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Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran

Background: Cesarean section (C-section) in the North of Iran accounts for 70% of childbirths, which is higher than the national average of 55%. Understanding women’s perceptions towards modes of delivery in different cultures can pave the way for promoting programs and policies in support of vagina...

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Autores principales: Zakerihamidi, Maryam, Latifnejad Roudsari, Robab, Merghati Khoei, Effat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shiraz University of Medical Sciences 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280556/
https://www.ncbi.nlm.nih.gov/pubmed/25553333
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author Zakerihamidi, Maryam
Latifnejad Roudsari, Robab
Merghati Khoei, Effat
author_facet Zakerihamidi, Maryam
Latifnejad Roudsari, Robab
Merghati Khoei, Effat
author_sort Zakerihamidi, Maryam
collection PubMed
description Background: Cesarean section (C-section) in the North of Iran accounts for 70% of childbirths, which is higher than the national average of 55%. Understanding women’s perceptions towards modes of delivery in different cultures can pave the way for promoting programs and policies in support of vaginal delivery. We aimed to investigate women’s perceptions towards modes of delivery in the North of Iran. Methods: Using a focused ethnographic approach and purposive sampling, 12 pregnant women, 10 women with childbirth experience, nine non-pregnant women, seven midwives, and seven gynecologists were selected from hospitals, healthcare centers, and clinics of Tonekabon and Chaloos, Mazandaran, Iran, during 2012-2014. Data were collected through in-depth interviews and participant observation. Data analysis was performed using thematic analysis using MAXqda software. Results: Two major themes emerged from the data including: “vaginal delivery, a facilitator of women’s physical and mental health promotion”, and “C-section, a surgical intervention associated with decreased labor pain”. Six sub-themes subsumed within these major themes were: vaginal delivery as a safe mode of delivery, fullfilment of maternal instinct, a natural process with a pleasant ending, and C-section as a procedure associated with future complications, a surgical intervention and sometimes a life saving procedure, and a painless mode of delivery. Conclusion: In the North of Iran, women’s justified cultural beliefs overshadow their micsconceptions, so it is hopped that through implementing appropriate training programs for raising awarness and correcting miscomceptions, vaginal delivery could be promoted even in regions with high rates of cesarean section.
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spelling pubmed-42805562015-01-01 Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran Zakerihamidi, Maryam Latifnejad Roudsari, Robab Merghati Khoei, Effat Int J Community Based Nurs Midwifery Original Article Background: Cesarean section (C-section) in the North of Iran accounts for 70% of childbirths, which is higher than the national average of 55%. Understanding women’s perceptions towards modes of delivery in different cultures can pave the way for promoting programs and policies in support of vaginal delivery. We aimed to investigate women’s perceptions towards modes of delivery in the North of Iran. Methods: Using a focused ethnographic approach and purposive sampling, 12 pregnant women, 10 women with childbirth experience, nine non-pregnant women, seven midwives, and seven gynecologists were selected from hospitals, healthcare centers, and clinics of Tonekabon and Chaloos, Mazandaran, Iran, during 2012-2014. Data were collected through in-depth interviews and participant observation. Data analysis was performed using thematic analysis using MAXqda software. Results: Two major themes emerged from the data including: “vaginal delivery, a facilitator of women’s physical and mental health promotion”, and “C-section, a surgical intervention associated with decreased labor pain”. Six sub-themes subsumed within these major themes were: vaginal delivery as a safe mode of delivery, fullfilment of maternal instinct, a natural process with a pleasant ending, and C-section as a procedure associated with future complications, a surgical intervention and sometimes a life saving procedure, and a painless mode of delivery. Conclusion: In the North of Iran, women’s justified cultural beliefs overshadow their micsconceptions, so it is hopped that through implementing appropriate training programs for raising awarness and correcting miscomceptions, vaginal delivery could be promoted even in regions with high rates of cesarean section. Shiraz University of Medical Sciences 2015-01 /pmc/articles/PMC4280556/ /pubmed/25553333 Text en © 2014: International Journal of Community Based Nursing and Midwifery This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Zakerihamidi, Maryam
Latifnejad Roudsari, Robab
Merghati Khoei, Effat
Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran
title Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran
title_full Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran
title_fullStr Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran
title_full_unstemmed Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran
title_short Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women’s Perceptions in The North of Iran
title_sort vaginal delivery vs. cesarean section: a focused ethnographic study of women’s perceptions in the north of iran
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280556/
https://www.ncbi.nlm.nih.gov/pubmed/25553333
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