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Background & Aims: An increasing trend in the rate of cesarean section has been observed during the past years. Due to the surgical complications, vaginal delivery is preferred as a favorite procedure. However, women's attitudes play an effective role in this regard. WHO reported that 15% of childbirths in the world have indication for cesarean section. The aim of the present study was to estimate the prevalence of selection of cesarean section and its contributing factors in the pregnant women in Marand.Materials & Methods: In this cross - sectional study by convenience sampling, 450 pregnant women were face to face interviewed in three primary health care centers, two obstetric clinic, and two midwifery clinics in Marand, 2007. The questionnaire included some questions regarding demographic characteristics, fertility history, selection of mode of delivery and its reasons. Chi square test and independent t - test were used for statistical analysis using SPSS 13 and CIA software’s.Results: In this study, 33.1% of all cases were selected cesarean section. Education, Previous history of cesarean section and referral place for control of pregnancy were associated with selection of mode of delivery (P

Keywords: cesarean section, mode of delivery, labor pain

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