Kadın hastalıkları ve doğum uzmanlarının sezaryen doğum yöntemi ile ilgili görüş ve düşünceleri: Nitel bir çalışma, Sakarya ili örneği

Year 2025, Volume: 30 Issue: 1, 9 - 18, 29.01.2025

Neşe Aşıcı , Elif Köse , Hasan Çetin Ekerbiçer

https://doi.org/10.21673/anadoluklin.1406574

Abstract

Amaç: İdeal sezaryen oranının tüm doğumlar arasında %10-15 olması gerekirken, sezaryen oranı hem dünyada hem de Türkiye'de kontrol edilemeyecek bir hızla artmaktadır. Bu çalışmada Kadın Hastalıkları ve Doğum hekimlerinin görüşlerinden yola çıkarak Türkiye'deki sezaryen doğum oranlarının nedenlerini ve çözüm önerilerini belirlemeyi amaçladık.

Yöntemler: Bu çalışmada araştırma deseni olarak nitel araştırma yöntemi ve fenomenolojik yaklaşım kullanılmıştır. Katılımcılar, Sakarya/Türkiye'de ikamet eden, en az 3 yıl uzman olarak çalışmış ve halen çalışmakta olan Kadın Hastalıkları ve Doğum uzmanları arasından kolay ulaşılabilir örnekleme yöntemi ile seçilmiştir. Veriler derinlemesine görüşmeler yoluyla sonra 01.02.2020 ile 01.09.2020 tarihleri arasında toplanmış ve tematik içerik analizi yapılmıştır.

Bulgular: Derinlemesine görüşmeler sonucunda kodlanan verilerden 51 kategori, kategorilerden 12 alt tema ve alt temalardan üç tema oluşturulmuştur. Ortaya çıkan üç tema: Yüksek sezaryen oranının nedenleri, sezaryen doğum oranının artmasına yönelik çözümler, sezaryen doğumun olası sonuçlarıydı.

Sonuçlar: Sezaryen oranını etkileyen faktörler çok yönlü ve birbiriyle bağıntılı olduğu için oranları düşürmeye yönelik önlem alınırken bu çok yönlülük ve bağıntı dikkate alınmalıdır. Özellikle sezaryen oranlarının artmasında büyük payı olan tıbbi endikasyon olmadan gerçekleştirilen sezaryen doğumlara ağırlık vermemiz gerekiyor.

Keywords

Kadın hastalıkları ve doğum uzmanları, nitel araştırma, sezaryen, tutum

Opinions and considerations of obstetrics and gynecology specialists on cesarean section: A qualitative study in Sakarya province

Abstract

Aim: While the ideal cesarean section rate should be 10-15% among all births, the cesarean section rate is increasing at an uncontrollable rate both in the world and in Turkey. In this study, we aimed to determine the reasons and solution suggestions for cesarean section rates in Turkey, based on the opinions of Gynecologists and Obstetricians.

Methods: Qualitative research method and phenomenological approach were used as the research design in this study. Participants were selected by convenience sampling method among Gynecology and Obstetrics specialists who resided in Sakarya/Turkey, worked as a
interviews between 01.02.2020 and 01.09.2020 and thematic content analysis was performed.

Results: As a result of in-depth interviews, 51 categories, 12 sub-themes from the categories and three themes from the sub-themes were created from the coded data. The three themes that emerged were: Causes of high cesarean rate, solutions for the increase in cesarean delivery rate, possible outcomes of cesarean delivery.

Conclusions: Since the factors affecting the cesarean section rate are multifaceted and interrelated, this versatility and correlation should be taken into account when taking measures to reduce the rates. We need to focus especially on cesarean births performed without medical indication, which has a large share in the increase in cesarean section rates.

Keywords

Attitude, cesarean section, obstetricians, qualitative research

Ethical Statement

Ethical approval for this research was granted by the ethics committee of Sakarya University Medical Faculty (approval date: 27.01.2020). After explaining the topic and purpose of the research, the participants signed a voluntary consent form stating that any personal information they provided and their names would be kept confidential.

Supporting Institution

Authors declared no financial support.

Thanks

The authors wish to thank all the individuals who participated in the study.

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