Gebe Kadınların Postpartum Konfor Düzeyi Üzerine Doğum Şekillerinin Etkisi

Abstract

Amaç: Doğum şeklinin kadınların doğum sonu konfor düzeyi üzerinde önemli etkileri olduğu bilinmektedir. Bu çalışmanın amacı, doğum şekillerinin doğum sonu konfor düzeyi üzerine etkisini belirlemek ve bu doğum şekillerinin herhangi birinin etkisinin diğerine göre üstün olup olmadığını incelemektir. Yöntem: Tanımlayıcı tipteki bu çalışmanın verileri Kasım 2017-Şubat 2018 tarihleri arasında bir devlet hastanesi ve bir sosyal medya platformu üzerinden Kişisel Bilgi Formu ve Doğum Sonu Konfor Ölçeği kullanılarak 150 kadından (50 vajinal doğum, 50 sezaryen ve 50 sezaryen sonrası vajinal doğum) elde edilmiştir. Veriler frekans, ortalama, standart sapma, ki kare, Cronbach alpha analizi, çok değişkenli doğrusal regresyon ve t testi ile analiz edilmiştir. Bulgular: Sezaryen sonrası vajinal doğum yapan kadınların doğum sonu konfor ölçeği toplam ve alt ölçek puan ortalamaları vajinal doğum veya sezaryen olan kadınlara göre anlamlı olarak daha yüksekti (p = 0.000). Bu çalışma, vajinal doğum veya sezaryen ile karşılaştırıldığında sezaryen sonrası vajinal doğum yapan kadınların en yüksek doğum sonrası konfor seviyelerine sahip olduğunu göstermiştir. Sonuç: Sezaryen sonrası vajinal doğum yapan kadınların doğum sonu konforu en yüksek seviyede olduğu için sağlık bakım profesyonelleri tarafından sezaryen sonrası vajinal doğumun desteklenmesi gerektiği düşünülmektedir.

Keywords

• Doğum sonu konfor
• sezaryen doğum
• sezaryen sonrası vajinal doğum
• vajinal doğum.

The Effect of Birth Types on Postpartum Comfort Level in Pregnant Women

Abstract

Objective: It is known that the birth type has important effects on women's postpartum comfort level. The aim of this study is to determine the effects of birth types on postpartum comfort levels, and to determine whether any of these birth types is superior to the others. Methods: The data for this descriptive study were obtained through a public hospital and a social media platform for 150 women (50 with vaginal birth, 50 with cesarean section, and 50 with vaginal birth after cesarean) between November 2017 and February 2018. The data were collected using a Personal Information Form and the Postpartum Comfort Scale. The data were analyzed via frequency, mean, standard deviation, chi square, Cronbach Alpha analysis, multivariate linear regression, and t test. Results: The women with vaginal birth after cesarean had significantly higher mean scores of Postpartum Comfort Scale total and subscale compared to women with vaginal birth or cesarean section (p = 0.000). This study indicated that women with vaginal birth after cesarean had the highest postpartum comfort levels compared to vaginal birth or cesarean section. Conclusion: It is thought that vaginal birth after cesarean should be supported by health care professionals because postpartum comfort is at the highest level for women who have had a vaginal delivery after cesarean section.

Keywords

• Cesarean birth
• postpartum comfort
• vaginal birth
• vaginal birth after cesarean

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