ISSN: 2538-3272
Continuous Volume
Vol. 1 No. 1 (2021)
Social Factors Affecting Elective Cesarean in Iran social factors affecting to elective cesarean
Bioethics and Health Law Journal (BHL),
Vol. 1 No. 1 (2021),
,
Page 1-7 (e24)
https://doi.org/10.22037/bhl.v1i1.38186
Abstract
Background and Aim: Cesarean section is a type of delivery, which has recently attracted the interest of numerous pregnant women. According to the general principles of medical ethics, to respect the individuals’ right to independence, the medical staff must provide the patients with the necessary information to enable them to involve in the decision-making process freely and informedly. In addition, the medical staff must adhere to the rule of “evaluation of risks and benefits” in the treatment process. This rule should be also applied in the selection of delivery methods for pregnant women. The present study aimed to evaluate the social factors affecting the tendency of pregnant women toward an elective cesarean section in the past few years.
Materials and Methods: This descriptive-analytical study was conducted on 200 women in the third trimester of pregnancy referring to the hospitals located in the District one of Tehran, Iran. The data were collected using a researcher-made questionnaire. Data analysis was performed using descriptive and inferential statistics.
Ethical Considerations: After the explanation of the study objectives, written informed consent was obtained from all participants.
Findings: According to the results, elective cesarean delivery showed a significant relationship with maternal awareness of cesarean birth complications, encouragement by physicians, fear of normal delivery, imitation of others, maintenance of the body beauty, social and economic status, maternal occupation, family income, and parental occupation. However, the elective cesarean section had no significant association with awareness about the benefits of vaginal birth and decreased maternal role.
Conclusion: Although pregnancy and delivery are physiological phenomena, they are regarded as a “disease” in modern medicine. Moreover, gynecologists have prevented the women from consciously deciding about their own choice of delivery. The encouragement of the mothers to undergo cesarean section by the specialists, along with the women’s attitudes about vaginal delivery, has led to the enhanced use of cesarean birth in Iran. The women’s higher awareness about the benefits of normal delivery and cesarean section complications assisted them in making a better choice about their delivery method.
*Corresponding Author: Ashraf Zafari Dizaji; Email: az9405@gmail.com; ORCID: https://orcid.org/0000-0002-5357-1785
Please cite this article as: Tavassoli A, Zafari Dizaji A. Social Factors Affecting Elective Cesarean in Iran. Bioeth Health Law J. 2021; 1:1-7 (e24). http://doi.org/10.22037/bhl.v1i1.38186
- Cesarean section
- Vaginal birth
- Pregnant mothers’ awareness
How to Cite
References
Carauleanu A, Tanasa IA, Nemescu D, Haba R, Socolov D. Vaginal birth after Cesarean experience in Romania: A retrospective case‑series study and online survey. Experimental and Therapeutic Medicine. 2021 Aug 1;22(2):1-7.
Ali Mohamadian M, Shariat M, Mahmoudi M, Ramazanzadeh F. The influence of maternal request on the elective cesarean section rate in maternity hospitals in Tehran, Iran. PAYESH. 2003;159(2):186-91.
Jenabi E, Khazaei S, Bashirian S, Aghababaei S, Matinnia N. Reasons for elective cesarean section on maternal request: a systematic review. The Journal of Maternal-Fetal & Neonatal Medicine. 2020 Nov 16;33(22):3867-72.
Abbasi M. Petoft A, Current limits of neurolaw: A brief overview. Médecine & Droit. 2020 Apr 1;2020(161):29-34.
Petoft A. An Overview of the Technical Limitations of Applying the fMRI Method in Neurolaw. Bioethics Journal. 2019;9(34):95-107.
Petoft A. Neurolaw: A brief introduction. Iranian journal of neurology. 2015 Jan 5;14(1):53.
Petoft A. The Use of Neuroscientific Evidence in the Modern Criminal Law with Emphasizing on the UK and Canadian Neurolitigation. Iranian Journal of Medical Law. 2021 Apr 10;15(56):241-59.
Rashidian A, Khosravi A, Khabiri R, Khodayari-Moez E, Elahi E, Arab M, Radaie Z. Islamic Republic of Iran's multiple indicator demographic and health survey (IrMIDHS) 2010. Tehran: Ministry of health and medical education. 2012:83-6.
Petoft A, Momeni-Rad A. Toward Human Behavior Sciences from the Perspective of Neurolaw. International Journal of Public Mental Health and Neuroscience. 2015;2(2):29-33.
Abbasi M. Petoft A, A historical overview of law and neuroscience: From the emergence of medico-legal discourses to developed neurolaw. Archivio Penale. 2019;1(3):1-48.
Petoft A. Concept and scope of the general principles of administrative law and referring possibility in the judicial procedure. The Judiciary Research Institute Publishing Center.2016.
Jafree SR, editor. The Sociology of South Asian Women’s Health. Springer Nature; 2020 Aug 6.
Ghazian H. Coming to family studies. (Translation). Bernards J.Tehran: Nei publication;1384:277. [Persian]
Sassine H, Dahlen H. Identifying the poisonous gases seeping into the coal mine: What women seek to avoid in choosing to give birth at home. InBirthing Outside the System 2020 Jan 17 (pp. 136-152). Routledge.
Jafari Namini,F. Why Cesarean. (Translation). Al-Falam B. Tehran: New minded generation publication; 1378:259. [Persian]
Khoda Karami, N. Warning of scientific circles about Cesarean . Journal of Nutrition and Health. 1383; 120: 11 – 21. [Persian]
Saisto T, Halmesmaki E. Fear of Child Birth:a Neglected Dilemma., Acta obstet Gynecol Scand, 2003;82(3) :201-8
Rafati F, Rafati S, Madani A, Mashayekhi F, Pilevarzadeh M. Related factors to choose cesarean section among Jiroft pregnant women. 3. 2014; 1 (1) :23-30
Moasheri BN, Sharifzadeh G, Soltanzadeh V, Khosravi Givshad Z, Rakhshany Zabol F. Relationship between fear of pain, fear of delivery and attitude towards cesarean section with preferred mode of delivery among pregnant women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;18(179):8-16.
Ilska M, Banaś E, Gregor K, Brandt-Salmeri A, Ilski A, Cnota W. Vaginal delivery or caesarean section–Severity of early symptoms of postpartum depression and assessment of pain in Polish women in the early puerperium. Midwifery. 2020 Aug 1;87:102731.
Petoft A, Momeni-Rad A. Toward Human Behavior Sciences from the Perspective of Neurolaw. International Journal of Public Mental Health and Neuroscience. 2015;2(2):29-33.
Abbasi M. Petoft A, A historical overview of law and neuroscience: From the emergence of medico-legal discourses to developed neurolaw. Archivio Penale. 2019;1(3):1-48.
Abbasi M, Petoft A. Citizenship Rights: from Good Governance to Administrative Procedures. Tehran: Justice Publication. 2017:205-6.
Petoft A. Controversial Brain Imaging as a Terrorism Emergency Measure in Neurolaw Discourse. Journal of Neurology & Neurotherapy. 2017;2(2):1-9.
Jordan B .Negotiating Control and Meaning: Home birth as a Self Constructed choice in Finland ,Science &Medicine,2001;1109-1121
- Abstract Viewed: 0 times
- PDF Downloaded: 0 times
