PREVALENCE AND ATTITUDE OF WOMEN REGARDING CESAREAN SECTION IN DUHOK CITY-KURDISTAN REGION

Jinan NORI HASAN, Aveen MUNIB MAHMOUD, Layla AREF HAJI
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Abstract

Background: The decision of pregnancy delivery mode is important for both mother and fetus health. Although the advancement in surgical approach of cesarean section, the cesarean section has a negative impact on mothers and fetuses health. Objective: To assess the rate of cesarean section in a sample of women in Duhok city and their attitudes toward cesarean section. Methodology: Present study was a descriptive cross sectional that carried out in Obstetrical & Gynecological Clinics of Maternity Hospital, Primary Health Care Centers, Internally Displaced and Refugee Camps and Private Obstetrics Clinics at Duhok city-Kurdistan region/Iraq through duration period of one year from first of November, 2021, to 31st of October, 2022 on sample of four hundred pregnant women. The decision of previous cesarean section for studied women was done by Senior Obstetrician & Gynecologist according to different reasons (clinical or non-clinical). Results: The history of previous cesarean section was positive in 39.8% of pregnant women, with a common frequency of one cesarean section (58.5%). Most pregnant women perceived that normal delivery is better, while 9% perceived that cesarean section is better. In the same way, 87% of pregnant women preferred normal delivery, while 13% preferred cesarean section. Only 20% of pregnant women believed that cesarean section is the normal way of delivery, while 68% of them thought that mother with a history of cesarean section has a normal delivery in the future. However, 79% of pregnant women believed that mother had a risk of death during cesarean section. Conclusions: The cesarean section rate in Duhok city is higher than acceptable recommended rate, although the positive attitude of pregnant women toward normal vaginal delivery.
杜胡克市-库尔德斯坦地区妇女对剖腹产的流行率和态度
背景:妊娠分娩方式的决定对母亲和胎儿的健康都很重要。尽管剖腹产手术方式不断进步,但剖腹产对母亲和胎儿的健康仍有负面影响。目标:评估剖宫产率评估杜霍克市妇女剖宫产率及其对剖宫产的态度。研究方法本研究是一项描述性横断面研究,从 2021 年 11 月 1 日至 2022 年 10 月 31 日为期一年,在伊拉克库尔德斯坦地区杜霍克市的妇产医院、初级保健中心、境内流离失所者和难民营的妇产科诊所以及私人产科诊所进行,样本为 400 名孕妇。高级妇产科医生根据不同的原因(临床或非临床原因)决定是否对研究对象进行剖腹产手术。结果39.8%的孕妇有剖宫产史,其中剖宫产次数最多的是一次(58.5%)。大多数孕妇认为顺产更好,而 9% 的孕妇认为剖腹产更好。同样,87%的孕妇选择顺产,13%的孕妇选择剖宫产。只有 20%的孕妇认为剖腹产是正常的分娩方式,而 68%的孕妇认为有过剖腹产史的产妇将来会顺产。然而,79% 的孕妇认为剖腹产会导致产妇死亡。结论尽管孕妇对正常阴道分娩持积极态度,但杜霍克市的剖宫产率高于可接受的建议率。
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