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Fariba Ranaei, Ronak Samani, Ronak Shahoei,
Volume 1, Issue 3 (winter 2016)
Abstract

Introduction and Aim: A growing number of women are requesting delivery by elective cesarean section without an accepted medical indication and this issue has been discussed in two past decades.The aim of this study was to determine cause's of cesarean selection in view of women who had undergone an elective cesarean in Beasat hospital of Sanandaj.

Matrrial and Methods: This was a qualitative study and data were gathered through semi-structured interviews from 19 women who have had cesarean surgery on demand. Content analysis was used to analysis of data then major categories were identified.

Results : The mean age of participants was 27 years, most were house wives (58%). Most were university graduates

(68:4%).All the cesarean sections were performed before onset of labour.Majority (73.7%) were primiPara and all have obtained prenatal cares.The women's reasons for their request to have cesarean were: fear of natural birth because of labour pain and procedures, and personnel behaviour, avoiding fetal risks, unfavorable condition of vaginal delivery and educational environment of hospital advers effect of vaginal delivery on urogenital tract, physician recommendation and cesarean being easier.

Conclusion: Necessity for careful review of the existing vaginal delivery circum stances and procedures and Attempting for improving it, development of a systematic educational program about childbirth process and procedures as a priority in prenatal care, further research performance on health outcomes for mothers and infants associated with planned cesarean without a medical or obstetrical indication, were of

these research's conclusion.


Asrin Kazemi, Fariba Ranaei, Ghobad Moradi,
Volume 6, Issue 3 (Winter 2021)
Abstract

Background and Aims: As a natural and stressful experience, associated with extensive psychological and physical changes in pregnant mothers, pregnancy can have a significant impact on women's quality of life, relationships, and marital satisfaction.
This study aimed to determine the level of marital satisfaction and the factors affecting it in primigravida women referring to Sanandaj comprehensive health centers in 2018.
Materials and Methods: The study was descriptive cross-sectional that was carry on 400 primigravida women referred to Sanandaj comprehensive health centers during the summer of 2018. The sampling method phased as follows: first, the city was divided into five sections and from each section, three centers were randomly selected and a total of 400 primigravida women were included in the study having the necessary criteria. Data collection tools were a researcher-made questionnaire containing demographic and midwifery characteristics as well as Enrich Form Marital Satisfaction Questionnaire with 35 Questions. The collected data were analyzed in SPSS20 software.
Findings: The majority of the studied cases have moderate satisfaction in different dimensions of marital satisfaction (35.5%), communication (35.75%), conflict resolution (46.5%) and ideal distortion (35.25%). Besdies, total marital satisfaction was 62.23%, which showed that most pregnant women had moderate to high marital satisfaction. Marital satisfaction showed a significant relationship with some demographic characteristics including the age of spouse, level of education for the spouse, spouse occupation, income level, polygamy and previous marriage history (p <0.05).
Discussion and Conclusion: The results showed that the majority of primigravida women have moderate to high marital. Therefore, the establishment of counseling centers in comprehensive health centers can provide the basis for raising awareness about the factors that improve marital satisfaction and further strengthen the family foundation.


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