A Study of The Attitude of Health Care Providers Working in Ganjavian Hospital in Dezful City towards Normal Vaginal Delivery and Cesarean Section

Introduction: Cesarean section is a common surgical intervention in the world.Caesarean birth is life-saving for mother and her newborn.However, overuse of it is a global health concern.The aim of this study was to examine the attitudes of health care providers towards the mode of delivery.Methods: In this cross-sectional-analytical study, the study population consists of obstetricians, nurses and midwives working in labor wards, gynecological surgery wards and operating rooms of Ganjavian hospital in Dezful.After obtaining written consent, a questionnaire is available.They consisted of two parts: the first part included demographic information (age, sex, work or education history, marital status, type of delivery, number of children and history of abortion; stillbirth or infant death) and the second part included a questionnaire measuring attitudes toward The delivery was normal and cesarean section.The questionnaire used in this study is a standard questionnaire that was validated by Heidari et al. in 2014.SPSS software version 20 was used for data analysis.Student's t-test was used to evaluate the mean difference.Results: Out of 105 participants in the present study, 12 were obstetricians (11.4%),21 were nurses (20%) and 70 (66.6%)were midwives.Findings of the study showed that the majority of obstetricians (91.7%) and the majority of midwives (87.1%) and most nurses (87.5%) had a neutral attitude towards cesarean section.None of the obstetricians and nurses had a positive attitude towards cesarean section.Physicians had a more neutral attitude towards cesarean section than nurses and midwives.Nurses did not have a negative attitude towards normal vaginal delivery.In addition, midwives had a more positive attitude towards normal vaginal delivery than doctors and nurses.Conclusion: It seems that different attitudes towards the mode of delivery can be confusing for pregnant women.A prerequisite for a safe delivery is a close working relationship between the obstetrician and midwife/nurse.