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EXPLORATION OF WOMEN BIRTH EXPERIENCES ROLE IN DECISIDING THE TYPE OF NEXT DELIVERY Ahmad SHirvani M , Bagheri-Nesami M *, Tayebi T Received: 31 Mar, 2014 Accepted: 22 May, 2014 Abstract Background & aims: The women's ultimate satisfaction of birth is influenced by their expectations and real experience. A birth experience is a reason for increasing cesarean rate based on mother's demand. This study aimed to clarify the role of previous birth experience on women's decision-making about the type of next delivery. Materials & Methods: This study is a qualitative research with descriptive-exploratory design. A purposive sampling was done in all women with at least once natural delivery or c-section or both who referred to health centers of Sari until six months postpartum. Sampling was continued until data saturation. After interviewing with 16 participants consisting of 10 mothers with normal vaginal delivery, and 6 cesarean sections, data saturation was achieved. Face to face semi-structured interview was used to explore the experiences. Coding and data analyses were done during sampling by using Graham and Landman content analysis method. Results: Initial codes were 166 with two main themes effective factors on selection of natural delivery, and cesarean. Four sub-themes that formed effective factors in the natural birth were pain management, stress management, experiencing natural childbirth outcomes, and low costs. Lack of awareness during cesarean, faster process of cesarean, the consequences of cesarean, having knowledge and staff’s behavior were 5 sub-themes in effective factors on selection of cesarean delivery category. Conclusion: Positive experiences lead to positive attitude of the mother about vaginal birth. Based on the results, women often chose cesarean as an approach to deal with negative experiences of natural childbirth. It seems that many factors that lead to negative birth experiences could be corrected. So, attention to the encouraging or inhibiting factors in both of natural and cesarean delivery can reduce the demand for cesarean. Key words: experience, previous delivery, attitude, decision-making, selection, content analysis Address: Nasibeh Nursing & Midwifery School, Mazandaran University of Medical Sciences, Sari, Iran, Tel: (+98)151 2267345 Email: Mbagheri@mazums.ac.ir , anna3043@gmail.com

Keywords: experience, previous delivery, attitude, decision-making, selection, content analysis

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