Bir Aile Sağlığı Merkezine Başvurmuş Olan 18–49 Yaş Arası Kadınların Doğum Şekli Tercihleri ve İlişkili Faktörler / Preferred Mode of Delivery and the Related Factors in Women Aged 18–49 Years Who Applied to a Family Health Center

Amac: Bu calismada bir aile sagligi merkezine basvurmus olan 18–49 yas arasi kadinlarin dogum sekli secimi ve bunu etkileyen faktorlerin belirlenmesi amaclanmistir. Gerec ve Yontemler: Bu calisma, Istanbul’daki bir aile sagligi merkezine basvurmus olan, gebelik oykusu bulunan, 18–49 yas arasi 307 kadina anket formu uygulanarak gerceklestirilmis olan, tanimlayici bir calismadir. Veriler SPSS (Statistical Package for the Social Sciences) 16.0 programi ile analiz edilmistir. Bulgular: Kadinlarin %24,4’u gebe olup, %91,8’i daha once dogum yaptigini, %46,8’i dogumun Sezaryen operasyonla gerceklestigini belirtmistir. Daha once dogum yapanlarin %49,2’si, dogum sekline doktorunun karar verdigini belirtmistir. En son dogumu normal dogum olarak gerceklesmis olanlarin %54,4’u, dogal yontem oldugunu dusundukleri icin normal dogumu tercih ettiklerini belirtmislerdir. Sezaryen dogumlarin %73,1’i tibbi endikasyon nedeniyle gerceklestirilmis olup, su anda gebe olanlarin %81,4’u dogum seklini planladiklarini ve bunlarin da %68’i normal dogum dusunduklerini ifade etmislerdir. Kadinlarin dogum sekli ile egitim durumlari, yasadiklari yer, calisma durumlari, aylik gelirleri ve gebelikle ilgili sorun yasamis olup olmadiklari arasinda istatistiksel olarak anlamli bir iliski bulunmustur (p<0,05). Dogum yapmis olan kadinlarin %73,4’u dogum sekilleri hakkinda bilgi almis olup bunlarin %61,8’i bilgiyi doktorundan aldigini belirtmistir. Tartisma ve Sonuc: Kadinin gebeliginde dogum sekilleri hakkinda bilgi edinmemis olmasi, Sezaryen dogum sikligini artiran, onlenebilir faktorlerden biridir. Bu nedenle kadinlarin birinci basamakta hizmet veren aile hekimleri ve aile sagligi calisanlari tarafindan dogum sekilleri konusunda bilgilendirilmeleri cok onemlidir. Anahtar Kelimeler: dogum sekli; normal dogum; Sezaryen dogum; aile sagligi merkezi Abstract Aim: In this study, we aimed to determine the preferred mode of delivery and the related factors in women aged 18–49 years who applied to a family health center. Materials and Methods: This is a descriptive study based on a questionnaire applied to the 307 women aged 18–49 years who applied to a family health center in the central Istanbul and had a history of pregnancy. The data were analyzed by the SPSS (Statistical Package for the Social Sciences) 16.0 software. Results: During the survey, 24.4% of the women were pregnant and 91.8% had a previous delivery, of whom 46.8% had a Cesarean section. 49.2% of those who had had a delivery reported that their doctors had decided on the mode of delivery. 54.4% of those who had a normal delivery the last time they gave birth reported that they preferred normal delivery because they thought it to be the natural way of giving birth. For 73.1% of those who had a delivery by Caesarean section, the operation was medically indicated. 81.4% of the women who were pregnant at the time of the survey reported that they were planning about the mode of delivery; and 68% of these reported that they were thinking of having a normal delivery. A statistically significant correlation was found between the preferred mode of delivery and the characteristics of the women including the level of education, the type of the settlement where they live, employment status, monthly income status and presence of problems experienced in previous pregnancies (p<0.05). 73.4% of the women who previously gave birth received information on the modes of delivery, and 61.8% of these received such information from their doctors. Discussion and Conclusion: The ignorance of women about the modes of delivery in pregnancy is one of the preventable factors that increase the frequency of delivery by Caesarean section. Therefore it is quite important that women be informed on the modes of delivery by primary care family doctors and family health workers. Key Words: mode of delivery; vaginal delivery; Cesarean section; family health center