Comparison of Regret and Hopelessness in Primiparous Iranian Women Following Vaginal Birth and Cesarean Section

سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 130

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شناسه ملی سند علمی:

JR_JMREH-10-4_003

تاریخ نمایه سازی: 18 مهر 1401

چکیده مقاله:

Background & aim: The rate of unnecessary caesarean section are exceptionally high in some countries, including Iran. Though women may choose their mode of delivery, negative feelings of regret and hopelessness can occur in relation to decision-making following birth. Thus, this study aimed to compare regret and hopelessness in primiparous women following both vaginal and cesarean birth.Methods: Overall, ۳۰۰ participants were included in this descriptive comparative study. Participants were included following vaginal birth (n=۱۰۰), birth via emergency cesarean section (n=۱۰۰) and birth via elective cesarean section (n=۱۰۰) between June and October ۲۰۱۹. Participants were recruited from comprehensive health centers in Zabol, southeast of Iran. Data collection tools included the demographic characteristics questionnaire, Decision Regret Scale, and Beck Hopelessness Scale which were completed eight weeks after childbirth. To analyze data independent-sample T test and one-way ANOVA were used.Results: Mean and standard deviation for scores in relation to regret eight weeks following vaginal birth and elective cesarean section were ۲۹.۷۰ ± ۲۵.۹۷, ۴۳.۲۰ ± ۱۵.۸۸, respectively. There was a statistically significant difference between the mean score of regret in the vaginal birth and elective cesarean section (P < ۰.۰۰۱). There was no statistically significant difference in terms of hopelessness among three groups of vaginal birth, birth via emergency cesarean section, and birth via elective cesarean section.Conclusion: The higher scores in relation to regret in women who birthed via elective cesarean section in this study suggest that strategies are required to reduce rates of unnecessary cesarean sections. 

نویسندگان

Hayede Arbabi

MSc Student of Midwifery, Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

Leila Amiri Farahani

a) Associate Professor, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran b) Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

Shima Haghani

Lecturer, Department of Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran

Sally Pezaro

Assistant Professor in Midwifery, The Centre for Healthcare research, Coventry University, United Kingdom

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