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Volume 6, Issue 4 (Fall 2021)                   J Obstet Gynecol Cancer Res 2021, 6(4): 209-216 | Back to browse issues page

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Hadadianpour S, Sanjari N, Fallahian M. Tendency toward Cesarean on Maternal Request in Fear of Sexual Dysfunction. J Obstet Gynecol Cancer Res. 2021; 6 (4) :209-216
URL: http://jogcr.com/article-1-368-en.html
1- Men’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- National association of Iranian obstetricians and gynecologists (NAIGO), Tehran, Iran , nasimsanjari@yahoo.com
Abstract:   (536 Views)

Background & Objective: To determine the factors affecting Iranian obstetricians and gynecologists’ (OB/GYNs’) decision about performing a cesarean section on maternal request.
Materials & Methods: A four-part questionnaire was designed and distributed between 150 randomly selected OB/GYNs in Iran during a national conference. One hundred questionnaires were sent back by the participants. The data were analyzed using SPSS 25. The influential factors on OB/GYNs’ decision about the mode of delivery, as well as the correlations between their knowledge, attitude, practice, gender, and years of work experience, were assessed.
Results: A positive correlation was found between OB/GYNs’ knowledge and attitude about the benefits of cesarean section and performing a cesarean section on maternal request in public and private hospitals. We did not find any correlation between age, gender, and years of practice with the practice of cesarean section on demand. Approximately 52.8% of female participants and 38.5% of male participants recommend cesarean section to their immediate families, and 81% of participants accepted the pregnant mother’s request for cesarean section. The stress of the potential impact of vaginal delivery on the pelvic floor and sexual function is the leading reason behind this decision.  
Conclusion: Since the views and concerns of OB/GYNs have a significant role in guiding pregnant women to decide the mode of delivery, and the fear of future sexual dysfunction is an important issue affecting obstetricians’ perspective, it should be taken into consideration.

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Systematic Review: Original Research | Subject: Obstetrics and Gynecology
Received: 2021/04/2 | Accepted: 2021/05/28 | Published: 2021/08/11

1. 1) ACOG Committee Opinion No. 761: Cesarean delivery on maternal request. Obstet Gynecol. 2019; 133(1): e73-7. [DOI:10.1097/AOG.0000000000003006]
2. 2) Latham SR, Norwitz ER. Ethics and "cesarean delivery on maternal demand". Seminars in Perinatology. 2009; 33(6): 405-9. [DOI:10.1053/j.semperi.2009.07.009]
3. 3) FIGO. Ethical issues in obstetrics and gynecology. 2012;
4. 4) Betran AP, Torloni MR, Zhang J, Ye J, Mikolajczyk R, Deneux-Tharaux C, et al. What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies. Reprod Health. 2015; 12: 57-7. [DOI:10.1186/s12978-015-0043-6]
5. 5) Ye J, Zhang J, Mikolajczyk R, Torloni MR, Gülmezoglu AM, Betran AP. Association between rates of caesarean section and maternal and neonatal mortality in the 21st century: a worldwide population-based ecological study with longitudinal data. Int J Obstet Gynaecol.2016; 123(5): 745-53. [DOI:10.1111/1471-0528.13592]
6. 6) Guleria K, Gupta B, Agarwal S, Suneja A, Vaid N, Jain S. Abnormally invasive placenta: changing trends in diagnosis and management. Acta Obstet Gynecol Scand. 2013; 92(4): 461-4. [DOI:10.1111/aogs.12083]
7. 7) Marshall NE, Fu R, Guise JM. Impact of multiple cesarean deliveries on maternal morbidity: a systematic review. Am J Obstet Gynecol. 2011;205(3):262-e1. [DOI:10.1016/j.ajog.2011.06.035]
8. 8) Gibbons L, Belizan JM, Lauer JA, Betran AP, Merialdi M, Althabe, F. Inequities in the use of cesarean section deliveries in the world. Am J Obstet Gynecol. 2012;206(4):331-e1 [DOI:10.1016/j.ajog.2012.02.026]
9. 9) Betrán AP, Ye J, Moller A-B, Zhang J, Gülmezoglu AM, Torloni MR. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PloS One. 2016; 11(2): e0148343. [DOI:10.1371/journal.pone.0148343]
10. 10) World Health Organization. Births by caesarean section: data by country. 2018;
11. 11) Maharlouei N, Moalaee M, Ajdari S, Zarei M, Lankarani KB. Caesarean Delivery in South-Western Iran: Trends and Determinants in a Community-Based Survey. Med Princ Pract. 2013; 22(2): 184-8. [DOI:10.1159/000341762]
12. 12) Torkzahrani S. Commentary: childbirth education in iran. The Journal of perinatal education. 2008; 17(3): 51-4. [DOI:10.1624/105812408X329601]
13. 13) Ghotbi F, Akbari Sene A, Azargashb E, Shiva F, Mohtadi M, Zadehmodares S, et al. Women's knowledge and attitude towards mode of delivery and frequency of cesarean section on mother's request in six public and private hospitals in Tehran, Iran, 2012. J Obstet Gynaecol Res. 2014; 40(5): 1257-66. [DOI:10.1111/jog.12335]
14. 14) Bahadori F, Hakimi S, Heidarzade M. The trend of caesarean delivery in the Islamic Republic of Iran. Eastern Mediterr Health J. 2014; 19 Suppl 3: S67-S70. [DOI:10.26719/2013.19.Supp3.S67]
15. 15) Azami-Aghdash S, Ghojazadeh M, Dehdilani N, Mohammadi M, Asl Amin Abad R. Prevalence and Causes of Cesarean Section in Iran: Systematic Review and Meta-Analysis. Iran J Public Health. 2014; 43(5): 545-5.
16. 16) Habiba M, Kaminski M, Da Frè M, Marsal K, Bleker O, Librero J, et al. Caesarean section on request: a comparison of obstetricians' attitudes in eight European countries. Int J Obstet Gynaecol. 2006; 113(6): 647-56. [DOI:10.1111/j.1471-0528.2006.00933.x]
17. 17) Panda S, Begley C, Daly D. Clinicians' views of factors influencing decision-making for caesarean section: A systematic review and metasynthesis of qualitative, quantitative and mixed methods studies. PloS One. 2018; 13(7): e0200941. [DOI:10.1371/journal.pone.0200941]
18. 18) Lauer JA, Betran AP, Merialdi M, Wojdyla D. Determinants of caesarean section rates in developed countries: supply, demand and opportunities for control. W. H. Organization. 2010.
19. 19) Barrett G, Peacock J, Victor CR, Manyonda L. Cesarean section and postnatal sexual health. Birth. 2005; 32:306-11. [DOI:10.1111/j.0730-7659.2005.00388.x]
20. 20) Gungor S, Baser I, Ceyhan T, Karasahin E, Kilic S. Does mode of delivery affect sexual functioning of the men partner? J Sex Med. 2008; 59(1): 155-63. [DOI:10.1111/j.1743-6109.2007.00479.x]
21. 21) Dazhi Fan, Song Li, Wen Wang, Guo Tian, Li Liu, Song Wu, et al. Sexual dysfunction and mode of delivery in Chinese primiparous women: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2017; 17: 408. [DOI:10.1186/s12884-017-1583-2]
22. 22) Keag OE, Norman JE, Stock SJ. Long-term risks and benefits associatedwith cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis. PLoS Med. 2018; 15(1): e1002494. [DOI:10.1371/journal.pmed.1002494]
23. 23) Fonseca-Pérez JE. Cesarean delivery on maternal request (CDMR). Revista Colombiana de Obstetricia y Ginecología. 2017; 68: 7-11. [DOI:10.18597/rcog.2985]
24. 24) Shams-Ghahfarokhi Z, Khalajabadi-Farahani F. Intention for Cesarean Section Versus Vaginal Delivery Among Pregnant Women in Isfahan: Correlates and Determinants. J Reprod Infertil. 2016; 17(4): 230-9.
25. 25) Bani S, Seied Rasooli A, Shamsi Ghoreishi T, Ghojazadeh M, Hasanpoor S. Delivery agents preferences regarding mode of delivery for themselves and pregnant women (obstetrics, gynecologists, midwives). Nurs Midwif J. 2010; 5(18):
26. 26) Ghorat F, Esfehani RJ, Sharifzadeh M, Tabarraei Y, Aghahosseini SS. Long term effect of vaginal delivery and cesarean section on female sexual function in primipara mothers. Electron Physician. 2017; 9(3): 3991-6. [DOI:10.19082/3991]
27. 27) Chater M, Camfield P, Camfield C. Erb's palsy - Who is to blame and what will happen? Paediatr Child Health. 2004; 9(8): 556-60. [DOI:10.1093/pch/9.8.556]
28. 28) Feng XL, Wang Y, An L, Ronsmans C. Cesarean section in the People's Republic of China: current perspectives. Int J Women's Health. 2014; 6: 59-74. [DOI:10.2147/IJWH.S41410]
29. 29) Singh P, Hashmi G, Swain PK. High prevalence of cesarean section births in private sector health facilities- analysis of district level household survey-4 (DLHS-4) of India. BMC Public Health. 2018; 18(1): 613. [DOI:10.1186/s12889-018-5533-3]

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