Background: In many regions of the world, the rate of cesarean sections is increasing. In the absence of clear medical indications, an increase in women's requests for cesarean sections is cited as a potential reason. The study aimed to find out the factors that contribute to choosing the mode of delivery. Methods: A cross-sectional descriptive study design was applied to 600 pregnant women who visited the Duhok Obstetrics and Gynecological Hospital in the Kurdistan region of Iraq from 1st October 2021 to 30th March 2022. A consecutive sampling method was used to select them. For data collection, a questionnaire was used that consisted of the women's socio-demographic information, obstetric data, and the factors influencing the choice of delivery mode. Descriptive data analysis was used to determine the sociodemographic and obstetrical characteristics, and the baby's, maternal, and social factors by frequency and percentage. Results: The favorite mode of delivery was vaginal delivery (94.2%), and the common factors affecting the choice of vaginal delivery were "health of the newborn" (99.6%) as a baby factor, followed by "fewer complications" (98.7%) as a maternal factor. The common factors that affected their choosing Cesarean section were "fetal distress" (57.1%) as a baby factor, maternal factors "worry about tearing of the perineum" (97.1%), and "fear of labor pain" (94.2%). Family members and friends were the main sources of information about vaginal delivery (97.5%) and cesarean section (82.8%) Conclusion: The prevalence of unnecessary cesarean sections can be decreased by increasing women's participation in childbirth education programs, and promoting and using new low-pain vaginal delivery techniques.
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