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土耳其女性对顺产有什么看法?

What is Turkish women's opinion about vaginal delivery?

作者信息

İlhan Gülşah, Verit Atmaca Fatma Ferda, Eken Meryem, Tavukçuoğlu Zehra, Özel Ayşegül, Özdemir Mucize, Güngör Emre Sinan

机构信息

Süleymaniye Maternity Research and Training Hospital, Clinic of Obstetric and Gynecology, İstanbul, Turkey.

Zeynep Kamil Educational and Research Hospital, Clinic of Obstetric and Gynecology, İstanbul, Turkey.

出版信息

Turk J Obstet Gynecol. 2015 Jun;12(2):75-78. doi: 10.4274/tjod.59913. Epub 2015 Jun 15.

DOI:10.4274/tjod.59913
PMID:28913047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5558380/
Abstract

OBJECTIVE

To determine Turkish women's opinion about vaginal birth.

MATERIALS AND METHODS

This prospective cohort study was conducted in Department of Obstetrics and Gynecology of Süleymaniye Maternity Research and Training Hospital in İstanbul, Turkey, between February 2015 and April 2015. The participants of this study were 100 primiparous pregnant women who had vaginal deliveries. The women were interviewed face-to-face after the birth. Data were collected through a socio-demographic and clinical questionnaire.

RESULTS

Ninety percent of the women reported vaginal birth as the ideal mode of delivery route; a minority of the women (10%) had decided on cesarean birth before having a vaginal birth. Anxiety of pain was the major factor that influenced choice of delivery type before giving birth. After vaginal birth, 84% of women were satisfied with vaginal birth and reported that they would prefer vaginal birth for their next pregnancy. However, 16% reported that they would prefer cesarean birth for their next pregnancy due to pain of labor, pain of episiotomy, anxiety, and prolonged duration of labor.

CONCLUSION

The results suggest the majority of women prefer to give birth vaginally and reported vaginal birth as the ideal choice.

摘要

目的

确定土耳其女性对阴道分娩的看法。

材料与方法

这项前瞻性队列研究于2015年2月至2015年4月在土耳其伊斯坦布尔的苏莱曼尼耶妇产研究与培训医院妇产科进行。本研究的参与者为100名经阴道分娩的初产妇。这些女性在产后接受了面对面访谈。数据通过社会人口统计学和临床问卷收集。

结果

90%的女性报告阴道分娩是理想的分娩方式;少数女性(10%)在进行阴道分娩前就决定剖宫产。分娩前疼痛焦虑是影响分娩方式选择的主要因素。阴道分娩后,84%的女性对阴道分娩感到满意,并表示下次怀孕时更倾向于阴道分娩。然而,16%的女性表示下次怀孕时由于分娩疼痛、会阴切开术疼痛、焦虑和产程延长而更倾向于剖宫产。

结论

结果表明,大多数女性更倾向于阴道分娩,并将阴道分娩视为理想选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a2b/5558380/e60ffd79bf94/TJOD-12-75-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a2b/5558380/e60ffd79bf94/TJOD-12-75-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a2b/5558380/e60ffd79bf94/TJOD-12-75-g2.jpg

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本文引用的文献

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AGAINST: Caesarean delivery on maternal request is a bad idea.反对意见:应产妇要求进行剖宫产是个糟糕的主意。
BJOG. 2015 Feb;122(3):360. doi: 10.1111/1471-0528.12953.
2
Caesarean section should be available on request: FOR: the mother's autonomy should be paramount.
BJOG. 2015 Feb;122(3):359. doi: 10.1111/1471-0528.12952.
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The preference of Iranian women to have normal vaginal or cesarean deliveries.伊朗女性对顺产或剖宫产的偏好。
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Do Italian women prefer cesarean section? Results from a survey on mode of delivery preferences.意大利女性更喜欢剖宫产吗?一项关于分娩方式偏好的调查结果。
BMC Pregnancy Childbirth. 2013 Mar 26;13:78. doi: 10.1186/1471-2393-13-78.
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Why do some pregnant women prefer cesarean? The influence of parity, delivery experiences, and fear.为什么有些孕妇更喜欢剖宫产?产次、分娩经历和恐惧的影响。
Am J Obstet Gynecol. 2011 Jul;205(1):45.e1-9. doi: 10.1016/j.ajog.2011.03.043. Epub 2011 Mar 26.
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Women's preference for caesarean section: a systematic review and meta-analysis of observational studies.女性对剖宫产的偏好:观察性研究的系统评价和荟萃分析。
BJOG. 2011 Mar;118(4):391-9. doi: 10.1111/j.1471-0528.2010.02793.x. Epub 2010 Dec 7.
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Behind the myth--few women prefer caesarean section in the absence of medical or obstetrical factors.背后的真相——在不存在医学或产科因素的情况下,很少有女性选择剖宫产。
Midwifery. 2011 Oct;27(5):620-7. doi: 10.1016/j.midw.2010.05.005. Epub 2010 Jul 13.
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High cesarean prevalence in a national population-based study in Brazil: the role of private practice.巴西一项全国基于人群的研究显示剖宫产率居高不下:私人执业的作用。
Acta Obstet Gynecol Scand. 2010 Jul;89(7):903-8. doi: 10.3109/00016349.2010.484044.
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Caesarean section in the Islamic Republic of Iran: prevalence and some sociodemographic correlates.伊朗伊斯兰共和国的剖宫产术:流行情况及一些社会人口学相关因素。
East Mediterr Health J. 2009 Nov-Dec;15(6):1389-98.
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Women's fear of childbirth and preference for cesarean section--a cross-sectional study at various stages of pregnancy in Sweden.瑞典孕期不同阶段女性对分娩的恐惧及剖宫产偏好——一项横断面研究
Acta Obstet Gynecol Scand. 2009;88(7):807-13. doi: 10.1080/00016340902998436.