Investigating the Factors Influencing the Preference for Cesarean Sections among First-Time Pregnant Women Visiting Comprehensive Health Service Centers in Yazd City

Document Type : Original Article

Authors

1 Health Policy and Management Research Center, Department of Health Management & Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Student Research Committee, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Yazd Cardiovascular Research Center, Noncommunicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

Background: For numerous women, the selection of a childbirth method presents a significant decision, often shaped by a multitude of factors, notably those of a social and familial nature. In light of this, researchers undertook an investigation into the determinants influencing the choice of cesarean section among women experiencing their first pregnancy and utilizing comprehensive health service centers in Yazd City.
Methods: The present study utilized a descriptive-cross-sectional design. The collection tool was a standard questionnaire with 34 items (psychological, environmental, cultural-social factors, obstetric conditions factors, and birth outcomes) in the form of a five-point Likert scale. The results of the analysis of the data collected by SPSS software version 26 were used to describe and analyze the obtained data using descriptive indices (such as standard deviation, mean, etc.) and Spearman's correlation coefficient.
Results: Based on the results, no significant relationship was observed between the factors influencing the tendency to cesarean with age, education, and occupation. Among the dimensions of cultural-social factors, it has the highest average (29.20 ± 6.36), followed by psychological factors in the second place (26.97 ± 6.46). The lowest average was related to environmental factors (16.42 ± 4.28).
Conclusion: Considering the significant impact of existing cultural and social influences, it is essential for the media to assume an educational responsibility by engaging knowledgeable and compassionate experts to raise public awareness. This goal should be achieved through identifying, correcting, and improving women’s perceptions and beliefs regarding natural childbirth.

Keywords

References

  1. Movahed M, Enayat H, Ghaffarinasab E, Alborzi S, Mozafari R. Related factors to choose cesarean rather than normal delivery among Shirazian pregnant women [in Persian]. Journal of Advanced Biomedical Sciences 2012; 2(2): 78-83.
  2. Attarian S, Feyzi Z, Jamali J, Firoozi M. The effect of motivation and ability to choice of delivery type on the labor self-efficacy in women with previous cesarean section [in Persian]. Iranian Journal of Women, Obstetrics and Infertility 2022; 25(2): 44-51.
  3. Shahoei R, Rostami F, Khosravi F, Ranayi F, Hasheminasab L, Hesami K, et al. Women lived experience of choice of cesarean delivery: a phenomenology study [in Persian]. The Iranian Journal of Obstetrics, Gynecology and Infertility 2014; 17(104): 1-10.
  4. Pakniat H, Akbari R. Effective factors to select cesarean-section [in Persian]. Tehran Univ Med J 2018; 76(7): 484-91.
  5. Agency TN. Cesarean section has more pain, the statistics of cesarean sections in Iran are more than 3 times the world standard. Available at: https://wwwtasnimnewscom/fa/news/1401/10/03/2825809/[cited 2023sep 18 [in Persian]
  6. Ali Mohammadzadeh K, Afradi Asbaghrani P. The effective determinants in willingness to cesarean section (The case of pregnant women in Tehran) [in Persian]. Woman in Development & Politics 2015; 13: 357-7.
  7. Asadi ZS, Solhi M, Taghdisi MH, Moghadam Hoseini V, Javan R, Hashemian M. The effect of educational intervention based on Theory of Reasoned Action (TRA) on selected delivery method, for selective cesarean section in pregnant women [in Persian]. The Iranian Journal of Obstetrics, Gynecology and Infertility 2014; 17(109): 1-8.
  8. Betran AP, Moller YJ, A, Souza JP, Zhang J. Trends and Projections of Caesarean Section Rates: Global and Regional Estimates. BMJ Global Health 2021; 6(6): e005671.
  9. Alimohamadian M, Shariat M, Mahmoodi M, Ramezanzadeh F. The influence of maternal request on the elective cesarean section rate in maternity hospitals in Tehran, Iran [in Persian]. Payesh J 2003; 2(2): 137-42.
  10. Rafati F, Rafati SH, Madani A, Mashayekhi F, Pilevarzadeh M. Related factors to choose cesarean section among Jiroft pregnant women [in Persian]. J Prevent Med 2014; 1(1): 23-30.
  11. Janati S, Montazeriyan M, Kassani A, Kianmanesh S. Women's knowledge and attitude towards mode of delivery in Ganjavian Hospital in Dezful [in Persian]. Navid No 2022; 24(80): 66-74.
  12. Moeini B, Allahverdipour H, Mahjoub H, Bashirian S. Assessing pregnant women's beliefs, behavioral intention and predictive factors for cesarean section in Hamadan [in Persian]. The Iranian Journal of Obstetrics, Gynecology and Infertility 2011; 14(3): 37-44.
  13. Sharghi A, Kamran A, Sharifirad G. Factors influencing delivery method selection in primiparous pregnant women referred to health centers in Ardabil, Iran [in Persian]. Journal of Health System Research 2011; 7(3): 364-72.
  14. Peyman N, Jonaidy E. Relationship between pregnant women’s knowledge about pain reducing methods and cesarean section [in Persian]. Journal of Medical Science of Islamic Azad University of Mashhad 2010; 6: 201-8.
  15. Hassanzadeh H, Faraji Lamouki H, Khatty Dizabadi F, Yazdani Charati J. Comparing the factors associated with selecting normal vaginal delivery or caesarian section in nulliparous women [in Persian]. J Mazandaran Univ Med Sci 2019; 29(174): 53-63.
  16. Erdősová A, Gašparová P, Ballová Z, & Dosedla E. Caesarean section on request - a controversial request or the patient's right?. Ceska gynekologie 2024; 89(3): 245–52.
  17. Sorrentino F, Greco F, Palieri T, Vasciaveo L, Stabile G, Carlucci S, Laganà A. S, Nappi L. Caesarean Section on Maternal Request-Ethical and Juridic Issues: A Narrative Review. Medicina (Kaunas, Lithuania) 2020; 58(9): 1255.

 

 

World Journal of Peri & Neonatology
Volume 8, Issue 1
May 2026
Pages 42-49

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History

  • Receive Date: 25 May 2026
  • Accept Date: 25 May 2026

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