Pregnant Women's Perception and Attitude Towards Mode of Delivery in Erbil City- A Qualitative Study

Authors

  • Khadija Mirkhan Ahmed Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Tiran Jamil Piro Department of Midwifery, College of Nursing, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/ejnm.2022.02

Keywords:

Pregnant Women, Attitude, Perception, Knowlege, Mode of Delivery

Abstract

Background and objective: The childbirth experience has always been represented as a significant event in women’s lives. With the rising rates of cesarean sections in the Kurdi-stan region and lack of evidence, this study was conducted to explore women’s perceptions and attitudes towards a mode of delivery.
Method: An exploratory qualitative design with indepth interviews was used to collect data from 18 pregnant women. All in-depth interviews were tape-recorded, transcribed, and subsequently analyzed. Inductive content analysis methods were used to establish the meaning units, subthemes, and main themes.
Result: From the analysis of depth-interview data of 18 pregnant women, 48 meaning units were obtained. These meaning units were collected into four themes and nine sub-themes. These themes were identified as perceived advantages and disadvantages of a mode of delivery, knowledge deficit, weak healthcare provider's role, and fear related to vaginal delivery.
Conclusion: Results showed that women’s decision-making on the mode of delivery depended on their family and friends’ opinions. Health care providers had few roles in providing the necessary information about the advantages and disadvantages of delivery modes, childbirth, and decreasing their fear of vaginal delivery.

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References

Mohammadzadeh, Fatemeh and Sheidaei, Sedigheh and jafarnejad, farzaneh and taji-heravi, ala. The Effect of Peer Education on Pregnant Women's Choosing Mode of Deliv-ery. Journal of Midwifery and Reproductive Health. 2019 .vol.7. 1880-1887. Available from doi:10.22038/JMRH.2019.38654.1429. [Accessed 2020 Nov 21]

Begum, T., Ellis, C., Sarker, M. et al. A quali-tative study to explore the attitudes of wom-en and obstetricians towards cesarean deliv-ery in rural Bangladesh. BMC Pregnancy Childbirth 2018.vol.18, 368. Available from doi: https://doi.org/10.1186/s12884-018-1993-9. [Accessed 2020 Nov 20]

Dogra, Pooja and Reena Sharma. "Preferences of pregnant women regarding mode of delivery: a questionnaire-based study." International Journal of Scientific 2017.vol. 3: 292-295.Available form doi:10.18203/ISSN.2454-2156.INTJSCIREP20174870. [Accessed 2020 Des 12]

Ajeet S, Jaydeep N, Nandkishore K, Nisha R. Women's Knowledge, Perceptions, and Po-tential Demand towards Caesarean Section. National Journal.2011. vol. 2. 243-248. [Accessed 2020 Nov 20]

Varghese S, Singh S, Kour G, Dhar T. Knowledge, attitude and preferences of pregnant women towards the mode of deliv-ery in a tertiary care center. International Journal of Research in Medical Scienc-es,2016.vol 4, No 10. Available from doi: http://dx.doi.org/10.18203/2320-6012.ijrms20163299. [Accessed 2020 Nov 20]

Taheri Z, Mazaheri MA, Khorsandi M, Has-sanzadeh A, Amiri M. Effect of Educational Intervention on Self-efficacy for Choosing Delivery Method among Pregnant Women in 2013. International journal of preventive medicine.2014.vol. 5,10 : 1247-1254. PMCID: PMC4223943. [Accessed 2020 Nov 21].

Khatony, A., Soroush, A., Andayeshgar, B. Saedpanah, N. Abdi, A. Attitude of pri-miparous women towards their prefer-ence for delivery method: a qualitative content analysis. Arch Public Health 2019.vol.77, 38 . doi: https://doi.org/10.1186/s13690-019-0364-y. [Accessed 2020 Nov 22]

Navaee, Maryam, and Zahra Abedian. Effect of role play education on primipa-rous women's fear of natural delivery and their decision on the mode of deliv-ery." Iranian journal of nursing and mid-wifery research 2015.vol. 20,1: 40-6. PMCID: PMC4325412. [Accessed 2020 Nov 21]

Solima, Safaa. Effect of an Interventional Program on Pregnant Women's Knowledge and Attitude Toward Mode of Delivery at Beni -Surf City, Egypt. American Journal of Nursing Science. 2017.vol. 6:135. Available from: doi:10.11648/j.ajns.20170602.18. [Accessed 2020 Des 1]

Seyedi-Andi S J, Borhani M, Koshki G, Fa-daei E, Saber M, Mehri A. Effect of Educa-tion on Choosing Delivery Mode among Pregnant Women Referred to Health Cen-ters of Minoodasht City: An Application of BASNEF Model. Journal of Health Educa-tion and Health Promotion. 2017, vol. 5 (1) :67-78.available from doi:http://hehp.modares.ac.ir/article-5-12379-en.html. [Accessed 2020 Aug 1]

Shabila, N.P. Rates and trends in cesare-an sections between 2008 and 2012 in Iraq. BMC Pregnancy Childbirth.2017. vol. 17, 22.Available from doi: https://doi.org/10.1186/s12884-016-1211-6. [Accessed 2020 Aug 11]

Hancock, M. E., Amankwaa, L., Revell, M. A., & Mueller, D.. Focus Group Data Satu-ration: A New Approach to Data Analysis. The Qualitative Report, 2016. vol 21(11), 2124-2130. Available from doi: https://doi.org/10.46743/2160-3715/2016.2330[Accessed 2021 Jun 8]

Sendo, E. G., Chauke, M. E., & Ganga-Limando, M. Why some women who attend focused antenatal care fail to deliv-er in health facilities: a qualitative study of women's perspectives from slums of Addis Ababa, Ethiopia. BMJ Open, 2020. vol.10(12), e039189. https://doi.org/10.1136/bmjopen-2020-039189. [Accessed 2021 Aug 5].

Moretti F, van Vliet L, Bensing J, Deledda G, Mazzi M, Rimondini M, et al. A standardized approach to qualitative content analysis of focus group discussions from different coun-tries. Patient education and counseling journal,2011. vol. 82,3: 420-8. doi:10.1016/j.pec.2011.01.005. [Accessed 2021 Aug 11]

Zakerihamidi M, Latifnejad Roudsari R, Merghati Khoei E. Vaginal Delivery vs. Cesar-ean Section: A Focused Ethnographic Study of Women's Perceptions in The North of Iran. International Journal of Community-Based Nursing and Midwifery .2015. vol. 3(1):39-50. PMCID: PMC4280556. [Accessed 2021 Oct 29]

Malacrida C, Boulton T. The best laid plans? Women's choices, expectations and experi-ences in childbirth. Health. 2014.vol. 18(1):41-59. doi:10.1177/1363459313476964. [Accessed 2021 Oct 29]

Moazzem Hossain SM, Ibrahim S, Al-Harun A, Muhammad S, Oudah K, Jaffar I. Maternal and Neonatal Health in Select Districts of Iraq: Findings from a Recent Household Sur-vey. Journal of Pregnancy Child Health.2018. vol. 5: 395. doi: 10.4172/2376-127X.1000395. [Accessed 2021 Oct 29 .

Bodner K, Wierrani F, Grünberger W, Bodner-Adler B. Influence of the mode of delivery on maternal and neonatal outcomes: a com-parison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population. Arch Gynecol Obstet Journal. 2011. vol.283(6):1193-1198. doi:10.1007/s00404-010-1525-y. [Accessed 2021 Oct 29]

Abedian Z, Navaee M, Sani HJ, Ebrahimza-deh S. Comparing two instructional methods of role-playing and lecture on primigravida females, a decision about the type of deliv-ery. Journal of Education Health Pro-mottion.2017.vol. 6 (1): 29.Available from doi:10.1007/s00404-010-1525-y [Accessed 2021 Oct 29]

Aksoy M, Aksoy AN, Dostbil A, Celik MG, Ince I. The Relationship between Fear of Child-birth and Women's Knowledge about Pain-less Childbirth. Obstetrics and Gynecology International. 2014. vol. 2014:274303. doi:10.1155/2014/274303 [Accessed 2020 Nov 20]

Storksen HT, Eberhard-Gran M, Garthus-Niegel S, Eskild A. Fear of childbirth; the rela-tion to anxiety and depression. Acta Obste-tricia et Gynecologica Scandinavica. 2012vol. 91:237–242.Available from: doi: https://doi.org/10.1111/j.1600- 0412.2011.01323.x [Accessed 2021 Oct 30]

Serçekuş P, Okumuş H. Fears associated with childbirth among nulliparous women in Turkey. Journal of Midwifery. 2009.vol. 25(2):155-162. doi: 10.1016/j.midw.2007.02.005. PMID: 17600599.

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Published

2022-05-30

How to Cite

1.
Ahmed KM, Piro TJ. Pregnant Women’s Perception and Attitude Towards Mode of Delivery in Erbil City- A Qualitative Study. Erbil j. nurs. midwifery [Internet]. 2022 May 30 [cited 2024 Apr. 26];5(1):11-2. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/175

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Original Articles