A Study of The Attitude of Health Care Providers Working in Ganjavian Hospital in Dezful City towards Normal Vaginal Delivery and Cesarean Section

Mathews Journal of Gynecology & Obstetrics Pub Date : 2023-01-01 DOI:10.30654/mjgo.10024

Sima Janati, Mojgan Montazeriyan, A. Kassani, Susan Kianmanesh

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Abstract

Introduction: Cesarean section is a common surgical intervention in the world. Caesarean birth is life-saving for mother and her newborn. However, overuse of it is a global health concern. The aim of this study was to examine the attitudes of health care providers towards the mode of delivery. Methods: In this cross-sectional-analytical study, the study population consists of obstetricians, nurses and midwives working in labor wards, gynecological surgery wards and operating rooms of Ganjavian hospital in Dezful. After obtaining written consent, a questionnaire is available. They consisted of two parts: the first part included demographic information (age, sex, work or education history, marital status, type of delivery, number of children and history of abortion; stillbirth or infant death) and the second part included a questionnaire measuring attitudes toward The delivery was normal and cesarean section. The questionnaire used in this study is a standard questionnaire that was validated by Heidari et al. in 2014. SPSS software version 20 was used for data analysis. Student’s t-test was used to evaluate the mean difference. Results: Out of 105 participants in the present study, 12 were obstetricians (11.4%), 21 were nurses (20%) and 70 (66.6%) were midwives. Findings of the study showed that the majority of obstetricians (91.7%) and the majority of midwives (87.1%) and most nurses (87.5%) had a neutral attitude towards cesarean section. None of the obstetricians and nurses had a positive attitude towards cesarean section. Physicians had a more neutral attitude towards cesarean section than nurses and midwives. Nurses did not have a negative attitude towards normal vaginal delivery. In addition, midwives had a more positive attitude towards normal vaginal delivery than doctors and nurses. Conclusion: It seems that different attitudes towards the mode of delivery can be confusing for pregnant women. A prerequisite for a safe delivery is a close working relationship between the obstetrician and midwife/nurse. *Corresponding Author A Study of The Attitude of Health Care Providers Working in Ganjavian Hospital in Dezful City towards Normal Vaginal Delivery and Cesarean Section

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Dezful市Ganjavian医院医护人员对正常阴道分娩和剖宫产的态度研究

剖宫产术是世界上常见的一种外科手术。剖腹产可以挽救母亲和新生儿的生命。然而，过度使用它是一个全球性的健康问题。本研究的目的是调查卫生保健提供者对分娩方式的态度。方法:在本横断面分析研究中，研究人群包括在Dezful Ganjavian医院产房、妇科外科病房和手术室工作的产科医生、护士和助产士。在获得书面同意后，可获得一份调查问卷。它们由两部分组成:第一部分包括人口资料(年龄、性别、工作或教育历史、婚姻状况、分娩类型、子女人数和堕胎史);死产或婴儿死亡)，第二部分包括问卷调查对分娩是正常和剖宫产的态度。本研究使用的问卷为Heidari等人于2014年验证过的标准问卷。采用SPSS软件第20版进行数据分析。使用学生t检验来评估均值差。结果:105名参与者中，产科医生12名(11.4%)，护士21名(20%)，助产士70名(66.6%)。研究结果显示，绝大多数产科医生(91.7%)、绝大多数助产士(87.1%)和绝大多数护士(87.5%)对剖宫产持中立态度。产科医生和护士对剖宫产的态度均不积极。医生对剖宫产的态度比护士和助产士更为中立。护士对正常阴道分娩没有消极态度。此外，助产士对正常阴道分娩的态度比医生和护士更积极。结论:对分娩方式的不同态度似乎会使孕妇感到困惑。安全分娩的先决条件是产科医生和助产士/护士之间的密切工作关系。*通讯作者Dezful市Ganjavian医院医护人员对正常阴道分娩和剖宫产的态度研究

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Mathews Journal of Gynecology & Obstetrics

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