학술논문
Personal, Interpersonal, and Organizational Predictors of the Mode of Delivery Among Urban Women: A Prospective Study With Socio-Ecological Approach.
Document Type
Article
Source
Subject
*CESAREAN section
*CHI-squared test
*CHILDBIRTH
*CLINICAL medicine
*CONFIDENCE intervals
*DELIVERY (Obstetrics)
*FEAR
*HEALTH status indicators
*INSURANCE
*LONGITUDINAL method
*MATHEMATICAL models
*METROPOLITAN areas
*PREGNANT women
*PSYCHOLOGICAL tests
*QUESTIONNAIRES
*RESEARCH funding
*STATISTICAL sampling
*T-test (Statistics)
*VAGINA
*WOMEN'S health
*LOGISTIC regression analysis
*THEORY
*MULTIPLE regression analysis
*SOCIOECONOMIC factors
*KEY performance indicators (Management)
*DATA analysis software
*ODDS ratio
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Language
ISSN
1054-7738
Abstract
The aim of this prospective study was to investigate the predictors of choosing mode of delivery (MOD) among Iranian urban women applying the socio-ecological model. In 2015, a convenient sample of 530 pregnant women in urban regions of Urmia, Iran, was recruited to complete a socio-ecological approach–based questionnaire. Then, 1 week after childbirth, the women were followed up by telephone to be asked about their MOD (response rate = 81.88%). Logistic regression analysis showed that the odds of cesarean section (CS) among the women with university education, whose husbands were an employee in a governmental organization, who preferred a private hospital for delivery, and who selected the CS as the preferred MOD during pregnancy were significantly higher than their counterparts. Among all the factors, the socioeconomic status of the families was more influential in predicting the MOD among women. The cognitive factors like fear of childbirth may not be determinants for MOD if women are from privileged families. [ABSTRACT FROM AUTHOR]