NULLİPAR GEBELERİN GEBELİK SÜRESİNCE DOĞUM ŞEKLİ TERCİHİ VE GERÇEKLEŞEN DOĞUM ŞEKLİ

Year 2023, , 174 - 182, 31.05.2023

Nazan Bedir , Hasan Ekerbiçer , Elif Köse , Osman Köse , Muhlise Demirbaş

https://doi.org/10.35232/estudamhsd.1186331

Abstract

Araştırmada bir hastaneye başvuran nullipar gebelerin erken gebelik haftalarındaki doğum şekli tercihini ve bunu tercih etme nedenlerini, gebeliğin ilerlemesi ile tercih edilen doğum şeklinin değişip değişmediğini ve tercih edilen doğum şekilleriyle gerçekleşen doğum şekilleri arasında fark olup olmadığını belirlemek amaçlanmıştır. Kesitsel tipte tanımlayıcı olarak planlanan bu araştırmaya Sakarya Eğitim ve Araştırma Hastanesi Kadın Doğum kampüsü gebe polikliniğine herhangi bir nedenle başvuran ve araştırmaya katılmayı kabul eden 18 yaş ve üstü 232 nullipar gebe dahil edilmiştir. Gebelerle üç görüşme yapılmış olup veriler bu görüşmelerde araştırmacı tarafından hazırlanan anket yardımıyla toplanmıştır. Birinci görüşmede sezaryen tercih etme oranı %5,6, ikinci görüşmede %8,5 olmasına ve doktorların da önerilerinin bu oranlara yakın olmasına rağmen gerçekleşen sezaryen oranı %44,3 gibi yüksek bir değerdir. Gerçekleşen doğum şekli, ilk görüşmede ve ikinci görüşmede tercih edilen doğum şekillerinden anlamlı bir şekilde farklıydı (p<0,05). Normal doğumun daha sağlıklı olması (%69,6) ve iyileşme süresinin daha kısa olması (%25,8) ilk görüşmede normal vajinal doğum tercih nedenlerinin başında gelmekteydi. Normal doğum ağrılarından korkma (%76,9) ise en sık sezaryenin tercih edilme nedeniydi. Çalışmamızda katılımcıların büyük bir kısmı gebelikte normal vajinal doğum tercih etmiştir ancak gerçekleşen doğumlarda sezaryenin beklenenden çok daha fazla olduğu görülmüştür. Anne tercihine bağlı sezaryen, artan sezaryen oranlarını açıklamaktan çok uzaktır.

Keywords

Sezaryen, nulliparite, vajinal doğum

Supporting Institution

yok

Project Number

yok

THE PREFERRED AND ACTUAL DELIVERY TYPES OF NULLIPAROUS PREGNANT WOMEN

Abstract

In the study, the aim was to determine the type of delivery the nulliparous women preferred in the early gestational weeks and their reasons, whether the type of delivery they preferred had changed with the progression of pregnancy, and whether there was any difference between the preferred types of delivery and how they actually delivered. This study, which was planned as a cross-sectional type descriptive study, included 232 nulliparous pregnant women aged 18 and over, who were admitted to the outpatient clinic of the Sakarya Education and Research Hospital’s Obstetrics and Gynecology Campus for various complaints and agreed to participate in the study. Three interviews were conducted with the pregnant women, and the data were collected through a questionnaire prepared by the researcher in these interviews. Although the caesarean preference rate was 5.6% in the first interview and 8.5% in the second interview and the recommendations of the doctors were close to these rates, rate of the cesarean sections performed was as high as 44.3%. The type of delivery that occurred was significantly different from the preferred delivery types in the first and second interviews (p <0.05). The normal delivery was healthier (69.6%) and the recovery time was shorter (25.8%) was reported as the primary reason for choosing normal vaginal delivery in the first interview. The fear of normal birth pain (76.9%) was the most common reason for choosing cesarean section. Most of the participants preferred normal vaginal delivery during pregnancy, but it was observed that the cesarean rate was much more than expected in the births that occurred. Cesarean section due to maternal preference is far from explaining the increasing cesarean rates.

Keywords

Cesarean section, nulliparity, obstetric delivery

Project Number

yok

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