Kadinlarin dogum yontemi tercihi ve iliskili faktorler

Abstract

Objective: Pregnancy and delivery are physiological events that are considered as closely related sources of stress for women. A mother's choice of the method of delivery is very important for both maternal and child health. In this study, we aimed to determine factors related to the method of delivery among women aged 18-49. Methods: This study is a descriptive study. A questionnaire was applied to 1159 women between the ages of 18-49 with a history of pregnancy who presented in some of the Family Health Centers in Ankara city center. Descriptive statistics and logistic regression analysis were used and p <0.05 was considered statistically significant. Results: During the survey, 34.4% of the women were pregnant, while 77.2% had a history of pregnancy. Almost 60% of them reported a normal vaginal delivery for their most recent pregnancy while 43.2% had had a cesarean delivery. A logistic regression model was applied to determine factors related to the delivery method for the most recent pregnancy. It was found that living in urban areas (OR=10.1), having the last delivery in a private clinic (OR=2.5), having problems in the most recent pregnancy (OR=2.1), hospitalization (OR= 2.3), experiencing problems that require cesarean section (OR= 13.2 times) and not having access to information about the types of birth (OR=1.4) were the factors associated with cesarean section (p <0.05). Almost 70% of the women who reported a cesarean section without any relevant medical indication also indicated that the physician had him/herself made the decision. Conclusion: 43.2% of the women had a history of cesarean section. About half of the women who were pregnant at the time of the interview, were planning to have a cesarean section. Not having information about the types of birth is a preventable factor that increases the likelihood of cesarean section. It is required that women be well informed about types of birth and have a better understanding about other factors related to cesarean section.