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Cesarean Birth After Vaginal Delivery: A Survey In Healthcare Proffesionals

Year 2016, Volume: 13 Issue: 4, 151 - 153, 01.10.2016

Abstract

Aim: The aim of this study was to ascertain the knowledge for Vaginal Birth after Cesarian Section VBAC in people who are working in hospital.Material And Methods: This descriptive study was done in Mustafa Kemal University, Medical Faculty Hospital and a total of 100 surveys were randomized distrubuted. The surveys were prepared by using the patient aknowledgement form of American College of Obstetricians and Gynecologists ACOG .Results: Eighty seven surveys were returned and evaluated. ‘ Is VBAC possible ?’ question was responded by 63 72.4% health care providers as ‘yes’ and 24 27.6% as ‘no’. There were no difference between occupation groups for this question p=0.3 .’What should be the uterine incision scar in previous section to achieve VBAC?’ was asked to persons that said ‘yes’ for former question. Twenty one 33.3% of them responded as ‘I don’t know’ , 30 47.6% as ‘transvers’ and 12 19% as ‘vertical’. Same group also responded of minimum previous cesarian section number for VBAC 25 39.7% as ‘I don’t know’, 13 20.6% people as 1, 13 20.6% as 2, 11 17.5% people as 3 and 1 1.6% person as 4. ‘What is the risk of VBAC?’ was asked and responded as ‘I don’t know’ from 29 %46 people, as ‘uterine rupture’ from 30 %47,6 people and ‘no risk’ from 4 %6,3 people.Conclusion: In conclusion even though VBAC is considered as an option in most of health care providers they have not sufficient knowledge about conditon and risks of VBAC. Informing of this group may help to decrease cesarian rate in the population.

References

  • Althabe F, Belizan JM. Caesarean Section: the paradox. Lancet 2006;368:1472—3.
  • Wagner M. Choosing Caesarean Section. Lancet 2006;356:1677—80.
  • Rates of cesarean delivery--United States, 1993. MMWR Morb Mortal Wkly Rep.1995;44:303-7.
  • Martin JA, Hamilton BE, Ventura SJ, Menacker F, Park MM. Births: final data for 2000. Natl Vital Stat Rep. 2002;50:1-101.
  • Menacker Fay, Curtin SallyC. Trends in cesarean birth and vaginal birth after previous cesarean, 1991–99. National vital statisticsreports. 2001;49:1940-55.
  • Menacker F, Hamilton BE. Recent trends in cesarean delivery inthe United States. NCHS Data Brief. 2010:1-8.
  • Mac Dorman MF, Menacker F, Declercq E. Cesarean birth in the United States: epidemiology, trends, and outcomes. Clin Perinatol 2008;35:293- 307.
  • Coleman VH, Lawrence H, Schulkin J. Risingcesarean delivery rates: the impact of cesareandelivery on maternal request. Obstet GynecolSurv 2009;64:115-9.
  • American College of Obstetricians and Gynecologists. ACOG committee opinion no. 394. Cesarean delivery on maternal request. ObstetGynecol 2007;110:1501
  • ACOG Committee on Practice Bulletins–Obstetrics. ACOG PracticeBulle- tin no. 115: Vaginal birth after previous cesarean delivery. ObstetGyne- col. 2010;116:450-463.
  • McCourt C, Weaver J, Statham H, Beake S, Gamble J, Creedy D.Elective Caesarean Section and decision making: a critical reviewof the literature. Birth 2007;34:65-79.
  • https://www.acog.org/~/media/For%20Patients/faq070.pdf
  • Gamble J, Health M, Creedy D. Women’s preference for aCaesarean Se- ction: incidence and associated factors. Birth2001;28:101—10.
  • Chen MM, Hancock H. Women’s knowledge of options for birth after Caesarean Section. Women Birth. 2012;25:19-26.
  • Eden K, Hashima J, Osterwell P, Nygren P, Guise J. Childbirth preference after caesarean birth: a review of the evidence. Birth 2004;31:49-60.
  • Dodd JM, Crowther CA, Huertas E, Guise JM, Horey D. Planned ele- ctive repeat caesarean section versus planned vaginal birth for wo- men with a previous caesarean birth. Cochrane Database Syst Rev. 2013;12:CD004224.
  • Guise J-M, Eden K, Emeis C, Denman MA, Marshall N, Fu R, et al. Va- ginal birth after cesarean: new insights. Evidence Reports/Technology Assessments. 2010;191:1–397.
  • EURO-PERISTAT. European perinatal health report: the health and care of pregnant women and babies in Europe in 2010. 2013 [http://www. europeristat.com/reports/european-perinatal-health-report-2010.html]. Accessed 23 May 2015
  • Ridley RT, Davis PA, Bright JH, Siclair D. What influences women to choose vaginal birth after caesarean? J Obstet Gynaecol Neonat Nurs 2002:665-72.
  • Catling-Paull C, Johnston R, Ryan C, Foureur MJ, Homer C. Non-clinical interventions that increase the uptake and success of vaginal birth after caesarean section: a systematic review. BJOG. 2009;116:906–14.

Sezaryen Sonrası Vajinal Doğum: Sağlık Çalışanlarında Bir Anket Çalışması

Year 2016, Volume: 13 Issue: 4, 151 - 153, 01.10.2016

Abstract

Amaç: Çalışmadaki amacımız sağlık çalışanlarının sezaryen sonrası vajinal doğum hakkında bilgi düzeylerini ölçmek.Gereç ve Yöntemler: Tanımlayıcı tipteki bu çalışmada Mustafa Kemal Üniversitesi Tıp Fakültesinde görev yapan 100 sağlık personeline randomize anket formu dağıtılmış ve yanıtlanması istenmiştir. Anket formu Amerikan Obstetri ve Jinekoloji Derneği ACOG tarafından yayınlanmış SSVD hakkında hasta bilgilendirme formuna istinaden hazırlanmıştır.Bulgular: Çalışmaya dahil edilen 87 sağlık çalışanından’Sezaryen sonrası vajinal doğum yapılabilir mi?’ sorusuna 63 %72,4 kişi evet yanıtını verirken 24 %27,6 kişi hayır cevabını verdi. Aynı sorunun cevabına meslek gruplarına göre bakıldığında ise gruplar arasında fark izlenmedi p=0,3 . Sezaryen sonrası vajinal doğuma evet cevabı veren katılımcılara SSVD yapılabilmesi için gerekli önceki doğuma ait kesi şekli ve sezaryen sayısı sorulduğunda 21 %33,3 kişi bilmiyorum, 30 %47,6 kişi transvers ve 12 %19 kişi vertikal olması gerektiğini belirtti. Aynı grubun SSVD için gerekli minimum geçirilmiş sezaryen sayısına cevabı değerlendirildiğinde 25 %39,7 kişi bilmiyorum, 13 %20,6 kişi 1, 13 %20,6 kişi 2, 11 %17,5 kişi 3 ve 1 %1,6 kişi 4 olarak kaydedildi. ‘Sezaryen sonrası normal doğum yapmanın riskleri nelerdir?’ sorusuna katılımcıların cevaplarının dağılımları 29 %46 bilmiyorum, 30 %47,6 rüptür ve 4 %6,3 yok olarak kaydedildi.Sonuç: Sonuç olarak özellikle geçirilmiş sezaryen olan hastalarda SSVD’nin bir seçenek olduğu günümüzde, SSVD’nin mümkün olduğu çoğu sağlık çalışanı tarafından bilinse de, şartları ve riskleri konusunda sağlık çalışanlarının yeterince bilgi sahibi olmadığı görüldü. Bu konuda uygun eğitim ve bilgilendirmenin sağlanması artan sezaryen oranlarının kontrolünde yardımcı olabilir.

References

  • Althabe F, Belizan JM. Caesarean Section: the paradox. Lancet 2006;368:1472—3.
  • Wagner M. Choosing Caesarean Section. Lancet 2006;356:1677—80.
  • Rates of cesarean delivery--United States, 1993. MMWR Morb Mortal Wkly Rep.1995;44:303-7.
  • Martin JA, Hamilton BE, Ventura SJ, Menacker F, Park MM. Births: final data for 2000. Natl Vital Stat Rep. 2002;50:1-101.
  • Menacker Fay, Curtin SallyC. Trends in cesarean birth and vaginal birth after previous cesarean, 1991–99. National vital statisticsreports. 2001;49:1940-55.
  • Menacker F, Hamilton BE. Recent trends in cesarean delivery inthe United States. NCHS Data Brief. 2010:1-8.
  • Mac Dorman MF, Menacker F, Declercq E. Cesarean birth in the United States: epidemiology, trends, and outcomes. Clin Perinatol 2008;35:293- 307.
  • Coleman VH, Lawrence H, Schulkin J. Risingcesarean delivery rates: the impact of cesareandelivery on maternal request. Obstet GynecolSurv 2009;64:115-9.
  • American College of Obstetricians and Gynecologists. ACOG committee opinion no. 394. Cesarean delivery on maternal request. ObstetGynecol 2007;110:1501
  • ACOG Committee on Practice Bulletins–Obstetrics. ACOG PracticeBulle- tin no. 115: Vaginal birth after previous cesarean delivery. ObstetGyne- col. 2010;116:450-463.
  • McCourt C, Weaver J, Statham H, Beake S, Gamble J, Creedy D.Elective Caesarean Section and decision making: a critical reviewof the literature. Birth 2007;34:65-79.
  • https://www.acog.org/~/media/For%20Patients/faq070.pdf
  • Gamble J, Health M, Creedy D. Women’s preference for aCaesarean Se- ction: incidence and associated factors. Birth2001;28:101—10.
  • Chen MM, Hancock H. Women’s knowledge of options for birth after Caesarean Section. Women Birth. 2012;25:19-26.
  • Eden K, Hashima J, Osterwell P, Nygren P, Guise J. Childbirth preference after caesarean birth: a review of the evidence. Birth 2004;31:49-60.
  • Dodd JM, Crowther CA, Huertas E, Guise JM, Horey D. Planned ele- ctive repeat caesarean section versus planned vaginal birth for wo- men with a previous caesarean birth. Cochrane Database Syst Rev. 2013;12:CD004224.
  • Guise J-M, Eden K, Emeis C, Denman MA, Marshall N, Fu R, et al. Va- ginal birth after cesarean: new insights. Evidence Reports/Technology Assessments. 2010;191:1–397.
  • EURO-PERISTAT. European perinatal health report: the health and care of pregnant women and babies in Europe in 2010. 2013 [http://www. europeristat.com/reports/european-perinatal-health-report-2010.html]. Accessed 23 May 2015
  • Ridley RT, Davis PA, Bright JH, Siclair D. What influences women to choose vaginal birth after caesarean? J Obstet Gynaecol Neonat Nurs 2002:665-72.
  • Catling-Paull C, Johnston R, Ryan C, Foureur MJ, Homer C. Non-clinical interventions that increase the uptake and success of vaginal birth after caesarean section: a systematic review. BJOG. 2009;116:906–14.
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

İlay Gözükara This is me

Oya Karapınar This is me

Ali Ulvi Hakverdi This is me

Raziye Kurt This is me

Gökhan Demirkıran This is me

Publication Date October 1, 2016
Published in Issue Year 2016 Volume: 13 Issue: 4

Cite

Vancouver Gözükara İ, Karapınar O, Hakverdi AU, Kurt R, Demirkıran G. Sezaryen Sonrası Vajinal Doğum: Sağlık Çalışanlarında Bir Anket Çalışması. JGON. 2016;13(4):151-3.