Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Opinions of Primiparous Pregnant Women on Delivery Methods: A Qualitative Research
Primipar Gebelerin Doğum Şekline Yönelik Görüşleri: Niteliksel Bir Araştırma
Nuriye ERBAŞa, Semra ZORLUb
aDepartment of Obstetrics and Gynecology Nursing, Cumhuriyet University Faculty of Health Sciences, Sivas, TURKEY
bDepartment of Public Health Nursing, Cumhuriyet University Faculty of Health Sciences, Sivas, TURKEY
Turkiye Klinikleri J Nurs Sci. 2021;13(4):805-14
doi: 10.5336/nurses.2020-80307
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to determine the views of primiparous pregnant women about labor and the type of delivery they want to have. Material and Methods: The sample of this qualitative study included 26 primiparous pregnant women who did not have communication problems and volunteered to participate in the study, applied to the Obstetrics and Gynecology outpatient clinic of Cumhuriyet University Health Services Research and Training Hospital between 30.06.2016 and 30.09.2016, who were selected using the purposive sampling method. Percentages, mean values and chisquared test were used to analyze the quantitative data, and content analysis was used to analyze the qualitative data. Results: There was a statistically significant relationship between the delivery method that the pregnant women thought of having and the form of the occurrence of their current pregnancy (p<0.05). Of the pregnant women, 92.3% stated that they wanted to have a vaginal delivery, and 7.7% of them wanted to have a cesarean section delivery. In relation to the statements of the women who wanted to have vaginal delivery, the sub-categories of 'a healthier birth process for mother and baby', 'fast recovery', 'living the moment of birth and the immediate start of the mother-baby relationship', 'easier and more comfortable birth process' and 'some gynecological diseases of the woman get better-her body is renewed' emerged under the main category of seeing vaginal birth as a normal act. According to those who wanted to have a cesarean delivery, the main category of not being afraid of cesarean delivery included the sub-categories of 'easy and painless delivery process' and 'planned delivery'. Conclusion: It was determined that the majority of the pregnant women wanted to have a vaginal delivery, and all pregnant women defined vaginal delivery as the 'best way of delivery' in terms of maternal and infant health.

Keywords: Primiparous pregnant; delivery method; qualitative study
ÖZET
 Amaç: Bu araştırma; primipar gebelerin doğum eylemine ve yapmak istedikleri doğum şekline yönelik görüşlerini belirlemek amacıyla planlanmıştır. Gereç ve Yöntemler: Nitel araştırmanın örneklemini 30.06.2016 ve 30.09.2016 tarihleri arasında Cumhuriyet Üniversitesi Sağlık Hizmetleri Uygulama ve Araştırma Hastanesinin Kadın Doğum polikliniğine gebelik izlemi için başvuran; primipar, iletişim sorunu olmayan ve çalışmaya katılmaya gönüllü 26 gebe oluşturmuştur. Nicel verilerin değerlendirilmesinde yüzde, ortalama, ki-kare testi; nitel verilerin değerlendirilmesinde içerik analizi kullanılmıştır. Bulgular: Gebelerin düşünülen doğum şekli ile gebeliğin gerçekleşme şekli arasındaki fark istatistiksel olarak anlamlı bulunmuştur (p<0.05). Gebelerin %92,3'ü vajinal doğum, %7,7'si sezaryen doğum yapmak istediklerini belirtmiştir. 'Anne ve bebek için daha sağlıklı bir doğum süreci', 'hızlı iyileşme', 'doğum anını yaşama ve anne-bebek ilişkisinin hemen başlaması', 'daha kolay ve rahat doğum süreci' ve 'kadının, bazı kadın hastalıkları iyileşir-vücudu yenilenir' şeklinde belirlenen alt kategoriler vajinal doğum yapmak isteyenlere göre vajinal doğumu normal bir doğum eylemi olarak görme ana kategorisine bağlanmıştır. Sezaryen doğum yapmak isteyenlere göre sezaryen doğumdan korkmama ana kategorisini 'kolay ve ağrısız doğum süreci' ve 'planlı doğum yapabilme' alt kategorileri oluşturmuştur. Sonuç: Gebelerin çoğunluğunun vajinal doğum yapmak istedikleri, tüm gebelerin anne ve bebek sağlığı açısından vajinal doğumu 'en iyi doğum şekli' olarak tanımladıkları saptanmıştır.

Anahtar Kelimeler: Primipar gebe; doğum şekli; niteliksel çalışma
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