The Importance of Perinatal Care Practices in Determining Pregnant Women's Satisfaction with Birth

Abstract

Aim: Perinatal care services constitute an inseparable structure of the “safe motherhood” approach introduced by the World Health Organization (WHO) in 1987. In the Antenatal Care Guide published by WHO in 2016, they revealed that the woman should perform eight antenatal follow-ups during the pregnancy period. The “Antenatal Care Monitoring Protocol”, which was revised by the Ministry of Health in Turkey in 2017, emphasized that at least four antenatal follow-ups should be made for each pregnant woman. The main purpose of perinatal services is; Regular monitoring of the pregnant and fetus by health personnel, having a healthy pregnancy and delivery process, preventing and determining risky situations, and meeting the psychosocial and medical needs of the pregnant. Our study was carried out as a descriptive and relationship seeker in order to determine the satisfaction of mothers with their birth in the perinatal care practices given in a university hospital. Material and Methods: The sample part of the study was accepted as 60 women who applied to the delivery room of İstanbul University Çapa Medical Faculty to give birth, and 60 women who gave birth by cesarean section. The data obtained are; It was obtained by using the “Descriptive Information Form”, “Optimality Index-Turkey (OI-TR) Case Report Form”, “Maternal Satisfaction Assessment at Delivery Scale (DAMDÖ) (Normal Birth)” and Maternal Satisfaction Assessment at Birth (Cesarean Section)”. Results: When the results obtained in the research are interpreted; Perinatal CV index (PPI) score of 87.61% and optimality index (OI) score of 79.11% of the women in the research group; PPI score of 90.16% and OI score of 76.11% of women who had vaginal delivery; It was revealed that the PPI score of women who gave birth by cesarean section was 85.07% and the OI score was 82.12%. Conclusion: When the DAMDÖ scores according to the delivery type were examined, it was determined that the women who gave birth in both ways had a high level of satisfaction with the birth.

Keywords

• Perinatal Car
• Optimality
• Birth Satisfaction

Kaynakça

1. Care in normal birth: a practical guide. Technical Working Group, World Health Organization. Birth. 1997;24:121-3.
2. Kızılkaya N. Women's evaluations of nursing support during labor. Perinatol Journal. 1997;5:113-6.
3. Yücel Ç, Taşkın L, Low LK. Validity and reliability of the Turkish version of the Optimality Index-US (OI-US) to assess maternity care outcomes. Midwifery. 2015:31;1135-42.
4. Şahin NH, Gökyıldız Ş, Bıldırcın M. Kanita dayalı tıp ve perinatoloji hemşireliğinde kullanımı. Journal of Nursology. 2005;8:84-93.
5. Evcili F, Yurtsal B, Abak G, Tali B, Temel S Perinatal patient safety: the midwives and perinatal clinical nurse employee’s perspectives and trainings. Journal of Continuing Medical Education. 2015;24:178-84.
6. Özdemir Ö, Pala A. Diagnosis, treatment and prevention methods of pediatric COVID-19 infection. Journal of Biotechnology and Strategic Health Research. 2020;4:14-21.
7. Deliktaş A, Kabukcuoğlu K. Creation of evidence-based practice culture in the maternal care. Gümüşhane University Journal Of Health Sciences. 2017;6:130-8.
8. Yılmaz FA, Başer M. Effects of healthcare provided, by clinical nurses and student nurses during normal birth, on the mother’s satisfaction. ACU Sağlık Bil Derg. 2017;24-8.

9. Senarath U, Fernando DN, Rodrigo I. Factors determining client satisfaction with hospital-based perinatal care in Sri Lanka. Trop Med Int Health. 2006 Sep;11:1442-51.
10. Enabudoso E, Isara AR. Determinants of patient satisfaction after cesarean delivery at a university teaching hospital in Nigeria. Int J Gynaecol Obstet. 2011;114:251-4.
11. Bélanger-Lévesque MN, Pasquier M, Roy-Matton N, et al. Maternal and paternal satisfaction in the delivery room: a cross-sectional comparative study. BMJ Open. 2014;4:e004013.
12. Akın B, Turfan EÇ. Evaluating the birth satisfaction of the pregnant women who had antenatal education and those who did not have. International Referred Journal of Gynaecological Diseases and Maternal and Child Health. 2016;:1-16.
13. Çapık A, Sakar T, Yıldırım N, et al. Determining the satisfaction levels of the mothers according to their mode of birth. Journal of Anatolia Nursing and Health Sciences. 2016;19:92-9.
14. Taşkın L, Koç G. Nurses and midwives in perinatal services which gives in primary health care settings. Journal of Hacettepe University School of Nursing. 2006;13:48-56.
15. Güngör İ, Beji NK. Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth. Midwifery. 2012:28;348-57.
16. Yılmaz E, Nazik F. The correlation between perception of birth and nursing care levels of mothers. The Journal of Gynecology-Obstetrics and Neonatology. 2018;15:52-6.
17. Yeşilçiçek KÇ, Karabulutlu Ö, Yavuz C. First do no harm-interventions during labor and maternal satisfaction: a descriptive cross-sectional study. BMC Pregnancy Childbirth. 2018;18:415.
18. Smarandache A, Kim TH, Bohr Y, Tamim H. Predictors of a negative labour and birth experience based on a national survey of Canadian women. BMC Pregnancy Childbirth. 2016;16:114.
19. Yaldir IA, Coban A. Maternal satisfaction in the early period after birth. Journal Medical Brasovean. 2018;1:50-6.
20. Koç Ö, Özkan H. The relationship between childbirth satisfaction and motherhood role. International Journal of Health Sciences. 2018;6:8-15.
21. Aslan Ş, Okumuş F. The influence of childbirth expectation on primiparous women’s perceptions of their birth experience. Journal of Health Science and Profession. 2017;4:32-40.
22. Ölmez F, Oğlak SC. The prevalence and associated factors of fear of chilbirth. among pregnant adolescents in Turkey: a cross-sectional study. J Clin Obstet Gynecol. 2021;31: 103-10.
23. Bossano CM, Townsend KM, Walton AC, et al. The maternal childbirth experience more than a decade after delivery. Am J Obstet Gynecol. 2017;217:342.e1-8.
24. Aydin Ozkan S, Demirgoz Bal M. Maternal satisfaction in normal and caesarean birth: a cross-sectional study. International Journal of Caring Sciences. 2019;12:408-15.