Factors affecting the choice of type of delivery with breast feeding in Iranian mothers

Authors

  • Farangis Sharifi Department of Midwifery, Kazerun Branch, Islamic Azad University, Kazerun, Iran

Keywords:

Breast-feeding, Factor, Iran , Delivery

Abstract

Objective: This study assessed the factors affecting the choice of type of delivery with breast feeding in Iranian mothers.

Methods: This Cross section descriptive analytic study was performed using a random sampling technique, using data from 400 pregnant women who attended the maternity centers in Borazjan and Kazerun in Iran in 2014. A questionnaire covering demographic characteristics, mode of delivery and postpartum conditions was completed for each mother. Descriptive analysis and Chi square test were used along with SPSS 23 software to statistically analyze the data and p-value less than 0.05 was considered for statistical significance.

Results: In this study, the rate of normal delivery and cesarean operation are considered equal. In the main factors influencing the choice of delivery, mothers’ education level (p=0.028) and pregnancy status (p=0.041) showed a significant relationship. Although no significant association between child nutrition with the type of delivery was found, duration of breastfeeding with the type of delivery showed significant association (p=0.046).

Conclusion: Although cesarean delivery in many cases is life-saving for mother and fetus; in addition to medical indications, parents with higher education and pregnancy status are also important factors in increasing the rate of cesarean section compared to vaginal delivery. Babies of mothers with normal delivery had a longer time of breastfeeding. Further studies in Iran are necessary, regarding the reasons for high cesarean section and their outcomes.

 

References

Schuitemaker N, Roosmalen J, Dekker G, Dongen P, Geijn H, Gravenhorst JB. Maternal mortality after

cesarean section in The Netherlands. Acta Obstet Gynecol Scand. 1997; 76(4): 332-4. doi: 10.1111/j.1600- 0412.1997.tb07987.x. PMID: 9174426.

de Muylder X, Thiery M. The cesarean delivery rate can be safely reduced in a developing country. Obstet

Gynecol. 1990; 75(3 Pt 1): 360-4. PMID: 2304708.

Alimohamadian M, Shariat M, Mahmoudi M, Ramezanzadeh F. Investigation the effect of pregnant women

desire on elective cesarean section rate. Payesh. 2003; 2: 133-9.

Bailit JL, Love TE, Mercer B. Rising cesarean rates: are patients sicker? Am J Obstet Gynecol. 2004;

(3): 800-3. doi: 10.1016/j.ajog.2004.01.051. PMID: 15467544.

Belizán JM, Showalter E, Castro A, Bastian H, Althabe F, Barros FC, et al. Rates and implications of

cesarean sections in Latin America: ecological studyCommentary: all women should have a

choiceCommentary: increase in cesarean sections may reflect medical control not women's choice

Commentary: “health has become secondary to a sexually attractive body”. BMJ. 1999; 319(7222): 1397- 402. doi: 10.1136/bmj.319.7222.1397.

Gunnervik C, Sydsjö G, Sydsjö A, Selling KE, Josefsson A. Attitudes towards cesarean section in a

nationwide sample of obstetricians and gynecologists. Acta Obstet Gynecol Scand. 2008; 87(4): 438-44.

doi: 10.1080/00016340802001711. PMID: 18382871.

Lee YM, D'Alton ME. Cesarean delivery on maternal request: the impact on mother and newborn. Clin

Perinatol. 2008; 35(3): 505-18. doi: 10.1016/j.clp.2008.07.006. PMID: 18952018.

Montgomery AA, Emmett CL, Fahey T, Jones C, Ricketts I, Patel RR, et al. Two decision aids for mode of

delivery among women with previous cesarean section: randomised controlled trial. BMJ. 2007;

(7607): 1305. doi: 10.1136/bmj.39217.671019.55. PMID: 17540908, PMCID: PMC1895676.

Zhang J, Liu Y, Meikle S, Zheng J, Sun W, Li Z. Cesarean delivery on maternal request in southeast China.

Obstet Gynecol. 2008; 111(5): 1077-82. doi: 10.1097/AOG.0b013e31816e349e. PMID: 18448738.

Azami-Aghdash S, Ghojazadeh M, Dehdilani N, Mohammadi M, Asl Amin Abad R. Prevalence and

Causes of Cesarean Section in Iran: Systematic Review and Meta-Analysis. Iran J Public Health. 2014;

(5): 545-55. PMID: 26060756, PMCID: PMC4449402.

Cunnigham F, Mocdonald P, Leveno K. Cesarean section and cesarean hysterectomy. Williams obstetrics.

th texa. Prentice Hail International: INC; 1993.

Muula AS. Ethical and Practical Consideration of Women Choosing Cesarean Section Deliveries without

“Medical Indication” in Developing Countries. Croat Med J. 2007; 48(1): 94–102. PMID: 17309146,

PMCID: PMC2080500.

Dewey KG, Nommsen-Rivers LA, Heinig MJ, Cohen RJ. Lactogenesis and infant weight change in the

first weeks of life. Adv Exp Med Biol. 2002; 503: 159-66. doi: 10.1007/978-1-4615-0559-4-18. PMID: 12026015.

Jackson NV, Irvine LM. The influence of maternal request on the elective cesarean section rate. J Obstet

Gynaecol. 1998; 18(2): 115-9. doi: 10.1080/01443619867812. PMID: 15512026.

Efekhar K, Steer P. Cesarean section controversy. Women choose cesarean section. BMJ. 2000; 320(7241):

PMID: 10836805.

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. Payesh. 2003; 2(2): 133-9.

Fisher J, Smith A, Astbury J. Private health insurance and a healthy personality: new risk factors for

obstetric intervention? J Psychosom Obstet Gynaecol. 1995; 16(1): 1-9. doi: 10.3109/01674829509025651.

PMID: 7787952.

Garmaroodi G. Prevalence of CS and some predisposing factors in primigravida women in maternity

delivery units in Tehran in 1999. Maternal and Child Health Publication of Jahad University of Tehran

University of Medical Sciences. 2000.

Zamani M, Allameh Z, Yadegar N. The relative frequency of the selected delivery method in the pregnant

women referring to medical centers of Isfahan in 2002. Iran J Obstet Gynecol Infertil. 2001; 4(7-8): 47-9.

Hajian-Tilaki KO. Factors associated with the pattern of breastfeeding in the north of Iran. Ann Hum Biol.

; 32(6): 702-13. doi: 10.1080/03014460500272764. PMID: 16418044.

Branger B, Cebron M, Picherot G, De Cornulier M. [Factors influencing the duration of breast feeding. A

study of 150 women]. Arch Pediatr. 1998; 5(5): 489-96. doi: 10.1016/S0929-693X(99)80312-1. PMID:

Hwang WJ, Chung WJ, Kang DR, Suh MH. [Factors affecting breastfeeding rate and duration]. J Prev Med

Public Health. 2006; 39(1): 74-80. PMID: 16613075.

Theofilogiannakou M, Skouroliakou M, Gounaris A, Panagiotakos D, Markantonis SL. Breast-feeding in

Athens, Greece: factors associated with its initiation and duration. J Pediatr Gastroenterol Nutr. 2006;

(3): 379-84. doi: 10.1097/01.mpg.0000228104.97078.bb. PMID: 16954963.

Chandrashekhar T, Joshi H, Binu V, Shankar P, Rana M, Ramachandran U. Breast-feeding initiation and

determinants of exclusive breast-feeding–a questionnaire survey in an urban population of western Nepal.

Public Health Nutr. 2007; 10(02): 192-7. doi: 10.1017/S1368980007248475. PMID: 17261229.

Batal M, Boulghourjian C, Abdallah A, Afifi R. Breast-feeding and feeding practices of infants in a

developing country: a national survey in Lebanon. Public Health Nutr. 2006; 9(03): 313-9. doi:

1079/PHN2006860. PMID: 16684382.

Mikiel-Kostyra K, Mazur J, Wojdan-Godek E. Factors affecting exclusive breastfeeding in Poland: cross- sectional survey of population-based samples. Soz Praventivmed. 2005; 50(1): 52-9. doi: 10.1007/s00038- 004-3142-7. PMID: 15771330.

Pechlivani F, Vassilakou T, Sarafidou J, Zachou T, Anastasiou CA, Sidossis LS. Prevalence and

determinants of exclusive breastfeeding during hospital stay in the area of Athens, Greece. Acta Paediatr.

; 94(7): 928-34. doi: 10.1080/08035250410023746. PMID: 16188817.

Pérez-Escamilla R, Maulén-Radovan I, Dewey KG. The association between cesarean delivery and breastfeeding outcomes among Mexican women. Am J Public Health. 1996; 86(6): 832-6. doi:

2105/AJPH.86.6.832. PMID: 8659658, PMCID: PMC1380403.

De Lathouwer S, Lionet C, Lansac J, Body G, Perrotin F. Predictive factors of early cessation of

breastfeeding: A prospective study in a university hospital. Eur J Obstet Gynecol Reprod Biol. 2004;

(2): 169-73. doi: 10.1016/j.ejogrb.2003.10.041. PMID: 15541852.

Patel RR, Liebling RE, Murphy DJ. Effect of operative delivery in the second stage of labor on

breastfeeding success. Birth. 2003; 30(4): 255-60. doi: 10.1046/j.1523-536X.2003.00255.x. PMID: 14992156.

Azaiza F. Patterns of breastfeeding among rural Moslem women in Israel: a descriptive account. Isr J Med

Sci. 1995; 31(7): 411-7. PMID: 7607867.

Published

2022-02-12