Volume 12, Issue 2 (vol-2 2006)                   Intern Med Today 2006, 12(2): 26-33 | Back to browse issues page

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Firoozi M, Hadizadeh Talasaz F. The Survey of attitude of gynecologists and midwives about vaginal birth after caesarean delivery and barriers from their views.. Intern Med Today 2006; 12 (2) :26-33
URL: http://imtj.gmu.ac.ir/article-1-31-en.html
1- , mahboobeh firoozi@yahoo.com
Abstract:   (12606 Views)
Background and Aim: Increasing of caesarean delivery beyond of acceptable rate, can have negative effects on the health of the mother and baby and economy of the society. Because of one-third of total caesarean deliveries are due to repeated caesarean, promotion of vaginal birth after caesarean can be a valuable way for decreasing of caesarean rate. The purpose of this study was to determine the attitude of gynecologists and midwives about vaginal birth after caesarean and barriers about it. Materials and Methods: This descriptive study was done on 124 gynecologists, residents and midwives. Gynecologists, residents and midwives of maternity units were selected by random sampling method from teaching hospitals and midwives of health centers were selected by cluster sampling. Research instrument was two sections questionnaire consist of: demographic characteristic and attitude assessment form include 21 phrases with minimum score of 0 and maximum 42. According acquired score attitude was classified to three levels: agree, neutral and disagree. Data were analyzed by using chi- square test, t test, and analysis of variance and Pearson correlation. Results: Data analysis indicated that most of gynecologists (80%), residents (61.1%), midwives in maternity units (81.4%) and midwives in health centers (60.5%) had positive attitude about vaginal birth after caesarean. There was a significant difference between attitude of subjects base on job (P=0.027) and time of graduation (P=0.049). According the views of gynecologists, no legal supports were the most barriers about VBAC. Conclusion: By attention to positive attitude of the gynecologists and midwives, for promotion of vaginal birth after caesarean, searching of barriers and solving them is suggested.
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Type of Study: Original | Subject: Internal Medicine
Received: 2007/06/22 | Published: 2006/07/15

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