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Int J Women’s Health Reproduction Sci Vol. 2, No. 1, Winter 2014 ISSN 2330-4456 Assessing the Relative Contribution of Causes Leading to Cesarean Section Among Women Who had Referred to ShahidMadani Clinic in Marand City Zahra Ghanbari1, Rana Shokouhmand2, HakimehKhatoon Asadi2, Shirin Naghizadeh2, Fatemeh Chupani3 Abstract Objectives: Cesarean section is a surgical procedure and it is performed when the normal vaginal delivery is not available or vaginal delivery is dangerous for mother or fetus. In other words, there are some special indications for cesarean section. In the past decade the rate of cesarean delivery in the absence of clear indications has increased. This subject suggests an intensive research and attention. This study has compared the causes of cesarean delivery among women. Material and methods: 100 women who had referred to Shahid Madani Clinic in Marand city, were asked based on questionnaire that included information about patients and a list of causes that could lead women to a cesarean deli ery.Thereafter,the contribution of each cause was assessed. Results: Fear of labor pain is the most common cause of cesarean delivery (35%) while having history of previous caesarean section, fear of disturbing the anatomy of external genitalia , medical indication for caesarean section and cultural beliefescaused with lower rate in comparsion to fear of labor pain. were placed in lower classes. Conclusion: This study showed that, several factors may lead women to caesarean delivery; The fear of labor pain is the most common factor that could be reduced by proper training and holding childbirth preparation classes for pregnant women. 1-Faculty of Medical Sciences, Islamc Azad University Tabriz Branch, Iran. 2-Marand Health Network System, Tabriz University of Medical Sciences, Iran. 3-Faculty of Medicine, Department of Midwifery, Tabriz University of Medical Sciences, Iran. Article History: Received September 2013 Accepted October 2013 Available online January 2014 Corresponding Author: Zahra Ghanbari, General Physician, Islamic Azad University Tabriz Branch, Iran Tel: +989143057376 Email: dr_zahra2009@yahoo.com

Assessing the Relative Contribution of Causes Leading toCesarean Section Among Women Who had Referred toShahidMadani Clinic in Marand City