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   Table of Contents      
Year : 2020  |  Volume : 25  |  Issue : 5  |  Page : 444

Cesarean section or normal vaginal delivery? The importance of the training programs for mothers and community

1 Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
2 Khoy University of Medical Sciences, Khoy, Iran

Date of Submission25-Feb-2020
Date of Decision26-Apr-2020
Date of Acceptance05-Aug-2020
Date of Web Publication1-Sep-2020

Correspondence Address:
Mrs. Zoleykha Asgarlou
Khoy University of Medical Sciences, Khoy
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnmr.IJNMR_33_20

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How to cite this article:
Ghoreishi TS, Asgarlou Z. Cesarean section or normal vaginal delivery? The importance of the training programs for mothers and community. Iranian J Nursing Midwifery Res 2020;25:444

How to cite this URL:
Ghoreishi TS, Asgarlou Z. Cesarean section or normal vaginal delivery? The importance of the training programs for mothers and community. Iranian J Nursing Midwifery Res [serial online] 2020 [cited 2022 Dec 7];25:444. Available from: https://www.ijnmrjournal.net/text.asp?2020/25/5/444/294122

Dear Editor,

The tendency of opting for a Cesarean Section (CS) has increased among pregnant women due to the lack of awareness about the complications of CS and the negative attitudes toward Normal Vaginal Delivery (NVD).[1] Global statistics indicate that although CS is not necessarily associated with positive outcomes for mothers and children, its popularity continues to increase.[2]

Given the high prevalence of CS in Iran, one of the seven axes in the Health Sector Evolution Plan (HSEP) has been dedicated to improving its status. However, studies indicate that the costs of both NVD and CS have increased and that the reduction in CS rates has not been achieved.[3]

Since physicians, midwives, and healthcare providers are the most important sources of information for pregnant women, providing appropriate guidance can increase the acceptability rate of their educational recommendations in the target group.[4] Furthermore, given the low awareness among pregnant women of the benefits of NVD, the necessary training before and during pregnancy about CS complications and the benefits of NVD for the mother and child's health is important. In this case, the results of various studies show the positive effects of educational programs conducted during pregnancy, such as the reduction of maternal anxiety, reduced CS rates, better experience of childbirth, increased satisfaction, decreased duration of hospital admission, and improved lactation and childcare and neonatal outcomes.[5]

In this regard, it is important to consider the effect of personality and psychological characteristics on fear and anxiety. Training should be introduced to help reduce maternal anxiety, highlight less painful methods for childbirth, provide accurate information on childbirth stages, and ultimately improve mothers' feelings toward NVD. Emotional and social support from the family and health systems can also help considerably in prompting mothers to choose the NVD method. Therefore, community-based training can be considered in order to create a better impact. These factors together will lead to improving the health of mothers, children, and the community at large. Furthermore, they will help prevent the imposition of high costs on individuals and the health system.

Financial support and sponsorship


Conflicts of interest

Nothing to declare.

  References Top

Alimohamadian M, Shariat M, Mahmoodi M, Ramezanzadeh F. The influence of maternal request on the elective cesarean section rate in maternity hospitals in Tehran, Iran. Payesh 2003;2:137-42.  Back to cited text no. 1
Villar J, Valladares E, Wojdyla D, Zavaleta N, Carroli G, Velazco A, et al. Caesarean delivery rates and pregnancy outcomes: The 2005 WHO global survey on maternal and perinatal health in Latin America. Lancet 2006;367:1819-29.  Back to cited text no. 2
Yaghoubi M, Javadi M, Karimi S, Pirasteh V. Costs of normal and caesarian section delivery before and after implementation of the national health sector evolution plan in Iran from the perspectives of patients, Health service providers and hospitals. J Sch Public Health Inst Public Health Res 2018;16:114-25.  Back to cited text no. 3
Mohammadi G, Abbasi M. Study of informed decision making in pregnant women about delivery method. Med Ethics J 2014;8:53-69.  Back to cited text no. 4
Ferguson S, Davis D, Browne J. Does antenatal education affect labour and birth? A structured review of the literature. Women Birth 2013;26:e5-8.  Back to cited text no. 5


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