Journal of Rafsanjan University of Medical Sciences

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Preference Method of Delivery and It's Relevant Causes in View of Pregnant Women Referring to Public and Private Clinics in Rafsanjan City T. Negahban MSc , A. Ansari Jaberi MSc , M. Kazemi MSc Received: 06/02/06 Sending for Revision: 28/06/06 Receiving Revised Manuscript: 18/10/06 Accepted: 12/11/06 Background and Objective: While it's widely accepted that vaginal delivery is the best method of parturition, in most countries the cesarean rate has been growing over the past decades and in most cases it's performed only based on the women demand. Finding the reasons of women’s tendency toward cesarean may help to diminsh the rate of this delivery method. Therefor in the present study we tried to investigate the preference method of delivery and its relevant causes in view of pregnant women referring to public and private clinics in Rafsanjan. Material and Methods: In this cross-sectional study, 256 pregnant women were continuously interviewed and their method of choice for delivery and their reasons were also investigated using a qustionnaire. Data were analyzed by t test, one way Analysis of Variance and χ2 test. Results: The results showed that 31.25% and 68.75% of the participants choose Cesarean Section (C/S) and Normal Vaginal Delivery (NVD) respectively as a method of choice for parturition. 52.6% of those who have chosen C/S, believed that NVD is a painful and stressful method which cannot be tolerated whereas 42% of the second group believed C/S could be a high-risk and invasive method. Of the knowledge qustions, 45.5% were correctly answered by the participants. Conclusion: The most important reasons for choosing C/S among the participants were fear of severe pain during vaginal delivery and lack of knowledge about the complications of cesarean. In addition, it should be important for the health – policy makers to develop an awareness concerning the C/S complications and the advantages of NVD. Applying of pharmaceutical and non – pharmaceutial pain-relief methods may also change the attitude of women in favour of NVD. Key words: Pregnant Women, Attitude, Preference Method

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Background and Objective: Continuity of breast-feeding up to 6 months may be associated with some challenges for some mothers. Probably, the maternal personal characteristics such as their emotions can change the breast-feeding patterns. The aim of this study was to determine maternal affectivity and the pattern of breast-feeding.

Materials and Methods: In this cross-sectional study, affectivity and beast-feeding patterns of 412 mothers was surveyed by Watson's PANAS-X and researcher made questionnaires and through face to face interviews. Systematic random sampling was done by using health care centers list in last 6 months. Data was analyzed using chi-square test, t-test, Fisher's exact and one way ANOVA test.

Results: Overall 69.5% mothers had exclusive breast-feeding for 6 months. Mothers who had preterm infants had higher mean score of negative affectivity (p=0.042) and those who had exclusively breast-feeding had lower mean score of negative affectivity (p=0.005). The mean scores of positive affectivity in mothers who had been started the first breast-feeding during the first hour after birth, were higher (p= 0.040).

Conclusion: Mothers with negative affectivity might be considered as a predictive factor for her breast-feeding performance.

Key words: Maternal affectivity, Negative affectivity, Positive affectivity, Pattern of breast-feeding, Six-month infants. 

 

Funding: This study was funded by Rafsanjan University of Medical Sciences.

Conflict of interest: None declared.

Ethical approval: The Ethics Committee of Rafsanjan University of Medical Sciences approved the study.

 

How to cite this article: Ansari Jaberi A, Negahban Bonabi T, Alahtavakoli M, Kazemi M. Maternal Affectivity and their Infants Feeding Pattern among Referrers to Health Care Centers in Rafsanjan in 2011. J RafsanjanUniv Med Sci 2015 14(1): 47-56, [Farsi]