Introduction
The prevalence of cesarean sections (CS) has been rising globally, with Iran reporting one of the highest rates. The mixed-methods systematic review titled "Prevalence of and reasons for women’s, family members’, and health professionals’ preferences for cesarean section in Iran" offers valuable insights into the factors influencing these preferences. As a practitioner, understanding these factors can enhance your ability to guide and support families in making informed decisions about childbirth.
Key Findings from the Review
The review identifies several themes influencing the preference for CS in Iran:
- Women’s Factors: Fear of labor pain and perceived safety for the baby were significant reasons for preferring CS. Cultural beliefs and the influence of family and friends also played a role.
- Health Professional Factors: Healthcare providers' beliefs about the safety and convenience of CS, along with legal and financial incentives, influenced their recommendations.
- Health System Factors: The physical condition of birth facilities and the availability of pain relief options affected women's preferences.
Implications for Practitioners
Understanding these factors can help practitioners develop strategies to address the high CS rates in Iran. Here are some actionable steps:
- Education and Counseling: Educate women and families about the risks and benefits of both CS and vaginal birth. Address fears and misconceptions through counseling and support groups.
- Enhancing Facility Standards: Advocate for improved birth facility conditions and the availability of pain relief options to encourage vaginal births.
- Collaborative Care Models: Foster collaborative care models that involve midwives and obstetricians working together to support women’s birth preferences.
Encouraging Further Research
The review highlights the need for further research to understand the local barriers and develop targeted interventions. Practitioners are encouraged to participate in or support research initiatives that explore innovative strategies to optimize the use of CS in Iran.
Conclusion
By understanding the multifaceted reasons behind the preference for CS, practitioners can better support women in making informed decisions about childbirth. Implementing evidence-based strategies can help reduce unnecessary CS rates and improve maternal and child health outcomes in Iran.
To read the original research paper, please follow this link: Prevalence of and reasons for women’s, family members’, and health professionals’ preferences for cesarean section in Iran: a mixed-methods systematic review.
