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The opinions of Turkish maternity care providers in different provinces on women’s preferences for mode of delivery

Year 2018, Volume: 43 Issue: 4, 967 - 974, 29.12.2018
https://doi.org/10.17826/cumj.337687

Abstract

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. The data analysis was performed using the SPSS 22.0 software package. 

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.


References

  • 1. Organization for Economic Cooperation and Development. Health at a Glance 2015 OECD Indicators [Internet ]. OECD Publishing. 2015. Available from: http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance_19991312 [cited 2017 Jul 23].
  • 2. Hacettepe University Institute of Population Studies. 2013 Turkey Demographic and Health Survey [Internet]. 2014. 371 p. Available from: http://www.hips.hacettepe.edu.tr/eng/tdhs13/report/TDHS_2013_main.report.pdf [cited 2017 Jul 23].
  • 3. Uzuncakmak C, Ozcam H. Association between maternal mortality and cesarean section: Turkey experience. PLoS One. 2016;11(11):1–10.
  • 4. Al-Mufti R, McCarthy A, Fisk NM. Survey of obstetricians’ personal preference and discretionary practice. Eur J Obstet Gynecol Reprod Biol. 1997;73(1):1–4.
  • 5. Arikan DC, Ozer A, Arikan I, Coskun A, Kiran H. Turkish obstetricians’ personal preference for mode of delivery and attitude toward cesarean delivery on maternal request. Arch Gynecol Obstet. 2011;284(3):543–9.
  • 6. MacDonald C, Pinion SB, MacLeod UM. Scottish female obstetricians’ views on elective caesarean section and personal choice for delivery. J Obstet Gynaecol. 2002;22(6):586–9.
  • 7. Koken G, Cosar E, Sahin FK, Tolga Arioz D, Duman Z, Aral I. Attitudes towards mode of delivery and cesarean on demand in Turkey. Int J Gynecol Obstet. 2007; 99(3):233–5.
  • 8. National Women's Health Study. Vol.943. The Ministry of Health of Turkey, The General Directorate of Health Research 2014. p 160 [Turkish]
  • 9. Lavender T, Gj H, Jp N, Kingdon C, Gml G, Lavender T, et al. Caesarean section for non-medical reasons at term ( Review ) Caesarean section for non-medical reasons at term. 2012;(3):3–5.
  • 10. ACOG Commite Opinion. Cesarean Delivery on Maternal Request [Internet]. https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Cesarean-Delivery-on-Maternal-Request. 2013 [cited 2017 Jul 23]. Available from: https://www.acog.org/-/media/Committee-Opinions/Committee-on-Obstetric-Practice/co559.pdf?dmc=1&ts=20170723T1344419057
  • 11. Olieman RM, Siemonsma F, Bartens MA, Garthus-Niegel S, Scheele F, Honig A. The effect of an elective cesarean section on maternal request on peripartum anxiety and depression in women with childbirth fear: a systematic review. BMC Pregnancy Childbirth. 2017;17(1):195.
  • 12. Public Hospital Unions. The Ministry of Health of Turkey, Public Hospitals Institution 2014 p 16-56 Available from: https://www.tkhk.gov.tr/Dosyalar/35af57490d2b49bca6503ac61c8fe7d1.pdf [cited 2017 Jul 23] [Turkish]
  • 13. Karlström A, Engström-Olofsson R, Nystedt A, Thomas J, Hildingsson I. Swedish caregivers’ attitudes towards caesarean section on maternal request. Women and Birth. 2009;22(2):57–63.
  • 14. Klein MC, Kaczorowski J, Hall WA, Fraser W, Liston RM, Eftekhary S, et al. The attitudes of Canadian maternity care practitioners towards labour and birth: Many differences but important similarities. J Obstet Gynaecol Canada. 2009;31(9):827–40.
  • 15. Sahlin M, Andolf E, Edman G, Wiklund I. Mode of delivery among Swedish midwives and obstetricians and their attitudes towards caesarean section. Sex Reprod Healthc. 2017;11:112–6.
  • 16. Brick A, Layte R. Recent Trends in the Caesaren Section Rate in Ireland 1999-2006. 2010;25. Available from: https://www.esri.ie/pubs/WP309.pdf [cited 2017 Jul 23]
  • 17. Euro Peristat. European Perinatal Health Report: Health and care of pregnant women and babies in Europe in 2010. 2010. Available from: http://www.europeristat.com/reports/european-perinatal-health-report-2010.html [cited 2017 Jul 23]
  • 18. Okumus F, Sohbet R. Antenatal care before caesarean section in rural Turkey. Br J Midwifery. 2013;21(1):32–9. Available from: https://www.researchgate.net/publication/272125220_Antenatal_care_before_caesarean_section_in_rural_Turkey [cited 2017 Jul 23]
  • 19. Klein MC, Kaczorowski J, Tomkinson J, Hearps S, Baradaran N, Brant R. Family physicians who provide intrapartum care and those who do not: Very different ways of viewing childbirth. Can Fam Physician. 2011;57(4):139–47.
  • 20. Aslan I. Healthcare management: optimization of resources and determining success and performance factors. First Edit. Shamsi Publishers; 2016. p 37-72.
  • 21. Sauls DJ. The Labor Support Questionnaire: development and psychometric analysis. J Nurs Meas. 2004;12(2):123–32.
  • 22. Taşcı K. Evaluation of patients to received care after birth from the aspect of patient rights. J Anatolia Nurs Heal Sci. 2010;10(3):26–33. [Turkish]
  • 23. Kitapçıoğlu G, Yanıkkerem E, Sevil Ü, Yüksel D. Fear of childbirth and the postpartum period: A scale development and validation study. ADU Tip Fak Derg 2008;9(1):47–54. [Turkish]
  • 24. Lukasse M, Schei B, Lena E, Study B. Prevalence and associated factors of fear of childbirth in six European countries. Sex Reprod Healthc. 2014;5(3):99–106.
  • 25. Nilsson C, Lundgren I, Karlström A, Hildingsson I. Self reported fear of childbirth and its association with women’s birth experience and mode of delivery: A longitudinal population-based study. Women and Birth. 2012;25(3):114–21.
  • 26. Scollato A, Lampasona R. Tokophobia: When fear of childbirth prevails. Mediterr J Clin Psychol. 2013;1(1):1–18.
  • 27. Haines H, Rubertsson C, Pallant JF, Hildingsson I. Womens’ attitudes and beliefs of childbirth and association with birth preference: A comparison of a Swedish and an Australian sample in mid-pregnancy. Midwifery. 2012;28(6):e850–6.
  • 28. Hildingsson I. Swedish couples’ attitudes towards birth, childbirth fear and birth preferences and relation to mode of birth - A longitudinal cohort study. Sex Reprod Healthc. 2014;5(2):75–80.
  • 29. Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, et al. A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. birth. 2014;41(4):384–94.
  • 30. Masoumi SZ, Kazemi F, Oshvandi K, Jalali M, Esmaeili-Vardanjani A, Rafiei H. Effect of training preparation for childbirth on fear of normal vaginal delivery and choosing the type of delivery among pregnant women in Hamadan, Iran: A randomized controlled trial. J Fam Reprod Heal. 2016;10(3):115–21.
  • 31. Afshar Y, Wang ET, Mei J, Esakoff TF, Pisarska MD, Gregory KD. Childbirth education class and birth plans are associated with a vaginal delivery. Birth. 2017;44(1):29–34.
  • 32. Tez S. Establishment and development of Siirt province. Fırat Univ J Soc Sci. 2008;19(2):61–82. [Turkish]
  • 33. Moen P, Erickson MA, Dempster-Mcclain D. Their mother’s daughters? The intergenerational transmission of gender attitudes in a world of changing roles. J Marriage Fam. 1997;59(2):281–93.
  • 34. Wax JR, Cartin A, Pinette MG, Blackstone J. Patient choice cesarean: an evidence-based review. Obstet Gynecol Surv. 2004;59(8):601–16.

Farklı illerdeki sağlık çalışanlarının kadınların doğum şekli tercihlerine ilişkin görüşleri

Year 2018, Volume: 43 Issue: 4, 967 - 974, 29.12.2018
https://doi.org/10.17826/cumj.337687

Abstract

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. Veri analizi, SPSS 22.0 yazılım paketi kullanılarak gerçekleştirildi.

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.


References

  • 1. Organization for Economic Cooperation and Development. Health at a Glance 2015 OECD Indicators [Internet ]. OECD Publishing. 2015. Available from: http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance_19991312 [cited 2017 Jul 23].
  • 2. Hacettepe University Institute of Population Studies. 2013 Turkey Demographic and Health Survey [Internet]. 2014. 371 p. Available from: http://www.hips.hacettepe.edu.tr/eng/tdhs13/report/TDHS_2013_main.report.pdf [cited 2017 Jul 23].
  • 3. Uzuncakmak C, Ozcam H. Association between maternal mortality and cesarean section: Turkey experience. PLoS One. 2016;11(11):1–10.
  • 4. Al-Mufti R, McCarthy A, Fisk NM. Survey of obstetricians’ personal preference and discretionary practice. Eur J Obstet Gynecol Reprod Biol. 1997;73(1):1–4.
  • 5. Arikan DC, Ozer A, Arikan I, Coskun A, Kiran H. Turkish obstetricians’ personal preference for mode of delivery and attitude toward cesarean delivery on maternal request. Arch Gynecol Obstet. 2011;284(3):543–9.
  • 6. MacDonald C, Pinion SB, MacLeod UM. Scottish female obstetricians’ views on elective caesarean section and personal choice for delivery. J Obstet Gynaecol. 2002;22(6):586–9.
  • 7. Koken G, Cosar E, Sahin FK, Tolga Arioz D, Duman Z, Aral I. Attitudes towards mode of delivery and cesarean on demand in Turkey. Int J Gynecol Obstet. 2007; 99(3):233–5.
  • 8. National Women's Health Study. Vol.943. The Ministry of Health of Turkey, The General Directorate of Health Research 2014. p 160 [Turkish]
  • 9. Lavender T, Gj H, Jp N, Kingdon C, Gml G, Lavender T, et al. Caesarean section for non-medical reasons at term ( Review ) Caesarean section for non-medical reasons at term. 2012;(3):3–5.
  • 10. ACOG Commite Opinion. Cesarean Delivery on Maternal Request [Internet]. https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Cesarean-Delivery-on-Maternal-Request. 2013 [cited 2017 Jul 23]. Available from: https://www.acog.org/-/media/Committee-Opinions/Committee-on-Obstetric-Practice/co559.pdf?dmc=1&ts=20170723T1344419057
  • 11. Olieman RM, Siemonsma F, Bartens MA, Garthus-Niegel S, Scheele F, Honig A. The effect of an elective cesarean section on maternal request on peripartum anxiety and depression in women with childbirth fear: a systematic review. BMC Pregnancy Childbirth. 2017;17(1):195.
  • 12. Public Hospital Unions. The Ministry of Health of Turkey, Public Hospitals Institution 2014 p 16-56 Available from: https://www.tkhk.gov.tr/Dosyalar/35af57490d2b49bca6503ac61c8fe7d1.pdf [cited 2017 Jul 23] [Turkish]
  • 13. Karlström A, Engström-Olofsson R, Nystedt A, Thomas J, Hildingsson I. Swedish caregivers’ attitudes towards caesarean section on maternal request. Women and Birth. 2009;22(2):57–63.
  • 14. Klein MC, Kaczorowski J, Hall WA, Fraser W, Liston RM, Eftekhary S, et al. The attitudes of Canadian maternity care practitioners towards labour and birth: Many differences but important similarities. J Obstet Gynaecol Canada. 2009;31(9):827–40.
  • 15. Sahlin M, Andolf E, Edman G, Wiklund I. Mode of delivery among Swedish midwives and obstetricians and their attitudes towards caesarean section. Sex Reprod Healthc. 2017;11:112–6.
  • 16. Brick A, Layte R. Recent Trends in the Caesaren Section Rate in Ireland 1999-2006. 2010;25. Available from: https://www.esri.ie/pubs/WP309.pdf [cited 2017 Jul 23]
  • 17. Euro Peristat. European Perinatal Health Report: Health and care of pregnant women and babies in Europe in 2010. 2010. Available from: http://www.europeristat.com/reports/european-perinatal-health-report-2010.html [cited 2017 Jul 23]
  • 18. Okumus F, Sohbet R. Antenatal care before caesarean section in rural Turkey. Br J Midwifery. 2013;21(1):32–9. Available from: https://www.researchgate.net/publication/272125220_Antenatal_care_before_caesarean_section_in_rural_Turkey [cited 2017 Jul 23]
  • 19. Klein MC, Kaczorowski J, Tomkinson J, Hearps S, Baradaran N, Brant R. Family physicians who provide intrapartum care and those who do not: Very different ways of viewing childbirth. Can Fam Physician. 2011;57(4):139–47.
  • 20. Aslan I. Healthcare management: optimization of resources and determining success and performance factors. First Edit. Shamsi Publishers; 2016. p 37-72.
  • 21. Sauls DJ. The Labor Support Questionnaire: development and psychometric analysis. J Nurs Meas. 2004;12(2):123–32.
  • 22. Taşcı K. Evaluation of patients to received care after birth from the aspect of patient rights. J Anatolia Nurs Heal Sci. 2010;10(3):26–33. [Turkish]
  • 23. Kitapçıoğlu G, Yanıkkerem E, Sevil Ü, Yüksel D. Fear of childbirth and the postpartum period: A scale development and validation study. ADU Tip Fak Derg 2008;9(1):47–54. [Turkish]
  • 24. Lukasse M, Schei B, Lena E, Study B. Prevalence and associated factors of fear of childbirth in six European countries. Sex Reprod Healthc. 2014;5(3):99–106.
  • 25. Nilsson C, Lundgren I, Karlström A, Hildingsson I. Self reported fear of childbirth and its association with women’s birth experience and mode of delivery: A longitudinal population-based study. Women and Birth. 2012;25(3):114–21.
  • 26. Scollato A, Lampasona R. Tokophobia: When fear of childbirth prevails. Mediterr J Clin Psychol. 2013;1(1):1–18.
  • 27. Haines H, Rubertsson C, Pallant JF, Hildingsson I. Womens’ attitudes and beliefs of childbirth and association with birth preference: A comparison of a Swedish and an Australian sample in mid-pregnancy. Midwifery. 2012;28(6):e850–6.
  • 28. Hildingsson I. Swedish couples’ attitudes towards birth, childbirth fear and birth preferences and relation to mode of birth - A longitudinal cohort study. Sex Reprod Healthc. 2014;5(2):75–80.
  • 29. Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, et al. A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. birth. 2014;41(4):384–94.
  • 30. Masoumi SZ, Kazemi F, Oshvandi K, Jalali M, Esmaeili-Vardanjani A, Rafiei H. Effect of training preparation for childbirth on fear of normal vaginal delivery and choosing the type of delivery among pregnant women in Hamadan, Iran: A randomized controlled trial. J Fam Reprod Heal. 2016;10(3):115–21.
  • 31. Afshar Y, Wang ET, Mei J, Esakoff TF, Pisarska MD, Gregory KD. Childbirth education class and birth plans are associated with a vaginal delivery. Birth. 2017;44(1):29–34.
  • 32. Tez S. Establishment and development of Siirt province. Fırat Univ J Soc Sci. 2008;19(2):61–82. [Turkish]
  • 33. Moen P, Erickson MA, Dempster-Mcclain D. Their mother’s daughters? The intergenerational transmission of gender attitudes in a world of changing roles. J Marriage Fam. 1997;59(2):281–93.
  • 34. Wax JR, Cartin A, Pinette MG, Blackstone J. Patient choice cesarean: an evidence-based review. Obstet Gynecol Surv. 2004;59(8):601–16.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research
Authors

Filiz Okumuş 0000-0002-1855-9190

Kübra Oymakçıer Evgin This is me 0000-0003-0099-3623

Publication Date December 29, 2018
Acceptance Date March 3, 2018
Published in Issue Year 2018 Volume: 43 Issue: 4

Cite

MLA Okumuş, Filiz and Kübra Oymakçıer Evgin. “The Opinions of Turkish Maternity Care Providers in Different Provinces on women’s Preferences for Mode of Delivery”. Cukurova Medical Journal, vol. 43, no. 4, 2018, pp. 967-74, doi:10.17826/cumj.337687.