Akademik Veri Yönetim Sistemi
Jinekoloji ve Obstetrik Dergisi, cilt.18, sa.2, ss.82-88, 2004 (Scopus, TRDizin)
OBJECTIVE: To compare the maternal outcomes in healthcare staff who delivered by elective cesarean section with others who delivered by cesarean section for obstetrical indications. STUDY DESIGN: We interviewed 144 of our healthcare staff (39 physicians, 88 nurses-midwifes, 17 healthcare personnel) employed in Edirne who completed their latest pregnancies by cesarean section. Cases were grouped whether they had an elective cesarean section (n=64) or had a cesarean section by an obstetrical indication (n=80). The questionnaire was constructed on the basis of reviews of published reports and existing questionnaires. We analyzed the data using "Minitab". RESULT(s): The cited reasons for requesting an elective cesarean section were fear of pain (n=20) or maternal anxiety due to possible trauma to the newborn during vaginal delivery (n=16), and both of them (n=10), fear of damage to the perineum (n=7), recommendation by her physician (n=6) and miscellaneous social factors (n=5). The reported satisfaction rate was 78% following the procedure. However, 53.4% told that they had wished to have a cesarean section in their earlier weeks' of gestation. Besides, 22.2% of the women who underwent cesarean section reported that they would prefer a vaginal delivery if they were to have another pregnancy. In women who had an elective cesarean section, the satisfaction rate was higher (57/64 vs. 56/80 women, p=0.01) and complication rate was lower (2/64 vs. 13/80 women, p=0.02) when compared to those who delivered by an obstetrical indication. CONCLUSION(s): The healthcare staff surveyed were less frequently in favor of preferring a vaginal delivery after cesarean section. Following an elective cesarean section, women were more satisfied and had lower complication rates.