Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in Iran

By increasing trend of cesarean sections (c-section) has raised the rate of health implications after c-section analogously. This study aimed to identify the factors influencing the choice of cesarean birth from obstetrician' perspective. Present study was a descriptive-analytical cross-sectio...

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Main Authors: Sedigheh Hantoosh Zadeh, Mamak Shariat, Azam-Sadat Mousavi, Leyla Sahebi, Raheleh Moradi, Nahid Farrokhzad
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-11-01
Series:Acta Medica Iranica
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Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/11318
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author Sedigheh Hantoosh Zadeh
Mamak Shariat
Azam-Sadat Mousavi
Leyla Sahebi
Raheleh Moradi
Nahid Farrokhzad
author_facet Sedigheh Hantoosh Zadeh
Mamak Shariat
Azam-Sadat Mousavi
Leyla Sahebi
Raheleh Moradi
Nahid Farrokhzad
author_sort Sedigheh Hantoosh Zadeh
collection DOAJ
description By increasing trend of cesarean sections (c-section) has raised the rate of health implications after c-section analogously. This study aimed to identify the factors influencing the choice of cesarean birth from obstetrician' perspective. Present study was a descriptive-analytical cross-sectional study at three medical centers dependent on Tehran University of Medical Sciences in 2022. The questionnaire included parents' demographic and economic factors, parents 'previous experiences and insistence of relatives, environmental and facilities, cultural and religious, the doctor's personal opinion, and the mother's clinical and psychological factors. In general, 67 gynecologists participated in the study. The average (SD) age and work experience of doctors was 42.95 (7.68), and 11.49 (8.35) years respectively. The most determining factors in the choice of cesarean delivery from the doctor's point of view were the maternal clinical and psychological factors. Other important factors were the culture and personal beliefs of the parents. The factor of fear of litigation and court in case of birth problems and complications was one of the other essential factors in choosing cesarean delivery. In the current study, the age and experience of the specialist doctor showed a positive correlation with the personal opinion of the gynecologists. Obstetricians and gynecologists are the final decision makers in choosing the type of delivery. To select the correct method, there is a need for a specific protocol for choosing the kind of delivery, and providing a suitable platform to resolve legal concerns and lawsuits.  
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spelling doaj-art-fed4340bb67243f2bc9762fa17f7b05c2025-01-06T08:34:09ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942024-11-0162310.18502/acta.v62i3.17140Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in IranSedigheh Hantoosh Zadeh0Mamak Shariat1Azam-Sadat Mousavi2Leyla Sahebi3Raheleh Moradi4Nahid Farrokhzad5Vali-e-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranMaternal, Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Gynecology Oncology, Imam Khomeini Hospital Complex, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran.Maternal, Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran.Breastfeeding Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranMaternal, Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran By increasing trend of cesarean sections (c-section) has raised the rate of health implications after c-section analogously. This study aimed to identify the factors influencing the choice of cesarean birth from obstetrician' perspective. Present study was a descriptive-analytical cross-sectional study at three medical centers dependent on Tehran University of Medical Sciences in 2022. The questionnaire included parents' demographic and economic factors, parents 'previous experiences and insistence of relatives, environmental and facilities, cultural and religious, the doctor's personal opinion, and the mother's clinical and psychological factors. In general, 67 gynecologists participated in the study. The average (SD) age and work experience of doctors was 42.95 (7.68), and 11.49 (8.35) years respectively. The most determining factors in the choice of cesarean delivery from the doctor's point of view were the maternal clinical and psychological factors. Other important factors were the culture and personal beliefs of the parents. The factor of fear of litigation and court in case of birth problems and complications was one of the other essential factors in choosing cesarean delivery. In the current study, the age and experience of the specialist doctor showed a positive correlation with the personal opinion of the gynecologists. Obstetricians and gynecologists are the final decision makers in choosing the type of delivery. To select the correct method, there is a need for a specific protocol for choosing the kind of delivery, and providing a suitable platform to resolve legal concerns and lawsuits.   https://acta.tums.ac.ir/index.php/acta/article/view/11318Cesarean sectionDeliveryObstetric/adverse effectsObstetric/complicationsObstetric/mortality
spellingShingle Sedigheh Hantoosh Zadeh
Mamak Shariat
Azam-Sadat Mousavi
Leyla Sahebi
Raheleh Moradi
Nahid Farrokhzad
Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in Iran
Acta Medica Iranica
Cesarean section
Delivery
Obstetric/adverse effects
Obstetric/complications
Obstetric/mortality
title Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in Iran
title_full Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in Iran
title_fullStr Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in Iran
title_full_unstemmed Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in Iran
title_short Obstetricians’ Views for Reasons Decision-Making for Cesarean Section in Iran
title_sort obstetricians views for reasons decision making for cesarean section in iran
topic Cesarean section
Delivery
Obstetric/adverse effects
Obstetric/complications
Obstetric/mortality
url https://acta.tums.ac.ir/index.php/acta/article/view/11318
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AT azamsadatmousavi obstetriciansviewsforreasonsdecisionmakingforcesareansectioniniran
AT leylasahebi obstetriciansviewsforreasonsdecisionmakingforcesareansectioniniran
AT rahelehmoradi obstetriciansviewsforreasonsdecisionmakingforcesareansectioniniran
AT nahidfarrokhzad obstetriciansviewsforreasonsdecisionmakingforcesareansectioniniran