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Personal, Interpersonal, and Organizational Predictors of the Mode of Delivery Among Urban Women: A Prospective Study With Socio-Ecological Approach

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  • Fatemeh Bakhtari
  • Haidar Nadrian
  • Hossein Matlabi
  • Parvin Sarbakhsh
  • Maryam Bidar

Abstract

The aim of this prospective study was to investigate the predictors of choosing mode of delivery (MOD) among Iranian urban women applying the socio-ecological model. In 2015, a convenient sample of 530 pregnant women in urban regions of Urmia, Iran, was recruited to complete a socio-ecological approach–based questionnaire. Then, 1 week after childbirth, the women were followed up by telephone to be asked about their MOD (response rate = 81.88%). Logistic regression analysis showed that the odds of cesarean section (CS) among the women with university education, whose husbands were an employee in a governmental organization, who preferred a private hospital for delivery, and who selected the CS as the preferred MOD during pregnancy were significantly higher than their counterparts. Among all the factors, the socioeconomic status of the families was more influential in predicting the MOD among women. The cognitive factors like fear of childbirth may not be determinants for MOD if women are from privileged families.

Suggested Citation

  • Fatemeh Bakhtari & Haidar Nadrian & Hossein Matlabi & Parvin Sarbakhsh & Maryam Bidar, 2019. "Personal, Interpersonal, and Organizational Predictors of the Mode of Delivery Among Urban Women: A Prospective Study With Socio-Ecological Approach," Clinical Nursing Research, , vol. 28(3), pages 280-297, March.
    • Handle: RePEc:sae:clnure:v:28:y:2019:i:3:p:280-297
    DOI: 10.1177/1054773817740530
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    References listed on IDEAS

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    1. Kristjana Einarsdóttir & Anna Kemp & Fatima A Haggar & Rachael E Moorin & Anthony S Gunnell & David B Preen & Fiona J Stanley & C D’Arcy J Holman, 2012. "Increase in Caesarean Deliveries after the Australian Private Health Insurance Incentive Policy Reforms," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-5, July.
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