Assessing the factors influencing delivery method selection in primiparous pregnant women referred to health centers in Ardabil, 2010

Introduction: Delivery mechanism is a spontaneous process without the need for intervention. But in cases where mother or baby is at risk, performing cesarean section will help to save the mother or the baby. Unfortunately, in most developed countries cesarean prevalence is over 50 percent, while the World Health Organization has emphasized, cesarean section be performed only based on the indication. This study will assesses the causes and factors influenced on choosing the delivery method. Methods: This analytical cross-sectional study was conducted on 396 primiparous pregnant women referred to Ardabil health center units in the last months of pregnancy in Ardabil city. Data were collected with questionnaire consisted of 54 questions in six parts. Data were analyzed by Chi-square, and t-test with using SPSS-15 software. Results: The mean age of referred mothers was 21.8±3.2 years. Majorities of mothers were high school graduates, and were housewives. In total, 70.7% of mothers expressed that they would probably or definitely be normal vaginal delivery with labor, but at the end of their pregnancy, cesarean section with 58.6% was the dominant method for delivery. Physician advice with 36.6% was the most influential factor on the delivery method choosing. Women attitudes towards caesarean section was significantly reduced after delivery. Conclusion: Social factors and motivation to comply, particularly from physicians and health personnel have a significant impact on the health-related behaviors. Regarding these social factors, upgrading knowledge and attitude of mothers toward vaginal delivery is effective in selection of delivery method and strengthening of maternal intention and social supports.