Antenatal care before caesarean section in rural Turkey

Okumuş, Filiz; Sohbet, Rabia

doi:10.12968/bjom.2013.21.1.32

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…The indications for emergency surgery establish that pregnancy is a high-risk period when patients are at a much higher risk of experiencing CHE especially if they have to undergo a caesarian section that was initially unplanned. The continuous rise in the trend of CS at delivery, observed in the past 30 years, has been attributed to many factors such as improved screening abilities, bad medical histories [ 68 ] and physician-driven incentives to perform more CS, which is a perverse outcome of the pay for performance initiative [ 69 , 70 ]. The mode of delivery is however, not the sole factor or period when CHE likelihood is higher but also the type of residence (slum or not, urban or rural).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with catastrophic health expenditure among slum and non-slum dwellers undergoing emergency surgery in a metropolitan area of South Western Nigeria

2021

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Background Out of Pocket (OOP) payment continues to persist as the major mode of payment for healthcare in Nigeria despite the introduction of the National Health Insurance Scheme (NHIS). Although the burden of health expenditure has been examined in some populations, the impact of OOP among slum dwellers in Nigeria when undergoing emergencies, is under-researched. This study sought to examine the prevalence, factors and predictors of catastrophic health expenditure amongst selected slum and non-slum communities undergoing emergency surgery in Southwestern Nigeria. Methods The study utilised a descriptive cross-sectional survey design to recruit 450 households through a multistage sampling technique. Data were collected using pre-tested semi-structured questionnaires in 2017. Factors considered for analysis relating to the payer were age, sex, relationship of payer to patient, educational status, marital status, ethnicity, occupation, income and health insurance coverage. Variables factored into analysis for the patient were indication for surgery, grade of hospital, and type of hospital. Households were classified as incurring catastrophic health expenditure (CHE), if their OOP expenditure exceeded 5% of payers’ household budget. Analysis of the data took into account the multistage sampling design. Results Overall, 65.6% (95% CI: 55.6–74.5) of the total population that were admitted for emergency surgery, experienced catastrophic expenditure. The prevalence of catastrophic expenditure at 5% threshold, among the population scheduled for emergency surgeries, was significantly higher for slum dwellers (74.1%) than for non-slum dwellers (47.7%) (F = 8.59; p = 0.019). Multiple logistic regression models revealed the significant independent factors of catastrophic expenditure at the 5% CHE threshold to include setting of the payer (whether slum or non-slum dweller) (p = 0.019), and health insurance coverage of the payer (p = 0.012). Other variables were nonetheless significant in the bivariate analysis were age of the payer (p = 0.017), income (p<0.001) and marital status of the payer (p = 0.022). Conclusion Although catastrophic health expenditure was higher among the slum dwellers, substantial proportions of respondents incurred catastrophic health expenditure irrespective of whether they were slum or non-slum dwellers. Concerted efforts are required to implement protective measures against catastrophic health expenditure in Nigeria that also cater to slum dwellers.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with catastrophic health expenditure among slum and non-slum dwellers undergoing emergency surgery in a metropolitan area of South Western Nigeria

2021

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“…It has separate categories for no care and missing. 7 It is a revised version of the GINDEX and is said to be useful for "research focusing on birth outcomes and for monitoring trends in the proportion of cases with intensive use of PNC." It will also allow for an assessment of the adequacy of PNC use by the trimester in which care began.…”

mentioning

confidence: 99%

“…Most of studies demonstrated the effect of PNC utilization on birth outcomes and suggested that PNC decrease LBW through both increasing gestational age as well as improving fetal growth at the same time it improve birth height and mother weight gaining. [6][7][8][9][10][11][12][13][14][15][16][17] All findings of these studies emphasize the need for health policies to improve utilization and access PNC.…”

mentioning

confidence: 99%

Adequacy of prenatal care and its association with pregnancy outcomes: A comparison of indices in Tabriz, Iran

Beyrami¹,

Alizadeh²,

Bakhshian³

et al. 2015

J Anal Res Clin Med

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“…The CS rate is higher in the countries where antenatal visits are carried out by physicians 16,17 . Women who prefer physicians during pregnancy tend to prefer CS 18 . A study in Canada found that family physicians who provided antenatal care could affect women's opinions about the potential negative effects of VD 19 .…”

Section: Discussionmentioning

confidence: 99%

Farklı illerdeki sağlık çalışanlarının kadınların doğum şekli tercihlerine ilişkin görüşleri

Okumuş

Evgin²

2018

Cukurova Medical Journal

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Öz Purpose: The study aims to find out the opinions of physicians, midwives and trainees working in the different regions of Turkey on women's mode of delivery preferences. Materials and Methods: This descriptive study was conducted between January-March 2016 with maternity care providers (MCPs) who had worked in Adana and Siirt for at least six months. The study sample was selected using the cluster-sampling method. The data were collected from 320 MCPs with semi-structured interview form. Results: The study showed that according to the MCPs, women preferred caesarean section (CS) due to their concerns about health care providers behaviors during birth, requests for birth time planning and their suggestion from the physician or suggestions from other women. The MCPs expressed that women's preference of vaginal delivery (VD) was affected by physician suggestions and from the opinion that the natural way of giving birth was healthier for their babies and it is traditional attitudes. The MCPs in Siirt stated more often that women preferred VD due to their traditional attitudes, comparing to the MCPs in Adana. Conclusion: This study has strengthened the opinion that physicians play a key role in women's delivery mode preferences. It is intriguing that in Siirt, where the rate of CS is lower than the average rate in Turkey, women commonly preferred VD due to their traditions attitudes. Amaç: Bu çalışma, Türkiye'nin farklı bölgelerinde çalışan hekim, ebe ve stajyerlerin kadınların doğum şekli tercihlerine ilişkin görüşlerini araştırmak amacıyla yapılmıştır. Gereç ve Yöntem: Bu tanımlayıcı çalışma, Ocak-Mart 2016 tarihleri arasında Adana ve Siirt'te en az altı ay kadın doğum alanında çalışmış sağlık çalışanları ile gerçekleştirildi. Çalışma örneği, küme örnekleme yöntemi kullanılarak seçildi. Veriler, yarı yapılandırılmış görüşme formu ile 320 sağlık çalışanından toplandı.. Bulgular: Sağlık çalışanlarının görüşlerine göre; doğumda sağlık çalışanlarının davranışlarına yönelik endişeler, doğum zamanını planlama isteği, doktor önerilerii veya diğer kadınlar tavsiyeleri kadınların sezaryen tercihine neden olmaktadır. Sağlık çalışanları, hekim tavsiyesinin kadınların vaginal doğum tercihini etkilediği görüşündedir. Kadınların doğumun doğal yolunun vaginal doğum olduğu, vaginal doğumun bebekleri için daha sağlıklı olduğu düşünmeleri ve geleneksel tutumlar nedeniyle vaginal doğum tercih ettiklerini düşünmektedirler. Siirt'te çalışan sağlık çalışanlarına göre kadınların geleneksel tutumlarından dolayı vaginal doğum tercih etmeleri Adana'da çalışan sağlık çalışanlarına göre daha belirgindi. Sonuç: Bu çalışma, hekimlerin kadınların doğum yöntemi tercihlerinde önemli bir rol oynadıkları görüşünü güçlendirmiştir. Türkiye'de sezaryen oranı ortalamasının altında olan Siirt ilinde, geleneksel tutumlar nedeniyle kadınlar daha çok vaginal doğum tercih etmektedirler.

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Antenatal care before caesarean section in rural Turkey

Cited by 4 publications

References 14 publications

Prevalence and factors associated with catastrophic health expenditure among slum and non-slum dwellers undergoing emergency surgery in a metropolitan area of South Western Nigeria

Prevalence and factors associated with catastrophic health expenditure among slum and non-slum dwellers undergoing emergency surgery in a metropolitan area of South Western Nigeria

Adequacy of prenatal care and its association with pregnancy outcomes: A comparison of indices in Tabriz, Iran

Farklı illerdeki sağlık çalışanlarının kadınların doğum şekli tercihlerine ilişkin görüşleri

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