RESUMO
Introduction: Although caesarean section as a way to save both mother and child has been accepted in an emergency state, but its harmful consequences such as infectious diseases, anesthesia complications, and postpartum depression which could be a threat to the health of the mother, child, family and the community. The aim of this study was to investigate the factors associated with cesarean delivery choice among pregnant women living in the city of Jiroft
Methods: A cross-sectional study was conducted on 145 pregnant women attending public and private medical centers in Jiroft. Data collection instrument was a questionnaire designed by the researchers. The validity of the questionnaires was confirmed and the reliability was assessed using Cronbachs alpha coefficient which was 84%. Data were analyzed by SPSS v.19 and Logistic regression test was used [p-value=0.05]
Results: The mean age of the study participants' was 4 +/- 34 years and 75% of the women in the study chose cesarean delivery as the best method. Most participants in the study were pregnant for 7 - 5month [35.25%] and experienced the first pregnancy [44.1%]. The majority of them [52.4%] reported friends and family as a source of information for choosing cesarean section as the delivery method. The results of logistic regression showed that the location of prenatal care, abortion, economic status, place of birth, family history of cesarean delivery, and previous cesarean were significantly related with choosing cesarean as the delivery method
Conclusion: A high percentage [75%] of participants in this study had chosen cesarean section as the delivery method. Therefore, authorities should consider it as a public health problem. A way to overcome this problem is increasing the awareness of pregnant women of normal delivery benefits through the education
RESUMO
Labour pain is one of the most severe forms of pain that each women may experience during her life. Severe pain makes stress response with harmful effects on both mother, and her fetus. This study was carried out to evaluate the effect of massage therapy on relieving pain and its harmful sequel such as anxiety during labour. This clinical trial was performed on sixty nulliparous women selected randomly who were expected to have a normal childbirth in the Jiroft city hospital. Cases were randomly assigned to experimental [n=30] and control [n=30] groups. The experimental group received massage intervention. The nurse-rated Present Behavioral Intensity [PBI] was used as a measure of labour pain. Anxiety was measured by the Visual Analogue Scale for Anxiety [VASA]. The intensity of pain and anxiety between these two groups were compared in the latent phase [cervix dilated 3-4cm], active phase [cervix dilated 5-7cm] and transitional phase [cervix dilated 8-10cm] of labour. In both groups, there was an increase in pain intensity and anxiety level as labor progressed. Results of T-test analysis demonstrated that the experiment group had significantly lower pain reaction in all three phases [Phase1 P=0.000, Phase2 P=0.002, Phase3 P=0.000] and anxiety levels were significantly different between two groups only in latent phase [P=0.00]. Eighty seven percent [n=26] of cases in experimental group expressed that massage was helpful, provided pain relief and psychological support during labour [P<0.40]. Our findings suggest that massage is a cost effective nursing intervention that can decrease pain and anxiety during labour and nurses intervention to perform massage could have positive effect on delivery experience. It is suggested that massage be used for decreasing pain and anxiety during labour