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Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Aim: The aim of this study is to investigate the influence factors on choices for delivery mode of the women.
Materials and methods: This study included 429 women who delivered in 2007 around the Güldüoglu Health Center in the center of Kayseri. The collected data were evaluated through percentage calculation, Chi-square, Mc Nemar tests.
Results: The only 43.1% of the women were informed about the mode of delivery by health workers. During pregnancy 61.5% of the women stated that they wanted to deliver via vaginal delivery while 11, 5% of them wanted caesarean section. The rate of the caesarean section was 55.6%. The most caesarean indications were previous cesarean section (33,2%), mother’s request (13, 6%) and fetal distress (12, 7%). While there is no significant differences about the rate of the caesarean request in respect of education, age, being informed about the delivery mode, having previous delivery, having problem during previous delivery and the number of delivery, the women with higher income wanted caesarean delivery in higher rate. The women aged 26 and over, employed educated high school or more, having prenatal care more than 10, examined and delivered in private hospital delivered via caesarean section in higher rate than the others. The women believed that vaginal delivery is safer for themselves (89, 5%) and their babies (69, 1%). The most important factor on women’s’ decision about the mode of delivery is safety for their babies (36, 1%). Of the women 88.4% of them who delivered via vaginal mode and 61, 2% of the women who delivered via caesarean section noted that they would want to delivery via vaginal mode for their next birth.
Conclusion: Demographic and socio-economic factors and attitudes of health service providers may also be the determinants of this high rate.
Key words: cesarean, vaginal delivery,
Materials and methods: This study included 429 women who delivered in 2007 around the Güldüoglu Health Center in the center of Kayseri. The collected data were evaluated through percentage calculation, Chi-square, Mc Nemar tests.
Results: The only 43.1% of the women were informed about the mode of delivery by health workers. During pregnancy 61.5% of the women stated that they wanted to deliver via vaginal delivery while 11, 5% of them wanted caesarean section. The rate of the caesarean section was 55.6%. The most caesarean indications were previous cesarean section (33,2%), mother’s request (13, 6%) and fetal distress (12, 7%). While there is no significant differences about the rate of the caesarean request in respect of education, age, being informed about the delivery mode, having previous delivery, having problem during previous delivery and the number of delivery, the women with higher income wanted caesarean delivery in higher rate. The women aged 26 and over, employed educated high school or more, having prenatal care more than 10, examined and delivered in private hospital delivered via caesarean section in higher rate than the others. The women believed that vaginal delivery is safer for themselves (89, 5%) and their babies (69, 1%). The most important factor on women’s’ decision about the mode of delivery is safety for their babies (36, 1%). Of the women 88.4% of them who delivered via vaginal mode and 61, 2% of the women who delivered via caesarean section noted that they would want to delivery via vaginal mode for their next birth.
Conclusion: Demographic and socio-economic factors and attitudes of health service providers may also be the determinants of this high rate.
Key words: cesarean, vaginal delivery,
Learning Objectives: to investigate the influence factors on choices for delivery mode of the women.