fa بررسی میزان سزارین و علل آن در شهرستان فسا، 1390 زنان و زايمان Gynecology & Obstetrics پژوهشي Research <p style="direction: rtl"><b><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">زمینه و هدف</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>: </span></b><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">میزان</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">سزارین در سال‌های اخیر در کشور‌های دنیا و همچنین کشور ما روند رو به افزایشی را داشته است. این موضوع برای کشور ما که سیاست جمعیتی خود را در راستای افزایش جمعیت تغییر داده است از اهمیت بیشتری برخوردار است؛ لذا هدف از این پژوهش بررسی شیوع سزارین و علل آن در شهرستان فسا در 1390 می‌باشد</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>.</span></p><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">مواد و روش‌ها</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>: </span></b><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt">در این مطالعه توصیفی</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>-</span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"> </span><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">مقطعی</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt">اطلاعات لازم از پرونده زنان سزارین شده در سال 1390 از بیمارستان ولی عصر فسا بوسیله پرسشنامه ساختار</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt">یافته، شامل اطلاعات دموگرافیک مادر</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt">و ع</span><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">لت</span><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt">سزارین، استخراج گردید. تعداد زایمان‌های طبیعی و سزارین در سال 1390 نیز از معاونت بهداشت دانشگاه علوم پزشکی فسا و بایگانی بیمارستان ولی عصر فسا جمع آوری شد. داده‌ها توسط نرم افزار</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> SPSS V 18 </span><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt">با شاخص‌های فراوانی و درصد توصیف شد</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>.</span></p><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt">نتایج</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>: </span></b><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">در شهرستان فسا در سال 1390 تعداد 4376 زایمان انجام پذیرفته است که 2741 (62%) از آن‌ها به صورت سزارین انجام گرفته است. که 1540 نفر(7/56 %) از زنان سزارین شده شهری و مابقی (1201 نفر) روستایی بودند و میانگین سنی کسانی که در این سال سزارین شده‌اند 5/27 سال بود. سزارین قبلی با 2/33% بیشترین علت سزارین در سال 1390 را تشکیل می‌داد</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>. </span></p><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">نتیجه‌گیری</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>: </span></b><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">میزان سزارین در شهرستان فسا در سال 1390 حدود چهار برابر میزان توصیه شده سازمان جهانی بهداشت (15</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>%) </span><span lang="FA" style="color: black font-family: "B Nazanin" font-size: 10pt mso-fareast-font-family: "Times New Roman" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 8.0pt mso-bidi-language: FA">و بالاتر از میانگین کشور بود و نسبت به ده سال گذشته افزایش یافته است</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black font-family: "Times New Roman",serif font-size: 8pt mso-fareast-font-family: "Times New Roman" mso-bidi-font-family: "B Nazanin" mso-bidi-language: FA mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>. </span></p> <p><b><i><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman"">Background& Objective: </span></i></b><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman"">The prevalence of cesarean section (C/S) has increased worldwide, as in Iran, in current years. This issue is more important for our country due to the change in the policy of family planning to increase population. Therefore, the objective of the present study is to determine the prevalence of C/S and its causes in Fasa in the year 2011. </span></p><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: normal"><b><i><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman"">Materials& Methods:</span></i></b><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman""> </span><span style="background: white color: black font-family: "Times New Roman",serif font-size: 9pt mso-fareast-font-family: "Times New Roman"">In this cross-sectional descriptive study, the data were collected from profiles of women who underwent C/S in Vali Asr hospital in Fasa University of Medical Sciences Fars, Iran in the year 2011 by using a standard questionnaire containing socio-demographic data and its causes of C/S. The rates of Normal Vaginal Delivery (NVD) and C/S were obtained from vice-chancellor for health of Fasa University of Medical Sciences. The data were described by SPSS software version 16, prevalence and percentage indices.</span></p><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: normal"><b><i><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman"">Results:</span></i></b><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman""> There were 4376 deliveries in Fasa in the year 2011 that 2741 (62%) of them were cesarean section that 1540(56/7%) of them were rural and the rest of them (43.3%) were urban. The average age of them was 27.5 years. The most cause for C/S was previous section. </span></p><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: normal"><b><i><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman"">Conclusion: </span></i></b><span style="color: black font-family: "Times New Roman",serif font-size: 10pt mso-fareast-font-family: "Times New Roman"">The rate for cesarean section was four times more than the suggested rate by World Health Organization (WHO) (15%). This is also higher than the average rate of Iran that has increased during recent decades.</span></p> سزارین, زایمان, سزارین قبلی Cesarean section, Delivery, Previous cesarean section 295 300 http://jabs.fums.ac.ir/browse.php?a_code=A-10-297-1&slc_lang=fa&sid=1 Sheida Jouhari شیدا جوهری Sh.jouhari@yahoo.com Sh.jouhari@yahoo.com Sh.jouhari@yahoo 2299070281 10031947532846005633 No Department Of Obstetrics and Gynecology, Fasa University of Medical Sciences, Fasa, Iran. گروه زنان و زایمان، دانشگاه علوم پزشکی فسا، فسا، ایران. Sattar Bayati ستار بیاتی sattar_bayati@yahoo.com 5130030524 10031947532846005634 Yes Student research committee, Fasa University of Medical Science, Fasa, Iran. کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی فسا، فسا، ایران. Fatemeh Poor Asadi Kheirabadi فاطمه پوراسد خیرآبادی poorasad.f@gmail.com 09397983484 10031947532846005635 No Student research committee, Fasa University of Medical Science, Fasa, Iran. کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی فسا، فسا، ایران. Elham Moradi الهام مرادی Elham.moradi@yahoo.com 09172039286 10031947532846005636 No Student research committee, Fasa University of Medical Science, Fasa, Iran. کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی فسا، فسا، ایران.