obstet Gynecol Infert. 2016; 19(27):8-17.

Yazdizadeh B, Nedjat S, Mohammad K, Rashidian A, Changizi N, Majdzadeh R. Cesarean section rate in Iran, multidi¬mensional approaches for behavioral change of providers: a qualitative study. BMC health serv Res. 2011; 11(1):159.

Khalili A, Shayan A, Khodaveisi M, Ma¬soumi SZ, Soltani F, Havasian MR, et al. Construction of Professional Ethics Questionnaire in Midwifery. Indian J Foren Med Toxicol. 2017; 11(2):237- 40.

Roulston K, Choi M. Qualitative inter¬views. The SAGE handbook of qualita¬tive data collection. 2018: 233-49.

Walsh CA, Robson M, McAuliffe FM. Mode of delivery at term and adverse neonatal outcomes. Obstet Gynecol. 2013; 121(1):122-8.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Edu To¬day. 2004; 24(2):105-12.

Polit DF, Beck CT. Study guide for es¬sentials of nursing research: appraising evidence for nursing practice. Lippincott Williams & Wilkins; 2013.

Olieman RM, Siemonsma F, Bartens MA, Garthus-Niegel S, Scheele F, Honig A. The effect of an elective cesarean section on maternal request on peripar¬tum anxiety and depression in women with childbirth fear: a systematic re¬view. BMC Pregnan Childbirth. 2017; 17(1):195.

Clark EA, Silver RM. Long-term mater¬nal morbidity associated with repeat ce¬sarean delivery. Am J Obstet Gynecol. 2011; 205(6): 2-10.

Rafiei M, Ghare MS, Akbari M, Kiani F, Sayehmiri F, Sayehmiri K, et al. Prev¬alence, causes, and complications of cesarean delivery in Iran: A systematic review and meta-analysis. Int J Repro Biomed. 2018; 16(4):221-34.

Long Q, Kingdon C, Yang F, Renecle MD, Jahanfar S, Bohren MA, et al. Preva¬lence of and reasons for women’s, fam¬ily members’, and health professionals’ preferences for cesarean section in Chi¬na: a mixed-methods systematic review. PLoS Med. 2018; 15(10): e1002672.

Sanders RA, Crozier K. How do informal information sources influence women’s decision-making for birth? A meta-syn¬thesis of qualitative studies. BMC Preg Childbirth. 2018; 18(1):21.

Munabi-Babigumira S, Glenton C, Lew¬in S, Fretheim A, Nabudere H. Factors that influence the provision of intra¬partum and postnatal care by skilled birth attendants in low-and middle-in¬come countries: a qualitative evidence synthesis. Cochrane Data System Rev. 2017(11).

Chen P-J, Yang L, Chou C-C, Li C-C, Chang Y-C, Liaw J-J. Effects of prenatal yoga on women’s stress and immune function across pregnancy: A random¬ized controlled trial. Compl Therap Med. 2017; 31:109-17.

Lim G, Facco FL, Nathan N, Waters JH, Wong CA, Eltzschig HK. A review of the impact of obstetric anesthesia on ma¬ternal and neonatal outcomes. J Am Soci Anesth. 2018; 129(1):192-215.

Bogren M, Erlandsson K, Byrskog U. What prevents midwifery quality care in Bangladesh? A focus group enquiry with midwifery students. BMC Health Serv research. 2018;18(1):639.

Ahmadi S, Kazemi F, Masoumi SZ, Par¬sa P, Roshanaei G. Intervention based on BASNEF model increases exclusive breastfeeding in preterm infants in Iran: a randomized controlled trial. Int Breast¬feed J. 2016; 11(1):30. doi: 10.1186/ s13006-016-0089-2.

Tsai S-Y, Lin J-W, Kuo L-T, Thomas KA. Daily sleep and fatigue characteristics in nulliparous women during the third trimester of pregnancy. Sleep. 2012; 35(2):257-62.

Moosavi A, Sheikhlou SG, Sheikhlou SG, Abdolahi K, Yaminifar L, Maktabi M. Influencing factors in choosing delivery method: Iran Prim women Persp. 2017; 9(4):4150-4.

Alharbi AA, Alodhayani AA, Aldegether MS, Batais MA, Almigbal TH, Alyousefi NA. Attitudes and barriers toward the presence of husbands with their wives in the delivery room during childbirth in Riyadh, Saudi Arabia. J Fam Med Pri¬mary Care. 2018; 7(6):1467-75.