تعیین عوامل مؤثر بر انجام روش سزارین در بیمارستان های شهر شیراز

Object and introduction: Cesarean is the surgical delivery of an infant, placenta and membranes through an Incision in the mother's abdomen and uterus. That now contains 50-65 percent of deliveries in our country. So this study designed in order to identifying influence factors in end of pregnancy. Material and methods: This study conducted on 420 referred mothers to governmental and privative hospitals in Shiraz and data collected by structured questionnaire and finally analyzed in SPSS software by fisher exact test, independent t-test and multiple regression. Results: The overall prevalence of cesarean was 66.4% that calculated 89% and 63.28% in privative and governmental hospitals respectively. Age, height, BMI, socioeconomic status, null parity, acceptance in privative hospitals, cesarean history, induction of labor, macrosomia, shoulder dystocia and breach preview show a significant relationship with cesarean section.(P<0.05). In final model cesarean history, age after 35 and education were most important factor for cesarean section. Conclusion: Although cesarean identify as a saviour practice mothers and neonatal in emergency times but because of tendency physicians for economical benefits and also mothers for avoid from fear and pain of labor is increasing. And must be persuading mothers especially null par mothers to vaginal delivery due to very side effects of cesarean until don’t force to cesarean in sequential deliveries.