Department of Obstetrics and Gynecology, Medical Faculty, Kahramanmaras Sutcuimam University, Kahramanmaras, Turkey.
Arch Gynecol Obstet. 2011 Sep;284(3):543-9. doi: 10.1007/s00404-010-1682-z. Epub 2010 Sep 26.
OBJECTIVE(S): (1) To investigate the cesarean rate among actively practicing obstetricians in Turkey and reasons why they choose this mode of delivery for themselves/partners. (2) To investigate the attitudes, practices, and beliefs with respect to cesarean delivery on maternal request (CDMR) among actively practicing obstetricians in Turkey.
This is a descriptive study performed at 7th Congress Of Turkish Society Of Gynecology and Obstetrics. A self-administered questionnaire was used for data collection. During the congress, from the obstetricians attending the congress, 500 were randomly selected; due to the room numbers, the questionnaires (total, 500) and the consent forms were distributed every fourth room. The sampled obstetricians were instructed to return the completed questionnaires and signed consent forms to the congress information desk located throughout the congress. In total, 387 (77.4%) obstetricians responded.
Of the respondents (if female) or their partners (if male), 239 (61.8%) respondents had undergone at least one previous cesarean section (CS), and, of these, 212 (88.7%) were primary elective cesarean deliveries. The most common reason influencing the decision of obstetricians in choosing CS for themselves/partners was reduced anorectal trauma (63.6%). In addition, 158 (40.8%) of the respondents believe that every woman has the right to request a cesarean as a mode of delivery. About half of the respondents (53.2%) said that they would perform a patient-requested CS. The most common reason why obstetricians perform CS due to maternal request was 'anxiety of patient and her partner and due to their insistence'.
Two-thirds of Turkish obstetricians prefer CS as mode of delivery for themselves/partners. Also half of the obstetricians in our study believe that a woman has the right to request and obtain CDMR, and half of them would agree to perform one.
（1）调查土耳其活跃产科医生的剖宫产率及其选择该分娩方式的原因。（2）调查土耳其活跃产科医生对产妇要求剖宫产（CDMR）的态度、实践和信念。
这是在第 7 届土耳其妇科和产科协会大会上进行的描述性研究。使用自填式问卷收集数据。在大会期间，随机从参加大会的产科医生中抽取 500 人；由于房间数量，问卷（共 500 份）和同意书按每四个房间分发。抽样的产科医生被指示将填写完整的问卷和已签署的同意书交还给大会信息台，该信息台遍布大会各处。共有 387 名（77.4%）产科医生做出回应。
在回答问题的医生（如果是女性）或其伴侣（如果是男性）中，239 名（61.8%）曾至少进行过一次剖宫产，其中 212 名（88.7%）为初次选择性剖宫产。影响产科医生为自己/伴侣选择剖宫产的决定的最常见原因是减少肛肠创伤（63.6%）。此外，158 名（40.8%）的受访者认为每位女性都有权要求剖宫产作为分娩方式。大约一半的受访者（53.2%）表示他们会进行产妇要求的剖宫产。产科医生因产妇要求行剖宫产的最常见原因是“患者及其伴侣的焦虑和坚持”。
三分之二的土耳其产科医生更喜欢剖宫产作为自己/伴侣的分娩方式。此外，我们研究中的一半产科医生认为女性有权要求并获得 CDMR，其中一半人会同意进行。
