OBJECTIVE:Childbirth is a natural physiological event experienced by many women; however, it is frequently also a source of fear in women. Rates of cesarean sections in Turkey are higher in the urban areas than in the rural areas. We hypothesized that lower fear of childbirth (FOC) rates would be observed in the city having the lowest cesarean section rates in Turkey. This study aimed to compare FOC in women in two resident populations: one in a rural area and the other in an urban area.METHODS:This study was conducted on 253 pregnant women in Istanbul, a large urban municipality, and Siirt, a city in rural Turkey. A descriptive information form and the A version of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) were used.RESULTS:Severe FOC levels were recorded in women in the Istanbul sample; moreover, these levels were higher than those recorded in women in the Siirt sample. In addition, women in the Istanbul sample preferred vaginal birth to cesarean section and had greater FOC, a finding which demonstrates that women prefer vaginal birth even though they have a higher FOC level and live in a city with high cesarean section rates. Where women live (rural versus urban areas) affects their perception of birth and consequently, their FOC levels.CONCLUSION:The results of this study suggest that further cross-cultural and regional research is needed for better understanding FOC and factors associated with elevated FOC levels within each cultural setting.
aFiliz OKUMUŞ b ÖZET Amaç: Bu araştırma, özel hastanede vajinal doğum yapan veya sezaryen olan primipar kadınların doğum deneyim algıları üzerine doğum beklentilerinin etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma, retrospektif ve tanımlayıcı niteliktedir. Araştırma, Medipol Sağlık Grubu'na bağlı özel bir hastanede yapılmıştır. Araştırmanın örneklemi 2014 yılı Şubat-Temmuz aylarında araştırmanın yapıldığı hastaneye başvuran ve araştırmaya katılmayı kabul eden 450 primipar kadın oluşturmuştur. Verilerin toplanmasında araştırmacılar tarafından yarı yapılandırılmış "Beklenti Değerlendirme Soru Formu" kullanılmıştır. Verilerin değerlendirilmesinde Ki-Kare testi, Fisher's Exact Ki-Kare testi ve Continuity (Yates) düzeltmesi kullanılmıştır. Bulgular: Araştırma kapsamına alınan primipar kadınlarda sezaryen oranı %60'tır. Araştırmaya katılan primipar kadınların yaş ortalaması 29.77±4.54 ve %38.4'ü 30-34 yaş aralığındadır. Çoğunluğu üniversite mezunu (%69) ve çalışmaktadır (%69). Ebe desteği algısının beklenenden fazla olma oranı; vajinal doğum yapanlarda %73.3 ve sezaryen olanlarda 58.5'tir. Doğumda kaygı algısının beklenenden fazla olma oranı; sezaryen olanlarda %39.3, vajinal doğum yapanlarda %26.7'dir. Doğumda ağrı algısının beklenenden fazla olma oranı vajinal doğum yapanlarda %83.9, sezaryen olanlarda %22.2'dir. Doğum sonu ağrı algısının beklenenden fazla olma oranı sezaryen olanlarda %38.1, vajinal doğum yapanlarda %19.4'tür. Korku algısı ve mahremiyet algısı açısından sezaryen olanlar ve vajinal doğum yapanlar arasında fark bulunmamıştır. Sonuç: Vajinal doğumda kadınların beklediklerinden daha çok ebe desteği algıladıkları sezaryen olan kadınların kaygı algılarının beklenenden daha yüksek olduğu, vajinal doğum esnasında beklenenden daha yüksek ağrı algılanırken sezaryen sonrası ağrının vaginal doğum sonrası ağrıya göre beklenenden daha yüksek algılandığı belirlenmiştir. Anahtar kelimler: Vajinal doğum, sezaryen, doğum beklentisi, doğum algısı ABSTRACT Aim: This study aimed to determine the effect of childbirth expectations of primiparous women who had vaginal delivery or cesarean section in a private hospital on their perceptions of childbirth experience. Material and Method:This retrospective and descriptive study was conducted in a private hospital of Medipol Healthcare Group. The study sample consisted of 450 primiparous women who applied to the hospital between February and July 2014 and agreed to participate in the study. Data were collected using a semi-structured "Question Form for Evaluating Expectation" and analyzed using the chi-square test, Fisher's exact test, and Yates' continuity. Results: The mean age of the participants was 29.77 ± 4.54. Of them, 38.4% were between 30 and 34 years old and 60% had cesarean section. Most of the women were university graduates (69%) and working (69%). The rate of having a higher midwife support perception than expected was 73.3% for the women having vaginal delivery 58.5% for the women having cesarean section. The rate of having a higher anxiet...
This cross-sectional study was conducted at the state hospital in Gaziantep, rural Turkey, to assess the quality of antenatal care in women who underwent caesarean section (CS). Data collected from 581 women admitted for CS between October and December 2005 were retrospectively analysed and found that Turkish women preferred obstetricians to midwives for their antenatal care. Obstetricians chiefly consider antenatal care as a follow-up to ultrasound, and procedures such as weight monitoring, blood pressure measurement and blood analysis, all of which help to facilitate timely diagnosis of complications, were mostly overlooked. The belief that antenatal care is only for women with complications could be abolished through education and may help to encourage vaginal delivery. Pregnant women who receive antenatal care from obstetricians are more likely to undergo CS, thus greater collaboration between obstetricians and midwives is necessary in future to promote normal births.
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