title: Factors associated with preference for repeat cesarean in neyshabur pregnant women.
abstract: BACKGROUND
  Cesarean delivery is a surgery for deliver a baby. Women with previous cesarean delivery (CD) must often choose between a vaginal delivery (VD) and repeat CD. Our aim of this study was to investigate factors associated with preference for CD in Neyshabur pregnant women with previous CD.
  
  
  METHODS
  A cross-sectional study was conducted on all pregnant women (who had previous caesarean delivery) from February 20, 2011 to March 20, 2011 in Northeast of Iran (Neyshabur). Logistic regression model was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs).
  
  
  RESULTS
  The mean age of pregnant women was 29.95 ± 4.94 years. In this study of the 292 pregnant women, 235 (80.5%) said they prefer CD. There was a statistically significant relation between preference for CD and the following variables: pregnant women's educational level (P < 0.001; OR = 3.86; 95% CI = 1.85-8.05) and doctor's advice (P = 0.021; OR = 3.55; 95% CI = 1.21-10.43). The pregnant women with a previous CD presented four-fold upper chance of choosing CD.
  
  
  CONCLUSIONS
  As observed in this study, most pregnant women with previous caesarean delivery prefer repeated caesarean delivery rather than VD in their subsequent pregnancy and educational level of pregnant women and doctor's advice were important factors that influenced this preference. This subject suggests the need to counsel pregnant women with an obstetrician before select delivery type.
authors.affiliation: Department of Public Health, Neyshabur University of Medical Sciences, Neyshabur, Iran ; Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Gholami
authors.affiliation: Department of Library and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Faraji
authors.affiliation: Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Pegah
authors.initials: P
authors.lastname: Lotfabadi
authors.affiliation: Department of Biostatistics and Epidemiology, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Zohre
authors.initials: Z
authors.lastname: Foroozanfar
authors.affiliation: Department of Midwifery, Neyshabur Health Center, Neyshabur University of Medical Sciences, Neyshabur, Iran.
authors.forename: Mitra
authors.initials: M
authors.lastname: Rezaof
authors.affiliation: Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Abdolhalim
authors.initials: A
authors.lastname: Rajabi
keywords: Caesarean delivery; preference; pregnant woman; vaginal delivery