The overview of high cesarean section rate in Turkey through the eyes of obstetricians and midwieves [Türkiye'de kadi{dotless}n dogum hekimleri ve ebeler açi{dotless}si{dotless}ndan yüksek sezaryen orani{dotless} ni{dotless}n degerlendirilmesi]
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkiye Klinikleri
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To investigate the effect of the hospitals' conditions to high cesarean birth rates in Turkey and obstetricians and midwieves's thoughts on this issue. Material and Methods: A private hospital, a public hospital, and a university hospital in Izmir were identified as the study area. A face-to-face questionnaire was administered to midwives and obstetricians at these hospitals. Participants were asked as "Is this effective on the cesarean rate in your hospital?" and the answer was "yes or no". All the answers for each factor were evaluated. The positive response rate was grouped as partially effective (less than 50%); effective (between 50-75%) and very effective (more than 75%). Results: Four doctors and eight midwives (100%) at private hospital, 12 doctors and 15 midwives (82%) at public hospital and 35 doctors and 27 midwives (77%) at educational institution were included this study. The medico-legal reasons were the most effective on the high cesarean rates. Insufficiency of emergent conditions, doctor on call and midwives' experience were very effective factors, especially in private hospital. The doctors denoted that the avoidance from risky deliveries was very effective factor in high cesarean ratio. Except for the elective caesarean, patient -related causes were partially effective in the private hospital. Conclusion: In our country, infrastructure and working conditions of maternity services in hospitals are quite different from each other. Suggestions for the solution are improvement of medico-legal issues and emergency working conditions and increase the training and responsibilities of midwieves. copyright © 2014 by Türkiye Klinikleri.
Açıklama
Anahtar Kelimeler
Birth rate, Birthing centers, Cesarean section
Kaynak
Turkiye Klinikleri Jinekoloji Obstetrik
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
24
Sayı
2
