Obstetrics and Gynecology
Shiva Hadadianpour; Nasim Sanjari; Masoumeh Fallahian
Volume 6, Issue 4 , August 2021, , Pages 209-216
Abstract
Background & Objective: To determine the factors affecting Iranian obstetricians and gynecologists’ (OB/GYNs’) decision about performing a cesarean section on maternal request.Materials & Methods: A four-part questionnaire was designed and distributed between 150 randomly ...
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Background & Objective: To determine the factors affecting Iranian obstetricians and gynecologists’ (OB/GYNs’) decision about performing a cesarean section on maternal request.Materials & Methods: A four-part questionnaire was designed and distributed between 150 randomly selected OB/GYNs in Iran during a national conference. One hundred questionnaires were sent back by the participants. The data were analyzed using SPSS 25. The influential factors on OB/GYNs’ decision about the mode of delivery, as well as the correlations between their knowledge, attitude, practice, gender, and years of work experience, were assessed.Results: A positive correlation was found between OB/GYNs’ knowledge and attitude about the benefits of cesarean section and performing a cesarean section on maternal request in public and private hospitals. We did not find any correlation between age, gender, and years of practice with the practice of cesarean section on demand. Approximately 52.8% of female participants and 38.5% of male participants recommend cesarean section to their immediate families, and 81% of participants accepted the pregnant mother’s request for cesarean section. The stress of the potential impact of vaginal delivery on the pelvic floor and sexual function is the leading reason behind this decision. Conclusion: Since the views and concerns of OB/GYNs have a significant role in guiding pregnant women to decide the mode of delivery, and the fear of future sexual dysfunction is an important issue affecting obstetricians’ perspective, it should be taken into consideration.
Masoumeh Fallahian; Shahrzad Tavana
Volume 1, Issue 1 , May and June 2016
Abstract
Abortion is desperately selected by some females who cannot continue their unintended pregnancies in all societies, some will suffer complications and some will die. Annual number of induced abortion has increased in the developing countries but the maternal death related to unsafe abortion has declined ...
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Abortion is desperately selected by some females who cannot continue their unintended pregnancies in all societies, some will suffer complications and some will die. Annual number of induced abortion has increased in the developing countries but the maternal death related to unsafe abortion has declined in the world since 2003. Medical abortion has contributes to this decline. In Iran, abortion rate of one per four female is estimated. The current study evaluated the technique of induced abortion among mothers with parity score of 0 - 1 (0.49), who attempted abortion; approximately 65 females performed induced abortion medically by misoprostol in 50.7%, surgically by curettage in 28% and manual vacuum aspiration (MVA) or vacuum curettage in 18% of the cases at the gestational age of six weeks. Since previously mentioned technique of abortion was surgical; the unsafe and clandestine abortions with 1.35% maternal death in the 1990s later changed to medical abortion by dinoprostone (prostaglandin E2) in the 2000s and now medical abortion is replaced by misoprostol (prostaglandin E1) in the 2010s. Complete abortion occurred in approximately 60% of the misoprostol cases. The parity score and gestational age in abortion cases have declined. Failure of withdrawal method of contraception (57%) and unmet need to modern effective contraception are contributing factors in these abortions. The trends in abortion are replaced by medical abortion with less morbidity at earlier stages of pregnancy. Traditional contraception and lack of effective contraceptive facilities and accessibilities are likely to increase unintended pregnancies and consequently abortions as well.
