میزان تمایل به سزارین و عوامل مؤثر بر آن در زنان باردار دارای سابقه زایمان واژینال در شهرستان نیشابور

  Background and Objective: C esarean is a life saving intervention for mother and baby in certain circumstances, but it has adverse effects on both. of them. The objective of this study was to investigate pregnant women 's preference rate to cesarean delivery and factors associated with it, with special emphasis on pregnant women 's preference with previous vaginal delivery.   Materials and Methods: This cross-sectional study was conducted on all  pregnant women (who had previous vaginal delivery ) that supported by Neyshabur health care centers from 20 Feb, 2011 to 20 March, 2011. Data collection was formed via face-to-face interview with pregnant women and also use of health folders and then analyzed with use of t-independent test and logistic regression model.   Results: The mean age of the pregnant women (615 persons) at time of survey was 30.27±5.15 (Range: 18-47). In total, 558 (90.7%) preferred vaginal delivery and 57 (9.3%) cesarean delivery. After use of multiple logistic regression, there was a statistically significant relation between preference for cesarean delivery and the following variables: fear of delivery (p<0.001), Spouses′ occupation of pregnant women (p=0.002) and Local residence (p<0.001).   Conclusion: The result indicated that the pregnant women who had previous history of vaginal delivery had less desire to undergo cesarean delivery in their subsequent pregnancy . Nonetheless, consultation with an obstetrician is necessary before the selection of delivery type.   Key words: Cesarean Delivery, Vaginal Delivery, Pregnancy   Funding: This research was funded by Neyshabur University of Medical Sciences.   Conflict of interest: None declared.  Ethical approval : The Ethics Committee of Neyshabur University of Medical Sciences approved the study .     How to cite this article : Gholami A, Rezaof M, Shakeri MT, Gazerani A, M. Khojastehpour . Cesarean Preference Rate and Factors Associated with It among Pregnant Women with Previous Vaginal Delivery in Neyshabur, Iran . J Rafsanjan Univ Med Scie 2013 12(6): 437-46. [Farsi]