Showing 4 results for Cesarean Section
Maryam Sakkaki, Khadije Hajimiri,
Volume 1, Issue 2 (3-2012)
Abstract
Background and Objectives: Normal vaginal delivery is the best type of delivery in most cases and cesarean section is restricted to cases in which vaginal delivery is accompanied with risks for mother and baby. The aim of this study was to determine rate and causes of cesarean delivery in an educational hospital in 2009.
Material and Methods: This was a cross-sectional study. Data were gathered using 467 patients' medical files and interviews with 391 women who underwent cesarean section and were recorded in a data sheet. Data were analyzed using the SPSS.
Results: The rate of cesarean section was 31.5% of all live births. The most causes of cesarean section were repeated cesarean section (29.6%), mecuneum staining (15%), breech presentation (14.1%), and placenta previa (10.9%).
Conclusion: The findings of the study showed that the rate of cesarean section in our selected hospital was more than the reported rates by the WHO. Based on the results, we should decrease the rate of the first cesarean sections. In order to achieve this goal, it is essential to implement interventional programs in order to change women’s attitudes towards benefits of vaginal delivery. Moreover, we should admit low risk mothers in active phase of labor.
Arezoo Safaei Nezhad, Leila Rastegari, Roghieh Kharaghani,
Volume 7, Issue 3 (11-2017)
Abstract
Background: The increased prevalence of cesarean section (C–section) is a global epidemic.
Objectives: The aim of this study was to determine the prevalence and demographic, fertility, and childbirth-related factors of C–section in Zanjan province, Iran,-Zanjan province in the period sincefrom 21 March 2014 through theto 19 March 2016.
Methods: This study was a descriptive analytic study, carried out in the 2014–2016, which gathered 41, 265 registered childbirth data in Zanjan province hospitals and, from country electronic childbirth register system. Data were analyzed using descriptive, univariate and multivariate logistic binominal regression.
Results: according to the findings, Thethe prevalence of C–section was 40.1%. The odds of having C–section went up raised enhanced with increasing maternal age (OR=1.026), gravidity (OR=0.670), and gestational age (OR=0.093), while it decreased with an increased parity, end educational level up to high school graduate. decreased the odds of having C–section, while In contrast, higher educational (OR=3.064) level increased the odds of having C–section. Living in the urban areas (OR=1.855) also increased the odds./degrees/rates/amouts of C–section. Diabetes (OR=1.990), preeclampsia or eclampsia (OR=2.350), hypertension (OR=1.983), and thyroid disorders (OR=2.289) increased the odds of having C–section. Newborns with with low birth weight (OR=1) and macrosomia (OR=2.663), and boys (OR=1.107) were delivered more by via C–section. f Among the interventions during labor, induction (OR=1.131) and stimulation of labor (OR=0.269) reduced the odds of C–section (P<0.05).
Conclusion: C–section rate is very high in Iran and its association with different variables can be a basis for planning and policymaking in order to reduce the C–section rate, particularly in this Zanjan province.
Leila Ahmadi, Soghra Karami, Soghrat Faghihzadeh, Elham Jafari, Atousa Dabiri Oskoei , Roghieh Kharaghani,
Volume 7, Issue 4 (10-2018)
Abstract
Background: Fear is an important factor that causes pregnant women to opt for cesarean section. Women with the fear of childbirth consider labor pain to be beyond their power. Basically, these women request cesarean section only to avoid normal vaginal delivery, which indicates their low self-efficacy in normal vaginal delivery.
Objectives: The present study aimed to investigate the effects of couples counseling based on the problem-solving approach on the fear of delivery, self-efficacy, and choice of delivery mode in the primigravid women requesting elective cesarean section in Zanjan, Iran.
Methods: This quasi-experimental study was conducted on 76 pregnant women in the second trimester of pregnancy and their spouses. The women were eligible for elective cesarean section and met the inclusion criteria. The intervention was based on the problem-solving counseling approach with the couples, which was performed in three weekly sessions at the clinic of Shahid Beheshti Hospital in Zanjan, Iran. Data were collected using the questionnaires of knowledge and attitude, Wijma delivery expectancy/experience questionnaire, and Louis’ self-efficacy scale at the baseline and after one month of the final session. Data analysis was performed using independent t-test, Chi-square, and one-way analysis of variance (ANOVA).
Results: Significant differences were observed in the mean scores of knowledge and attitude of women and men, and fear of delivery and self-efficacy of women between the intervention and control groups after counseling (P<0.001). The women in the intervention group were significantly more likely to do normal delivery compared to the control group (P<0.001).
Conclusion: According to the results, couples counseling based on the problem-solving approach could be effective in reducing the fear of delivery and increasing the self-efficacy of primigravid women. Furthermore, it could improve the knowledge and attitude of couples, thereby decreasing the rate of cesarean section and tendency toward this mode of delivery.
Mansoreh Shafaeiyan , Fatemeh Ghods, Fatemeh Rahbar, Zahra Daneshi, Leiyla Sadati, Banafsheh Mashak, Jafar Moradi, Hojjat Torkmandi,
Volume 8, Issue 4 (3-2019)
Abstract
Background: Hypothermia is likely to cause enormous dangers for patients undergoing cesarean section.
Objectives: This study aims to comparison between the effect of using two different temperatures of IV fluids (37.5°C versus 21-22°C) in body temperature drop and the post-operative pain.
Methods: This experimental study was double-blind clinical trial, conducted in 2017 (April, 2017 to January, 2018). The method of sampling was simple random sampling. The randomly selected mothers, undergoing cesarean section, were assigned into two groups of equal number (the hexagonal blocks of A and B) in this clinical trial. The experimental and control group participants received IV fluid at the operation room temperature (25°C) and the IV fluid of 37.5°C, respectively. The core intraoperative body temperature was measured by Microlife Infrared Tympanic-IR100 thermometer. Severity of the experimental and control group patients’ post-operative pain was also measured and compared for 24 hours (since when the patients were discharged from the recovery ward) by the VAS (0-10).
Results: A total of 80 patients underwent this study. The demographic information of the two group members showed no difference of significance (p>0.05). The average intraoperative body temperature of the experimental group participants was higher in the level (p=0.001) of significance than that of the control group members. There was no difference of significance (p=0.41) between the mean severity of pain of both groups’ participants in the first 24 hours.
Conclusion: The intraoperative IV fluid warming seems not to have any tranquilizing effect in the post-surgery pain.
