عنوان مقاله [English]
نویسنده [English]چکیده [English]
Background: Delivery is the most important challenge of every pregnant woman and has a significant impact on her mental and social health. Delivery is done in two ways: Vaginal or the cesarean section (C/S). Iran has one of the countries with high rates of C/S. The aim of this study was to determine the frequency and comparison of neonatal and maternal complications in two methods of delivery.
Methods: T study was conducted by collecting data from cases referred to the Legal Medicine Commission in Isfahan province 1.1.2013 to 30.12.2016. The records of all referrals due to labor injury were investigated and 65 cases were considered in which injuries in mother, neonate or both were confirmed by the Commission.
Results: Out of 65 deliveries 31 (47%) cases of cesarean section had a vaginal delivery. In 51 (78.5%) of the neonates and 24 (37%) of mothers complications confirmed by Commission in the childbirth process. 29 (44.6%) of neonates were damaged during vaginal delivery and 22 (34%) were injured in cases of C/S. 36 (55.3%) of neonates and 7 (10.8%) of mothers died due to complications of the childbirth process.
Conclusion: The odds ratio of neonate complications in vaginal delivery was 2.5 times than cesarean section and the odds ratio of mother to cesarean was twice that of vaginal delivery. It seems that the type of delivery of a pregnant woman is not carefully considered in the delivery methods indications, although definite comments on this issue require more quantitative and qualitative studies.