Attitudes towards mode of delivery and cesarean on demand in Turkey

Köken, Gülengül; Çoşar, Emine; Şahin, Figen Kır; Ariöz, Dağıstan Tolga; Duman, Zekiye Çetinkaya; Aral, İlknur

doi:10.1016/j.ijgo.2007.05.031

Cited by 21 publications

(23 citation statements)

References 9 publications

(7 reference statements)

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“…In addition, there is a plan to prepare a new informed consent form that will explain that a C/S should not be performed unnecessarily. 20,[23][24][25][26][27][28][29][30][31] These findings are consistent with the literature. Finally, the health ministry has started a motherfriendly hospital programme.…”

Section: Discussionsupporting

confidence: 88%

Spontaneous vaginal delivery or caesarean section? What do Turkish women think?

Atan

Duran

Kavlak

et al. 2013

Int J of Nursing Practice

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The aim of this study was to describe women's feelings, attitudes and beliefs about different modes of childbirth. A descriptive cross-sectional study was conducted at the obstetrics clinics of Ege University and Dr Ekrem Hayri Ustundag Obstetrics and Gynaecology Hospital in Izmir, Turkey. Three-hundred forty-two women who had given birth via spontaneous vaginal delivery (SVD) or caesarean section (C/S) between June and December 2009 voluntarily agreed to participate. Fifty-seven per cent of participants were aged 20-24. Sixty per cent of the women (n = 205) had undergone C/S during their last delivery; among these women, the birth method of 90% (n = 185) was decided by their doctors, whereas the remaining 10% (n = 20) made the decision themselves or with their partners. Sixty-three per cent (n = 250) of women who underwent C/S said that if they gave birth again, they would prefer to deliver via SVD. Eighty-eight per cent (n = 300) of women wanted the legal right to choose their birth method. Although the rate of C/S was high, most women stated that if given the choice, they would prefer a SVD if they had another child.

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Section: Discussionsupporting

confidence: 88%

Spontaneous vaginal delivery or caesarean section? What do Turkish women think?

Atan

Duran

Kavlak

et al. 2013

Int J of Nursing Practice

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“…This finding is reinforced by the observation of McGurgan, Coulter-Smith and O’Donovan, [35] who reported a strong association between a personal preference of obstetricians for Cesarean section and the Cesarean section rates in the hospitals in which they worked. Koken et al [20] raised the hypothesis that healthcare professionals who prefer Cesarean sections for their own pregnancies are less tolerant of the risks that vaginal delivery represents for the fetus. In addition, Hopkins [11] conducted a qualitative study in Brazil and reported that many physicians in the country, despite outwardly defending vaginal delivery, do not usually wait for delivery to progress naturally and anticipate the line of action even when no relevant clinical indications are present.…”

Section: Discussionmentioning

confidence: 99%

“…In 1997, in one of the pioneering studies conducted on this subject, Al-Mufti, McCarthy and Fish [19] reported that 17% of obstetricians participating in a study in London preferred a Cesarean section even when no complications were present. Interviews conducted in a hospital in Turkey in 2007 [20] found that more than half the healthcare professionals (physicians, nurses, midwives and laboratory technicians) believed that Cesarean sections were safer for the baby. In Norway, a study conducted in 2008 found that more than a quarter of obstetricians/gynecologists had already been submitted to a Cesarean section compared to a rate of only 12% in the general population [21].…”

Section: Introductionmentioning

confidence: 99%

Medical students’ personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study

Watanabe¹,

Knobel

Suchard³

et al. 2012

BMC Med Educ

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BackgroundThe increase in overall rates of cesarean sections (CS) in Brazil causes concern and it appears that multiple factors are involved in this fact. In 2009, undergraduate students in the first and final years of medical school at the University of Santa Catarina answered questionnaires regarding their choice of mode of delivery. The aim of the study was to evaluate whether the education process affects decision-making regarding the waay of childbirth preferred by medical students.MethodsA cross-sectional, quantitative study was conducted based on data obtained from questionnaires applied to medical students. The questions addressed four different scenarios in childbirth, as follows: under an uneventful pregnancy; the mode of delivery for a pregnant woman under their care; the best choice as a healthcare manager and lastly, choosing the birth of their own child. For each circumstance, there was an open question to explain their choice.ResultsA total of 189 students answered the questionnaires. For any uneventful pregnancy and for a pregnant woman under their care, 8.46% of the students would opt for CS. As a healthcare manager, only 2.64% of the students would recommend CS. For these three scenarios, the answers of the students in the first year did not differ from those given by students in the sixth year. In the case of the student’s own or a partner’s pregnancy, 41.4% of those in the sixth year and 16.8% of those in the first year would choose a CS. A positive association was found between being a sixth year student and a personal preference for CS according to logistic regression (OR = 2.91; 95%CI: 1.03–8.30). Pain associated with vaginal delivery was usually the reason for choosing a CS.ConclusionsA higher number of sixth year students preferred a CS for their own pregnancy (or their partner’s) compared to first year students. Pain associated with vaginal delivery was the most common reason given for haven chosen a CS. The students’ preference for childbirth changed over time during their graduation in favor of cesarean sections. This finding deserves considerable attention when structuring medical education in Obstetrics.

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“…Numerous studies that have been conducted in Turkey indicated causes of women's vaginal delivery preference. These causes was; handle the sense of control, a desire for vaginal delivery experience, and a desire for early recovery and early discharged from hospital, a lower complication rates, fear of anesthesia and operation, safety of mother, better relationship to baby, less painful period after giving birth, the thoughts of 'better for the health' and 'birth is a normal event' and immediate breast feeding [8,9].…”

Section: Discussionmentioning

confidence: 99%

Awareness and perceptions of Turkish women towards delivery methods

Çaypınar

2014

J Clin Exp Invest

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ÖZETAmaç: Bizim amacımız kadınların vajinal doğum, sezeryan doğum seçimindeki etmenleri belirlemek ve elektif sezeryan ile doğuma bakış açılarını belirlemektir.Yöntemler: Çalışmamıza antenatal bakım için başvuran 400 sağlıklı kadın aldık. Çalışmamızda yüz yüze soru cevap şeklinde 21 soru içeren bir anket formu kullandık ve formda doğum şekli seçimleri ve buna etkileyen faktörler ile ilgili sorular sorduk. Daha önceki doğum şekillerine göre hastaları daha önce hiç doğurmamış/nullipar (grup 1), daha once sadece vajinal doğum yapmış olanlar (grup 2) ve daha önce en az 1 sezaryen doğum yapmış olanlar (grup 3) olarak ayırdık. Bulgular: Çalışmaya katılan 400 kadının 348 i (%87) vajinal doğum 52 si (%13) ise sezeryan doğumu tercih etti. Sezeryan ile doğumu tercih etme oranları grup 3 te( %47.5) grup 1(%26) ve 2(%2.7) ye göre daha yüksekti. Her 3 grupta da vajinal doğumu tercih etmenin ana nedenleri 'daha az ağrı, hızlı ve kolay iyileşme, anne için daha az kanama ve enfeksiyon riski' idi. Sezeryan doğu-mu tercih etmenin ana nedenleri ise grup 1 de daha konforlu ve kolay olması iken grup 3 te tüp ligasyonu isteği idi. Daha az ağrı ve epizyotomiden korku ise diğer ana nedenlerdendi.Sonuç: Sezeryan oranlarını azaltmak ve normal doğum oranlarını arttırmak için kadınların eğitilmesi ve ileri anne yaşına sahip kadınların yeterli ve doğru bilgilendirilmesi gerekmektedir.Anahtar kelimeler: Sezaryen, doğum şekli, hasta tercihi, vajinal doğum ABSTRACT Objective: Our aim is to identify the causes of the women's preferences of vaginal delivery vs. cesarean section and their attitudes for an elective cesarean section.Methods: 400 healthy woman who had applied for antenatal care were included in the study. A questionnaire which is consisted of 21 questions, focused on preference toward mode of delivery and the etiology of these preferences was conducted as a face to face interview. According to history of delivery methods, women have separated into three groups as; women have never given birth/nulliparous (group 1), women who had only vaginal deliveries (group 2), and women who had at least one cesarean deliveries/previous cesarean section (group 3). Results:Of the 400 women questioned, 348 (%87) opted for vaginal delivery, whereas only 52 (%13) opted for an elective caesarean delivery. Ratios of cesarean delivery preference is high in group 3 (%47.5) than group 1( %26) and 2 (%2.7) . Main reasons for vaginal delivery preference: feeling of less pain, fast and easy recovery and less bleeding and infection risc for mothers were the most common preference reasons among all 3 groups. The most common reasons for choosing caesarean delivery were: 'more comfortable and easy' in group 1 and 'tubal ligation demand' in group 3. 'Less pain' and 'fear of tearing (episiotomy)' also other common reasons for choosing cesarean delivery among all 3 groups. Conclusion:In order to reduce the rate of implemented cesarean section, it is substantially important to encourage educated women and those who have experienced advanced maternal age for increasin...

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Attitudes towards mode of delivery and cesarean on demand in Turkey

Abstract: In the two groups studied the preference for cesarean delivery is higher in Turkish healthcare providers than in the public population. In both groups the attitude towards cesarean delivery on demand is high.

Cited by 21 publications

References 9 publications

Spontaneous vaginal delivery or caesarean section? What do Turkish women think?

Spontaneous vaginal delivery or caesarean section? What do Turkish women think?

Medical students’ personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study

Awareness and perceptions of Turkish women towards delivery methods

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