Prevalence of Cesarean section and its related factors

• Main Authors: maryam khsravi, moohamadreza armat, nahid jarolahi
• Format: Article
• Language: English
• Published: Shahid Beheshti School of Nursing and Midwifery, Rasht 2006-04-01
• Series: Journal of Holistic Nursing and Midwifery
• Subjects: Prevalence; Cesarean; Fetus and Material factors
• Online Access: http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-64&slc_lang=en&sid=1

Introduction: According to WHO, no region in the world can justify a Cesarean rate higher &lrm;than &lrm;&rlm;10&rlm;&lrm;-&lrm;&rlm;15 &rlm;percent. But unfortunately, Published statistics for most areas all&rlm; &rlm;over the world &lrm;show a great difference with this ratio. Cesarean births pose greater risk to the mothers &lrm;health, slow maternal recovery and increase relative mortality rate. &lrm; Objective: This study has been performed to determine the rate and related factors for &lrm;Cesarean birth in Bojnurd.&lrm; Methods: This is a descriptive &ndash; analytic study and its samples consists of &lrm;&rlm;473&rlm;&lrm; mothers who &lrm;gave birth to term, single Infants with birth weight & higher than &lrm;&rlm;2500 &rlm;gram&rlm;.&rlm;&lrm; Type of delivery &lrm;as independent variable and twenty other variables mainly relation to family socio-economic &lrm;status and mother and infant characteristics as dependent variables were studied. Data needed &lrm;was collected through direct observation and interview with mothers.&lrm; Results: The percentage of CS in Bojnurd was&rlm; &rlm;&lrm;(&lrm;&rlm;25.4%&rlm;&lrm;) and rate of CS in cases such as &lrm;better job and higher parental education (P<&lrm;&rlm;0.006&rlm;&lrm;), residency in city (P=&lrm;&rlm;0.001&rlm;&lrm;), less &lrm;family numbers (P=&lrm;&rlm;0.008&rlm;&lrm;), birth weight of &lrm;&rlm;3900&rlm;&lrm; g or more (P=&lrm;&rlm;0.055&rlm;&lrm;), larger head &lrm;circumference (P=&lrm;&rlm;0.01&rlm;&lrm;), increased weight of mother near delivery (P=&lrm;&rlm;0.13&rlm;&lrm;) and higher age &lrm;of mother (P=&lrm;&rlm;0.054&rlm;&lrm;) were significantly increased.&lrm; Conclusion: Independent variables related to family Socio-economic status and also variables &lrm;related to mother and infant such as mother age and weight near delivery which effects head &lrm;circumference and birth weight had the most influencing on top of delivery. Rate of CS in &lrm;mothers with better socio-economic conditions and also older mothers was significantly &lrm;higher. Therefore, it seems that giving information to families and plans to lesser the age of &lrm;marriage can decrease the rate of unnecessary, expensive and dangerous CS.&lrm;