Gebelik süresince doğum korkusunu etkileyen risk faktörlerinin belirlenmesi

Amaç: Çalışmanın amacı gebelerin yaşı, doğum sayısı, eğitim düzeyi ve göçmenlik durumu faktörlerinin doğum korkusu üzerine olan etkisini araştırmaktır. Gereç ve Yöntem: Bu kesitsel çalışma 25.07.2019 – 01.11.2019 tarihleri arasında Kütahya Sağlık Bilimleri Üniversitesi Evliya Çelebi Eğitim Araştırma Hastanesi’ne başvuran, tamamı okuma yazma bilen, 32-36 hafta arasındaki araştırmaya gönüllü olarak katılmayı kabul eden 444 gebe dahil edilerek yapıldı. Veriler Wijma Doğum Beklentisi/Deneyimi Ölçeği (W-DEQ) ile toplanmıştır ve Göçmen hastalara tercüman eşliğinde poliklinik doktoru tarafından anket soruları soruldu. Bulgular: Çalışma grubunu oluşturan gebelerde ortalama yaş 31,65±6,83 yıl idi. Tüm katılımcıların %24.8’i (n=110) düşük doğum korkusuna, %21.8’i (n=97) orta düzey doğum korkusuna, %27.9’u (n=124) şiddetli doğum korkusuna ve %25’inde (n=113) çok şiddetli doğum korkusuna sahip olarak belirlenmiştir. Katılımcıların eğitim düzeyi arttıkça W-DEQ skorununda arttığı görülürken, sadece üniversite mezunu ve lisansüstü mezunu gebeler arasında fark görülmemiştir. Göçmen gebelerde ise Türkiye vatandaşı ggebelere göre doğum korkusu anlamlı olarak az bulunmuştur. Sonuç: Doğum korkusu yaştan, eğitim durumundan, göçmenlik durumundan etkilenmekte olup, bu koşullar toplumlara göre değişiklik göstermektedir. Doğum korkusunu arttıran koşulların önceden belirlenmesi ve seçilmiş hasta gruplarında sosyal destek programları uygulanması doğum korkusunu azaltıp, ülkemizde artan sezaryen oranlarını düşürebilir.

Determination of risk factors affecting fear of childbirth during pregnancy

Purpose: We aimed to investigate the level of fear of childbirth in pregnant women in terms of factors such as age, number of births, education level, and immigration status. Materials and Methods: This cross-sectional study was carried out by including 444 pregnant women who have 32-36 weeks of pregnancy and voluntarily agree to participate in the research, all of them are literate and applied to Kütahya Health Sciences University Evliya Çelebi Training and Research Hospital between 25.07.2019 - 01.11.2019. The data were collected using the Wijma Birth Expectation / Experience Scale (W-DEQ), and the questionnaire was administered to the immigrant patients by an outpatient doctor via an interpreter. Results: The average age of the pregnant women was 31.65 ± 6.83 years. 24.8% (n = 110) of all the participants had low levels of fear of childbirth, 21.8% (n = 97) had moderate fear, 27.9% (n = 124) had severe fear, and 25% (n = 113) were identified as having very severe fear of childbirth. The W-DEQ score increased as the education level increased, but there was no difference between university graduates and postgraduate pregnant women. Fear of childbirth in migrant women was found to be significantly lower compared to Turkish women. Conclusion: Fear of childbirth is affected by age, education, immigration, and these conditions vary among societies. Pre-determining conditions that can increase fear of childbirth and implementing social support programs in selected patient groups may decrease the fear of childbirth and lower the number of cesarean sections in Turkey.

Keywords:

Birth Pregnancy, Fear of Childbirth,

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