Document Type : original article


1 Departement of Midwifery, Nursing and Midwifery Faculty, Khoy University of Medical Science Iran.

2 Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IR Iran.

3 Traffic Injury Prevention Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.

4 MD, Psychiatrist Khoy University of Medical Sciences, Iran.

5 Pediatric Health Research Center Tabriz University of Medical Science, Tabriz University of Medical Sciences, Tabriz, IR Iran.


The internal position of health control is related to positive awareness and attitude, cognition status, hygienic behaviors, and health. We aimed to investigate psychological issues related to the first childbirth and its relationship with favorite of the kind of next childbirths in women referring Ghamar-e Bani Hashem Hospital, Khoy, Iran.
Materials and Methods: The present study was a descriptive-analytical cross-sectional study. The study participants were postpartum women admitted to the postpartum ward of Qamar Bani Hashem Khoi Hospital in 2014-2015. Data collection tools included a questionnaire of preference for the next type of delivery and its causes, individual-social questionnaires, Edinburgh Postnatal Depression Scale (EPDS), Spielberger state-trait anxiety inventory, Wake-Forest, Multi-Scale Health Control Scale. Finally, the data were analyzed using SPSS software (version 13.0).
Results: The sample size of this study was 380 pregnant mothers. There was no significant statistical relationship between psychological variables and preference for delivery (P>0.05). The variables that were obtained statistically significant in the analysis of one variable with a preference for the type of delivery were entered into the regression test. Between these data, age, spouse's education, and income as a determinant of postpartum depression, anxiety and internal health scores, were among the predictors of preference for delivery (p <0.05).
Based on the results, there was no relationship between depression, anxiety, and post-partum health beliefs, with women preferring the next type of delivery. There was a relationship between individual and social factors and preference for the next type of women's delivery.