Farklı illerdeki sağlık çalışanlarının kadınların doğum şekli tercihlerine ilişkin görüşleri

Amaç: Bu çalışma, Türkiye'nin farklı bölgelerinde çalışan hekim, ebe ve stajyerlerin kadınların doğum şekli tercihlerine ilişkin görüşlerini araştırmak amacıyla yapılmıştır. Gereç ve Yöntem: Bu tanımlayıcı çalışma, Ocak-Mart 2016 tarihleri arasında Adana ve Siirt'te en az altı ay kadın doğum alanında çalışmış sağlık çalışanları ile gerçekleştirildi. Çalışma örneği, küme örnekleme yöntemi kullanılarak seçildi. Veriler, yarı yapılandırılmış görüşme formu ile 320 sağlık çalışanından toplandı. Veri analizi, SPSS 22.0 yazılım paketi kullanılarak gerçekleştirildi.Bulgular: Sağlık çalışanlarının görüşlerine göre; doğumda sağlık çalışanlarının davranışlarına yönelik endişeler, doğum zamanını planlama isteği, doktor önerilerii veya diğer kadınlar tavsiyeleri kadınların sezaryen tercihine neden olmaktadır. Sağlık çalışanları, hekim tavsiyesinin kadınların vaginal doğum tercihini etkilediği görüşündedir. Kadınların doğumun doğal yolunun vaginal doğum olduğu, vaginal doğumun bebekleri için daha sağlıklı olduğu düşünmeleri ve geleneksel tutumlar nedeniyle vaginal doğum tercih ettiklerini düşünmektedirler. Siirt’te çalışan sağlık çalışanlarına göre kadınların geleneksel tutumlarından dolayı vaginal doğum tercih etmeleri Adana’da çalışan sağlık çalışanlarına göre daha belirgindi. Sonuç: Bu çalışma, hekimlerin kadınların doğum yöntemi tercihlerinde önemli bir rol oynadıkları görüşünü güçlendirmiştir. Türkiye'de sezaryen oranı ortalamasının altında olan Siirt ilinde, geleneksel tutumlar nedeniyle kadınlar daha çok vaginal doğum tercih etmektedirler.

Anahtar Kelimeler:

İsteğe bağlı sezaryen, Vaginal doğum, sağlık çalışanları

The opinions of Turkish maternity care providers in different provinces on women’s preferences for mode of delivery

Purpose: The study aims to find out the opinions of physicians, midwives and trainees working in the different regions of Turkey on women’s mode of delivery preferences. Materials and Methods: This descriptive study was conducted between January- March 2016 with maternity care providers (MCPs) who had worked in Adana and Siirt for at least six months. The study sample was selected using the cluster-sampling method. The data were collected from 320 MCPs with semi-structured interview form. The data analysis was performed using the SPSS 22.0 software package. Results: The study showed that according to the MCPs, women preferred caesarean section (CS) due to their concerns about health care providers behaviors during birth, requests for birth time planning and their suggestion from the physician or suggestions from other women. The MCPs expressed that women’s preference of vaginal delivery (VD) was affected by physician suggestions and from the opinion that the natural way of giving birth was healthier for their babies and it is traditional attitudes. The MCPs in Siirt stated more often that women preferred VD due to their traditional attitudes, comparing to the MCPs in Adana.Conclusion: This study has strengthened the opinion that physicians play a key role in women’s delivery mode preferences. It is intriguing that in Siirt, where the rate of CS is lower than the average rate in Turkey, women commonly preferred VD due to their traditions attitudes.

Keywords:

C- Section on maternal request, Vaginal delivery, Maternity care provider,

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