COVID-19 Pandemisinin Eğitim Düzeyine Göre Gebelik Oranlarına Etkisi

Öz

Amaç: COVİD-19 pandemisinin eğitim düzeyine göre, gebe kalma oranları ve doğum şekli üzerine etkisinin değerlendirilmesi amaçlanmıştır. Materyal ve Metod: Bu çalışma, Kütahya Sağlık Bilimleri Üniversitesi Kadın Hastalıkları ve Doğum polikliniğine gebelik tanısıyla başvuran hastaların verilerinin retrospektif olarak incelenmesiyle oluşturulmuştur. Pandemi öncesindeki 6 aylık dönem ile pandemi sırasındaki 6 aylık dönem; eğitim düzeyleri, gebelik oranları ve doğum şekli açısından karşılaştırılmıştır. Bulgular: Pandemi öncesi 6 aylık periyotta 960 yeni gebelik başvurusu olmasına karşın pandemi döneminde 6 aylık periyotta 541 yeni gebelik başvurusu olmuştur. Tüm eğitim düzeylerinde, pandemi öncesi döneme göre pandemi döneminde değişim olmuştur (p<0.001). Pandemi öncesi dönemde ilkokul mezunu yeni gebelik başvurusu %26.1’den pandemi döneminde bu oran artarak %40.1’e yükselmiştir. Üniversite ve üstü eğitim düzeyinde yeni gebelik oranı %16’dan %5.9’a düşmüştür. Sezaryen oranları pandemi öncesi döneme göre anlamlı olarak artmıştır (p=0.002). Sonuç: COVID-19 pandemisinin kadınlar ve çiftler üzerinde olumsuz etkileri olmaktadır. Daha önceki pandemilerde olduğu gibi COVID-19 pandemisinde de gebe kalma oranları olumsuz yönde etkilenmektedir. Kadınlarda eğitim düzeyi arttıkça, pandemi öncesine göre gebe kalma oranları azalmıştır. Doğum şekli açısından sezaryen ile doğum pandemi öncesine göre belirgin olarak artmıştır. Bu sonuçların genellenebilmesi için ülke bazında çok merkezli araştırmalara ihtiyaç vardır.

Anahtar Kelimeler

• COVID-19
• eğitim düzeyi
• gebelik oranı
• pandemi

Effect of COVID-19 Pandemic on Pregnancy Rates Among Education Level

Öz

Aim: It was aimed to evaluate the effect of the COVID-19 pandemic on conception rates and mode of delivery according to education level. Materials and Methods: This study was created by retrospectively examining the data of patients who applied to Kütahya Health Sciences University, Obstetrics and Gynecology outpatient clinic with the diagnosis of pregnancy. The 6-month period before the pandemic and the 6-month period during the pandemic; were compared in terms of education levels, pregnancy rates and mode of delivery. Results: Although there were 960 new pregnancy applications in the 6-month period before the pandemic, there were 541 new pregnancy applications in the 6-month period during the pandemic period. In all education levels, there was a change in the pandemic period compared to the pre-pandemic period (p<0.001). In the pre-pandemic period, primary school graduate new pregnancy applications increased from 26.1% to 40.1% during the pandemic period. The rate of new pregnancy at university and higher education level decreased from 16% to 5.9%. Cesarean section rates increased significantly compared to the pre-pandemic period (p=0.002). Conclusion: The COVID-19 pandemic has negative effects on women and couples. As in previous pandemics, pregnancy rates are adversely affected in the COVID-19 pandemic. As the education level of women increased, pregnancy rates decreased compared to the pre-pandemic period. In terms of mode of delivery, cesarean section has increased significantly compared to the pre-pandemic period. In order to generalize these results, multicenter studies are needed on a country basis.

Anahtar Kelimeler

• COVID-19
• pandemic
• education level
• pregnancy rate

Kaynakça

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