OPINIONS OF HEALTHCARE PROFESSIONALS ABOUT CESAREAN BIRTH IN BURDUR PROVINCE

Öz

The rate of births by cesarean section (CS) is on the rise globally. Turkish CS rate ranks first with 53.1% in the world. According to Burdur Provincial Health Directorate 2018 and 2019 statistics, 49.2% normal birth, and 50.8% CS rates are seen. This study was planned as a descriptive study in order to determine the deficiencies and suggestions of midwives working in Burdur about in-service training to reduce the CS rates. The sociodemographic characteristics, professional experiences, and participation in in-service training programs of the 112 midwives who were questioned, and their personal opinions and suggestions were evaluated. Most of the midwives participating in the study are between the ages of 39-45 (n = 46, 41.1%) and their duration of professional experience is mostly 20 years and over (n = 69, 61.6%). While 46.4% of the participants find the cesarean birth-related training organized by the Provincial Health Directorate sufficient for them, 52.7% think that the training should be improved. When their opinions about the training given by the Ministry of Health were evaluated, 60% of the participants stated that the training was sufficient, while 40% stated that they should be improved. We think that; reaching all personnel about multidisciplinary in-service training on issues such as counseling in prenatal care, providing maternity services and making appropriate interventions for safe delivery; increasing the practices to gain awareness of healthcare personnel and pregnant women; further during these practices, collaborating with the media, community organizations and associations will be effective in reducing CS rates.

Anahtar Kelimeler

• cesarean delivery
• midwife
• safe childbirth

Kaynakça

1. 1. World Health Organization. Statement on cesarean section rates. Switzerland: 2015.
2. 2. Visser GHA, Ayres-de-Campos D, Barnea ER, de Bernis L, Di Renzo GC, Vidarte MFE, Lloyd I, Nassar AH, Nicholson W, Shah PK, Stones W, Sun L, Theron GB, Walani S. FIGO position paper: how to stop the cesarean section epidemic. Lancet. 2018 Oct 13;392(10155):1286-1287. DOI: 10.1016/S0140-6736(18)32113-5. PMID: 30322563.
3. 3. Til A, Bostanci M. The effect of structured delivery preparation education on birth preference. Int J Gynecol Obstet. 2021;00:1–7. https://doi.org/10.1002/ijgo.13569
4. 4. Republic of Turkey Ministry of Health General Directorate of Health Information Systems. Health statistics yearbook 2017. Ankara: 2018. Available at: https://dosyasb.saglik.gov.tr/Eklenti/30148,ingilizcesiydijiv1pdf.pdf?0
5. 5. World Health Organization. Recommendations on Antenatal Care for a Positive Pregnancy Experience. Geneva: 2016. PMID: 28079998.
6. 6. Republic of Turkey Ministry of Health General Directorate of Public Health. Prenatal care monitoring protocol circular 2008/13. Turkey: 2008 Feb 19. Available at: https://www.saglik.gov.tr/TR,11104/dogum-oncesi-bakim-izlem-protokolu-genelgesi-2008--13.html(in Turkish)
7. 7. Republic of Turkey Ministry of Health General Directorate of Mother and child health / Family Planning. Reproductive health program of Turkey: sexual health and reproductive health service standards. Turkey: 2007. Available at: https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/a%C3%A7sap39.pdf (in Turkish)
8. 8. Republic of Turkey Ministry of Health General Directorate of Mother and child health / Family Planning. Labor and cesarean section management guide. Turkey: 2010. Available at: https://kalite.saglik.gov.tr/Eklenti/6407/0/dogum-ve-sezaryen-eylemi-yonetim-rehberipdf.pdf (in Turkish)

9. 9. Eskicioğlu F, Hasdemir P, Çelik H, Koyuncu F. Sağlık politikalarının, hekimlerin sezeryan kararı almalarında etkisi: ikinci basamak sağlık kuruluşu değerlendirilmesi. Pam Med J. 2014;2:119-123.
10. 10. Betrán AP, Temmerman M, Kingdon C, Mohiddin A, Opiyo N, Torloni MR, Zhang J, Musana O, Wanyonyi SZ, Gülmezoğlu AM, Downe S. Interventions to reduce unnecessary cesarean sections in healthy women and babies. Lancet 2018 Oct13;392(10155):1358-1368. doi:10.1016/s0140-6736(18)31927-5
11. 11. Molina G, Weiser TG, Lipsitz SR, Esquivel MM, Uribe-Leitz T, Azad T, Shah N, Semrau K, Berry WR, Gawade AA, Haynes AB. Relationship between cesarean delivery rate and maternal and neonatal mortality. JAMA 2015 Dec01;314(21):2263-2270. doi:10.100./jama.2015.15553
12. 12. Munro S, Kornelsen J, Hutton E. Decision making in patient-initiated elective cesarean delivery: the influence of birth stories. J Midwifery Women's Health. 2009 Sep-Oct;54(5):373-379. DOI: 10.1016/j.jmwh.2008.12.014. PMID: 19720338.
13. 13. Tarney CM. Bladder injury during cesarean delivery. Curr Women's Health Rev. 2013 May;9(2):70-76. DOI: 10.2174/157340480902140102151729.
14. 14. Borkar V, Upadhye JJ. Anesthetic complications in cesarean section. Int J Res Med Sci. 2018 Oct;6(10). doi:10.18203/2320-6012.ijrms20183849
15. 15. Demirbas M, Karabel MP, Inci MB. Changing rates of cesarean section in Turkey and in the world and probable causes. Sakarya Med J. 2017;7(4):158-163 doi:10.31832/smj