Department of Midwifery, Faculty of Health Sciences, Kahramanmaraş Sutcu Imam University, Kahramanmaraş, Turkey.
Department of Nursing, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey.
J Matern Fetal Neonatal Med. 2020 Oct;33(20):3529-3537. doi: 10.1080/14767058.2019.1644311. Epub 2019 Jul 24.
The aim of this research is to investigate the factors that prevent women choosing vaginal delivery, and to identify the reasons underlying the increasing rate of cesarean births. The study was carried out as descriptive cross-sectional research. The sample group consists of 591 women who gave birth via cesarean delivery at a state hospital. Research data was collected using a questionnaire and through face-to-face interviews by researchers. The data was presented as frequency, mean, and analyzed chi-square test, binary logistic regression. The average age of the participating women was 26.49 ± 0.2, the majority were primary-secondary school graduates (70.6%) and housewives (97.0%). About 87.3% of the participants opted for cesarean delivery following medical advice due to medical reasons, and others intentionally chose this method for specific reasons including fear of vaginal delivery, tubal ligation, or a desire to plan a specific birthdate. The findings of the logistic regression model indicate that the increase in number of prenatal care appointments and the time of deciding on the type of delivery approaches the time of delivery increased the medical advice-based cesarean delivery rate (respectively; OR: 1.390, = .001; OR: 1.850, = .000), and that having had a previous delivery with the aid of a midwife reduced the likelihood of medical advice-based cesarean delivery (0.233, = .001). These correlations were also found to be significant in the chi-square test ( < .05). The attitudes of health professionals, women's demands and the time allowed for making decisions about cesarean delivery have an effect on preferences regarding cesareans.
本研究旨在探讨导致女性选择剖宫产的因素，并确定剖宫产率上升的原因。本研究采用描述性横断面研究。样本组由在一家州立医院行剖宫产分娩的 591 名女性组成。研究数据通过研究者的问卷和面对面访谈收集。数据以频率、均值呈现，并采用卡方检验、二元逻辑回归进行分析。参与研究的女性平均年龄为 26.49±0.2 岁，大多数为小学和中学毕业生（70.6%）和家庭主妇（97.0%）。约 87.3%的参与者因医学原因听从医疗建议选择剖宫产，其他人则出于特定原因，包括对阴道分娩的恐惧、输卵管结扎或希望计划特定的分娩日期，而有意选择这种方法。逻辑回归模型的结果表明，产前检查次数的增加和决定分娩方式的时间接近分娩时间会增加基于医疗建议的剖宫产率（分别为；OR：1.390，=0.001；OR：1.850，=0.000），而有助产士协助的前次分娩会降低基于医疗建议的剖宫产率（0.233，=0.001）。卡方检验也发现这些相关性具有统计学意义（<0.05）。卫生专业人员的态度、女性的需求以及决定剖宫产的时间会影响对剖宫产的偏好。
