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Investigating the Factors Affecting Cesarean Section in Fasa: a Case-control Study
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| Author:
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HALEH GHAEM1, SEYEDEH LEILA DEHGHANI, MASOUMEH MOUSAVI
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| Abstract:
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The cesarean section refers to delivering the baby, the placenta, and the membranes by cutting the abdominal wall
and the uterus. While the global cesarean rate is 10-30 percent, the rate in Iran is 50-65 percent. The aim of this
study was to determine the effective factors of pregnancy termination in cesarean section. This case-control study
was performed on 252 women who referred to Fasa health centers after delivery in 2015. The required information
was extracted by interviewing the cases and controls by the researcher as well as by referring to the health records.
After collection, data was entered into SPSS software and analyzed using logistic regression test. This study was
performed on 252 people, of which 126 had cesarean section and 126 had normal deliveries. The mean age of
mothers was 31.40 ± 5.45 and the body mass index was 23.35 ± 2.63. In single-variable model, birth rate, mother's
occupation, education, cesarean history, history of hypertension, history of stillbirth, gestational diabetes, fear of
normal delivery, bleeding, delivery time, type of pregnancy, education level, spouse's job, smoking, CPD , NST showed
a significant correlation with cesarean section (P=.05). In the final model, the most important factors affecting delivery
were: First childbirth, fear of normal delivery, cesarean history, education, spouse's occupation, and wife's education.
Although cesarean has been accepted as a necessary step in the lives of mothers and the infant as a life-saving act, in
addition to the natural indications of education, occupation and maternal fear of normal delivery, they are also
effective factors in pregnancy termination by cesarean section. It is suggested that pregnant women be trained to
prevent pregnancy complications to choose the correct method of pregnancy termination and not to suffer from
complications from cesarean delivery.
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| Keyword:
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Effective factors, cesarean section, case control.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.021
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| Download:
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