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自然阴道分娩还是剖宫产?土耳其女性怎么看?

Spontaneous vaginal delivery or caesarean section? What do Turkish women think?

作者信息

Atan Senay Ünsal, Duran Emel Tasci, Kavlak Oya, Donmez Sevgul, Sevil Umran

机构信息

Department of Gynaecological and Obstetric Nursing, Ege University Nursing Faculty, Izmir, Turkey.

出版信息

Int J Nurs Pract. 2013 Feb;19(1):1-7. doi: 10.1111/ijn.12029.

Abstract

The aim of this study was to describe women's feelings, attitudes and beliefs about different modes of childbirth. A descriptive cross-sectional study was conducted at the obstetrics clinics of Ege University and Dr Ekrem Hayri Ustundag Obstetrics and Gynaecology Hospital in Izmir, Turkey. Three-hundred forty-two women who had given birth via spontaneous vaginal delivery (SVD) or caesarean section (C/S) between June and December 2009 voluntarily agreed to participate. Fifty-seven per cent of participants were aged 20-24. Sixty per cent of the women (n = 205) had undergone C/S during their last delivery; among these women, the birth method of 90% (n = 185) was decided by their doctors, whereas the remaining 10% (n = 20) made the decision themselves or with their partners. Sixty-three per cent (n = 250) of women who underwent C/S said that if they gave birth again, they would prefer to deliver via SVD. Eighty-eight per cent (n = 300) of women wanted the legal right to choose their birth method. Although the rate of C/S was high, most women stated that if given the choice, they would prefer a SVD if they had another child.

摘要

本研究的目的是描述女性对不同分娩方式的感受、态度和信念。在土耳其伊兹密尔的艾杰大学产科诊所和埃克雷姆·海利·乌斯通达格博士妇产科医院进行了一项描述性横断面研究。2009年6月至12月间通过自然阴道分娩(SVD)或剖宫产(C/S)分娩的342名女性自愿同意参与。57%的参与者年龄在20至24岁之间。60%的女性(n = 205)在上次分娩时接受了剖宫产;在这些女性中,90%(n = 185)的分娩方式由医生决定,而其余10%(n = 20)由自己或与伴侣做出决定。接受剖宫产的女性中有63%(n = 250)表示,如果再次分娩,她们更愿意通过自然阴道分娩。88%的女性(n = 300)希望拥有选择分娩方式的合法权利。尽管剖宫产率很高,但大多数女性表示,如果可以选择,她们再生孩子时更倾向于自然阴道分娩。

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