Kosan Zahide, Kavuncuoglu Duygu, Calıkoglu Elif Oksan, Aras Aysun
Department of Public Health, Ataturk University Medical Faculty, Erzurum, Turkey.
Department of Public Health, Ataturk University Medical Faculty, Erzurum, Turkey.
J Gynecol Obstet Hum Reprod. 2019 Jun;48(6):395-400. doi: 10.1016/j.jogoh.2019.03.009. Epub 2019 Mar 20.
The mode of delivery is of vital importance to the health of both mother and child. We aimed to determine the preferences of pregnant women for the mode of delivery and the associated factors concerning their choices.
In this descriptive study, a sample size of 418 individuals are needed to calculate an expected prevalence of 45% with an error of margin of 5%, a confidence interval of 95% and considering potential non-respondents of 10%. Sixteen subjects refused to take part in the study, 402 pregnant women presenting to hospitals in Erzurum city center during December 2016 and January 2017 consisted the study group. Distribution percentages were calculated based on the numbers of births in the hospitals. A questionnaire incluiding questions about sociodemographic characteristics, factors that may affect women's delivery preferences, delivery preferences, and the reasons for those preferences was used to collect the data. Data were analyzed on the SPSS 22.0 statistical software. The Chi-Square, Student t-tests and binary logistic regression analysis were used. p < 0.05 was regarded as statistically significant.
The proportion of cesarean delivery preferences was 69(17.2%). Women's preferences for normal vaginal delivery (NVD) or CS deliveries were significantly affected by the previous type of delivery (p < 0.001), type of pregnancy (natural vs. assisted) (p = 0.021) and problems in CS delivery among friends and relatives (p = 0.009). No statistically significant correlation was observed between delivery preferences and women's age, monthly family income, employment status, age at marriage, duration of the marriage, previous miscarriage, age at first delivery, and possession of information concerning types of delivery (p > 0.05). Multivariate analysis proved cesarean section experience, the presence of cesarean-related problems among relatives and educational status as independent affecting factors.
This investigation demonstrated women in Erzurum prefer substantially vaginal delivery. Family and relatives are essential for decision making, which suggests considering peer education as a method of information delivery.
分娩方式对母婴健康至关重要。我们旨在确定孕妇对分娩方式的偏好以及与其选择相关的因素。
在这项描述性研究中，需要418名个体的样本量，以计算预期患病率为45%，误差幅度为5%，置信区间为95%，并考虑10%的潜在无应答者。16名受试者拒绝参与研究，2016年12月至2017年1月期间在埃尔祖鲁姆市中心医院就诊的402名孕妇组成了研究组。分布百分比根据医院的出生人数计算。使用一份包含有关社会人口学特征、可能影响女性分娩偏好的因素、分娩偏好以及这些偏好的原因等问题的问卷来收集数据。数据在SPSS 22.0统计软件上进行分析。使用卡方检验、学生t检验和二元逻辑回归分析。p < 0.05被视为具有统计学意义。
剖宫产偏好比例为69（17.2%）。女性对顺产或剖宫产的偏好受既往分娩类型（p < 0.001）、妊娠类型（自然妊娠与辅助妊娠）（p = 0.021）以及亲朋好友剖宫产分娩问题（p = 0.009）的显著影响。在分娩偏好与女性年龄、家庭月收入、就业状况、结婚年龄、婚姻持续时间、既往流产史、首次分娩年龄以及分娩类型信息的掌握情况之间未观察到统计学上的显著相关性（p > 0.05）。多变量分析证明剖宫产经历、亲属中存在剖宫产相关问题以及教育程度是独立的影响因素。
这项调查表明埃尔祖鲁姆的女性基本上更喜欢阴道分娩。家庭和亲属对决策至关重要，这表明可将同伴教育视为一种信息传播方式。
