objective: this study assessed the influence of maternal request on elective cesarean rate and related factors in maternity hospitals in tehran. materials and method: this cross sectional descriptive analytic study was performed via a two-step random sampling technique, using data from 824 pregnant women who attended the maternity hospitals in tehran in 2001. a questionnaire covering past and p...

background: nowadays, there has been a growing trend of caesarean sections in iran. one reason would be the mother’s desire. increased maternal self‑efficacy can be an important step to reduce percentage of cesarean. this study aimed to determine the effectiveness of training‑based strategies to increase the self‑efficacy for choosing delivery method among pregnant women in shahrekord city. met...

background: a qualitative study was carried out on 200 pregnant women attending obstetric offices and imam ali women's clinic in zahedan, iran during january 2010 to august 2011. twenty-nine focus group discussions (fgds) with 5-8 participants in each group were formed. the study included women in the third trimester of pregnancy with the intention or decision to undergo elective cesarean secti...

OBJECTIVE To estimate the maternal puerperal morbidity in elective and emergent cesareans in twins. STUDY DESIGN We evaluated postpartum complications among patients who underwent elective cesarean birth for twin pregnancy. This group was compared to matched singletons and to emergent cesareans in twins. RESULTS During the period September 1994-March 2006 there were 299 (47.4%) elective and...

abstract background: the fear of aspiration of gastric contents and its life‑threatening disadvantages in patients have encouraged many medical practitioners to follow conservative policies for clear fluid/liquid and solid intake from midnight to the time of surgery. these policies have been pursued more severely in case of pregnant women, leading the physicians to follow “nil per os” policy. t...

INTRODUCTION Perinatal mortality rates have come down in cesarean sections, but fetal morbidity is still high in comparison to vaginal delivery and the complications are more commonly seen in emergency than in elective cesarean sections. The objective of the study was to compare the fetal outcome and the indications in elective versus emergency cesarean section performed in a tertiary maternity...

BACKGROUND Cesarean delivery has negative effects on breastfeeding. The objective of this study was to evaluate breastfeeding rates, defined in accordance with World Health Organization guidelines, from delivery to 6 months postpartum in infants born by elective and emergency cesarean section and in infants born vaginally. METHODS Delivery modalities were assessed in relation to breastfeeding...

BACKGROUND The literature is nearly unanimous in recommending elective cesarean delivery at 39 weeks of gestation because of the lower rates of neonatal respiratory complications compared to 38 weeks. However, elective cesarean delivery at 39 weeks or more may have maternal and other fetal consequences compared to delivery at 38 weeks, which are not always addressed in these studies. DISCUSSI...

OBJECTIVE To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after cesarean (VBAC) in women with one prior cesarean delivery and to evaluate the cost differences between elective repeat cesarean and VBAC. METHODS We conducted a retrospective cohort study of 672 women with one prior cesarean delivery and a singleton pregnancy at or after 3...

OBJECTIVE We aimed to examine maternal postpartum complications of twin deliveries according to mode of delivery and investigate the associated risk factors. METHODS This was a retrospective cohort review of twin pregnancies with delivery after 26 weeks at a tertiary teaching hospital (1993-2008). The rates of maternal postpartum complications were compared among vaginal, elective cesarean an...