Investigation of the Problems and Affecting Factors of Women Who Give Birth in the Pandemic in Accessing Health Services During Pregnancy

Yıl 2024, , 46 - 54, 25.03.2024

Nur Bahar Kuru Aktürk , Beyzanur İşbay , Merve Kolcu , Esengül Candar

https://doi.org/10.38108/ouhcd.1191212

Öz

Objective: This study aimed to examine the problems experienced by women who gave birth during the pandemic in accessing health services during pregnancy and the factors affecting them.
Method: The study is of descriptive type and was conducted with 390 women who gave birth in a gynecology and pediatrics hospital in Istanbul between September and November 2021. A questionnaire consisting of 28 questions was used as a data collection tool. In data analysis, number and percentage, mean, chi-square test and multiple regression analysis were used.
Results: It was determined that 47.4% of the women participating in the study were in the 26-33 age group, 35.1% were primary school graduates, and 24.6% were diagnosed with COVID-19. It was determined that 90.3% of the women (both themselves and their spouses) got pregnant voluntarily, but 12.1% wanted to terminate the pregnancy, 45.8% did not want to get pregnant due to economic reasons. The change in the situation of women experiencing problems in accessing health services during the pandemic process is explained by the situation in which they can receive adequate health services due to the pandemic at a rate of 13.5% (R2 = 0.135).
Conclusion: It was concluded that the women participating in the study had problems in accessing health services during the pandemic process and their ability to receive adequate health services was affected.

Anahtar Kelimeler

Pandemic, COVID-19, Women, Women's health, Pregnancy, Obstetrics, Health services

Proje Numarası

YOK

Pandemide Doğum Yapan Kadınların Gebelik Sürecinde Sağlık Hizmetlerine Ulaşmada Yaşadığı Sorunların ve Etkileyen Faktörlerin İncelenmesi

Öz

Amaç: Bu çalışmada, pandemide doğum yapan kadınların gebelik sürecinde sağlık hizmetlerine ulaşmada yaşadığı sorunların ve etkileyen faktörlerin incelenmesini amaçlanmıştır.
Yöntem: Araştırma tanımlayıcı tipte olup, Eylül- Kasım 2021 tarihleri arasında İstanbul’da bir kadın ve çocuk hastalıkları hastanesinde doğum yapan 390 kadın ile yürütülmüştür. Veri toplama aracı olarak 28 sorudan oluşan anket formu kullanılmıştır. Veri analizinde, sayı ve yüzde, ortalama, ki-kare testi ve çoklu regresyon analizi kullanılmıştır.
Bulgular: Araştırmaya katılan kadınların %47,4’ünün 26-33 yaş grubunda, %35.1’i ilköğretim mezunu olduğu, %24,6’sının COVID-19 tanısı aldığı belirlenmiştir. Kadınların %90.3’ünün isteyerek (hem kendisi hem eşi) gebe kaldığı ancak %12.1’inin gebeliğini sonlandırmak istediği, %45.8’inin ekonomik nedenlerle gebeliğini istemediği saptanmıştır. Kadınların pandemi sürecinde sağlık hizmetlerine ulaşmada problem yaşama durumu üzerindeki değişim %13.5 oranında pandemi nedeniyle yeterli sağlık hizmeti alabilme durumu ile açıklanmaktadır (R2= 0.135).
Sonuç: Araştırmaya katılan kadınların pandemi sürecinde sağlık hizmetlerine ulaşmada problem yaşadığı ve yeterli sağlık hizmeti alabilme durumunun etkilendiği sonucuna ulaşılmıştır.

Anahtar Kelimeler

Pandemi, COVID-19, Kadın Sağlığı, gebelik, doğum, sağlık hizmetleri

Destekleyen Kurum

YOK.

Proje Numarası

YOK

Teşekkür

YOK

Kaynakça

• Aryal S, Shrestha D. (2020). Motherhood in Nepal during COVID-19 pandemic: are we heading from safe to unsafe? Journal of Lumbini Medical College, 8(1), 128-129.
• Bradfield Z, Wynter K, Hauck Y, Vasilevski V, Kuliukas L,Wilson AN, ve ark. (2021). Experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia: A five-cohort cross-sectional comparison. Plos One, 16(3), e0248488. https://doi.org/10.1371/journal.pone.0248488
• Chatterjee S, Kotelchuck M, Sambamoorthi U. (2008). Prevalence of chronic illness in pregnancy, access to care, and health care costs: implications for interconception care. Women's Health İssues: official publication of the Jacobs Institute of Women's Health, 18(6 Suppl), S107–S116. https://doi.org/10.1016/j.whi.2008.06.003
• Cooper M, King R. (2020). Women's experiences of maternity care at the height of COVID-19. Australian College of Midwives. Erişim tarihi 1.04.2022. https://www.midwives.org.au/news/womens-experiences-maternity-care-height-COVID-19
• Dereli Yılmaz S, Ege E, Akın B, Çelik Ç. (2011). 15-49 yaş kadınların kürtaj nedenleri ve kontraseptif tercihleri. Florence Nightingale Journal of Nursing, 18(3), 156-163.
• Favre G, Pomar L, Qi X, Nielsen-Saines K, Musso D, Baud D. (2020). Guidelines for pregnant women with suspected Sars-Cov-2 infection. The Lancet. Infectious Diseases, 20(6), 652–653. https://doi.org/10.1016/S1473-3099(20)30157-2
• Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, ve ark. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497–506.
• Jungari S. (2020). Maternal mental health in India during COVID-19. Public Health, 185, 97–98. https://doi.org/10.1016/j.puhe.2020.05.062
• Kıssal A, Kartal B. (2019). Bir üniversite hastanesinde doğum yapan kadınların doğum öncesi bakım içeriğinin değerlendirilmesi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 5 (1), 35-41. https:// dergipark.org.tr/tr/pub/fnjn/issue/9002/112174
• Laouan FZ. (2020). Rapid gender analysis - COVID-19. West Africa – April 2020 – Benin. Erişim tarihi 15.07.2022. https://reliefweb.int/report/benin/rapid-gender-analy sis-COVID-19-west-africa-april-2020.
• Lincetto O, Mothebesoane-Anoh S, Gomez P, Munjanja S. (2012) Opportunities for africa’s newborns. Antenatal Care. Erişim tarihi 12.07.2022. www.who.int/entity/pmnch/media/publications/aonsectionIII_2.pdf
• Meaney S, Leitao S, Olander E.K, Pope J, Matvienko-Sikar K. (2022). The impact of COVID-19 on pregnant women’s experiences and perceptions of antenatal maternity care, social support, and stress-reduction strategies. Women and Birth: Journal of the Australian College of Midwives, 35(3), 307–316. https://doi.org/10.1016/j.wombi.2021.04.013
• Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC, Locci M, ve ark. (2020). Psychological impact of coronavirus disease 2019 in pregnant women. American Journal of Obstetrics and Gynecology, 223(2), 293–295. https://doi.org/10.1016/j.ajog.2020.05.003
• Salant P, Dillman D. (1994). How to conduct your own survey. Journal of Marketing Research, 33(1) 118-119. https://doi.org/10.2307/3152021
• Semaan A, Audet C, Huysmans E, Afolabi B, Assarag B, Banke-Thomas A, Blencowe H, ve ark. (2020). Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic. BMJ Global Health, 2020;5:e002967.
• Sağlık Bakanlığı. (2018). Doğum öncesi bakım rehberi. Erişim tarihi 15.06.2022. https://khgmsaglik hizmetleridb.saglik.gov.tr/Eklenti/28085/0/dogumoncesibakimyonetimrehberipdf.
• Til A, Sütlü S. (2021). Effect of the COVID-19 pandemic on antenatal care behavior of pregnant women in Burdur, Turkey. Anatolian Journal of Family Medicine, 4(2), 178–181. https://doi.org/ 10.5505/anatoljfm.2021.42744
• Türkiye Cumhuriyeti Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. (2020). COVID-19 (SARS-Cov-2 Enfeksiyonu) rehberi. Erişim tarihi 11.04.2022. https://covid19.saglik.gov.tr/TR-66301/COVID-19-rehberi.html
• Wilson AN, Sweet L, Vasilevski V, Hauck Y, Wynter K, Kuliukas L, ve ark. (2022). Australian women's experiences of receiving maternity care during the COVID-19 pandemic: A cross-sectional national survey. Birth, 49(1), 30–39. https://doi.org/10.1111/birt.12569
• Wu H, Sun W, Huang X, Yu S, Wang H, Bi X, ve ark. (2020). Online antenatal care during the COVID-19 pandemic: opportunities and challenges. Journal of Medical Internet Research, 22(7), e19916. https://doi.org/10.2196/19916